Asthma Nursing Teaching

This assignment is a case study of a patient who was admitted to a respiratory ward with acute exacerbation of asthma. This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). This case study will focus on the maintaining a safe environment. It is worth noting that the activities of daily living are interlinked e.g. according to Roper et al (1980) breathing is an activity that is crucial for life therefore all other activities are dependent on us being able to breathe. The nursing management, pharmacological agents and the tools used will be critically

Through the convenience sampling, 90 clients were recruited as research participants were in the waiting room of the respiratory clinic. 60 subjects agreed to attend a support group for socialization with each other. 30 of 60 clients were assigned to participate in the presentation and therapeutic exercises by the instructor. The instructor group divided into halves: 15 clients received instructions with family caregiver and the other clients without a caregiver. The second 30 clients received written materials and allowed to access the website for video presentation and exercises. Half of website group assigned to the family caregiver and the other half without a caregiver. The last 30 subjects were assigned as a control group, and half of these clients received usual care with family caregiver and other 15 clients without a family caregiver. The data was collected by the pulmonary functional status survey, 30 items, five points, Likert-type scale.

Asthma triggers and response to medications does not affect individuals in the same ways. Moreover it is not always simple to manage due to its affectability on people on age, sex and ethnic background (Cockett,2003). However, specialist nurse can achieve a successful outcome by ensuring that management plans are tailored to suit each patients/clients needs.

A screening template can be developed that can assist the nurse in performing a thorough assessment of an asthmatic patient. This questionnaire should be at an appropriate education level and question should be simple and direct. The questions should focus on the presence or absence of symptoms, activity limitations, exacerbations, missed workdays, and frequency of use of prescribed medications.

Children in primary school have less self- management about asthma because of insufficient experience and young age. The study of Gabe, Bury & Ramsay (2002) considered that those participants aged 11-16 who living with asthma should be more active and independent to cope and manage with its symptoms. It also argued that if adults were less experience in managing asthma in childhood in the past, they would have triggers in their life and social relations. A first fact that the mortality of death from asthma in the period of 2004- 2013 is more common among older children, and young children is less likely to die than older one (Asperen, 2015), the other figure indicate that the mortality rate

Access to care is essential in managing asthma. The patient and their caregiver should receive education regarding the basic facts about asthma. A patient whose asthma is well managed will be able to define what asthma is, and what it means to have well-controlled asthma. He or she should be knowledgeable about their medications and to be able to take them correctly. The patient should be able to monitor their symptoms and know how to treat them. Patient should also be aware of what environmental exposures trigger their asthma. These patient will also follow their established asthma plan and see their provider regularly.

Since there is no cure for asthma management of symptoms is crucial. Many of the articles examined focused on improving asthma self-efficacy and education to improve their quality of life especially in low-income populations. According to Martin et al. (2009) “low-income African American adults in Chicago had disproportionally higher asthma morbidity and mortality rates. Interventions that improve asthma self-efficacy for appropriate self-management behaviors might ultimately improve asthma control in the population”. Providing proper education and support to prevent acute asthma attacks will be vital. Even in an adult primary practice the adults could bring in symptomatic children with undiagnosed asthma or have questions about asthma. Patients need to manage their symptoms and take their medications because without treatment asthma can become life threatening. Medication education and teaching medication management will help keep patients with asthma healthy. Wilson et al. (2009) stated that only about half of patients with asthma take their medications at therapeutic doses. “Poor adherence exacerbates airway inflammation, and may result in suboptimal asthma control, functional limitations, decreased quality of life, excess health care use, and even death” (Wilson et al.,2009). Accurately diagnosing a cough or wheeze will be as an advance practice nurse in Richmond, Virginia will be important. Working in a clinical setting in Richmond will definitely expose a practitioner to patients with

Patients’ education should also include trigger avoidance, an understanding of the disease process and its management; properly use of asthma devices, keeping asthma under control, and more importantly adherence to the asthma medication. Patients education should also cover the understanding of the disease process such as asthma is a treatable and manageable, but not curable. Therefore, medication should not be discontinued even when the symptoms are under control. Lastly, patients’ education should also include compliance to the follow-up appointments even when the symptoms are under control or not. If patients’ symptoms are not under control, then the further referral may have needed to an allergist and a pulmonologist for further testing in order to achieve the overall

When visiting an asthmatic patient at home, it is important to monitor their environment. The home is a place where people spend the majority of their time and therefore can easily contribute to the exacerbation of asthma. While in the home environment, monitoring for mold, dust, pets, cigarette smoke or plants is important. The cleanliness of the home along with the sleeping environment can be good indicators as to the reasoning behind the patient’s condition. This is a good moment to teach the patient and family members ways to manage asthma based on the home environment. Explanation as to what irritants are is important. Visiting the home would also be a good time to observe the way in which the patient uses their inhaler along with other medications they may be using.

The Asthma policy is in place to ensure that students who are diagnosed with asthma are receiving the correct care, the policy is also put in place to ensure that the school is following the correct procedures in creating a safe school environment for the students that are diagnosed. For schools to be following the policy correctly, they must have an Asthma Care Plan and a Student Health Support Plan for each student that is diagnosed with asthma. Not only this but the school has to have a whole school policy in place which provides staff with asthma awareness training, first aid kits as well as the maintenance and care of the first aid kit, private storage for medication, organisation and confidentiality of medical information.

Asthma can affect people in all ages even it can have influence on adult for the first time .

Interviewee had awarded with Diploma – Associate degree in nursing in the year 1997, and at present as student of Doctorate of Nursing which will be commenced by next month. The educational and clinical experiences aided her in delivery of educating adult learners in class room teaching, and clinical

To investigate the problem, a sample of nine studies was used, including a number of common characteristics. The purpose of all the studies was to provide education to children suffering from asthma in order to help them understand the condition and improve their ability to manage it by means of self-care. Of the studies, six took place within the past 5 years. In terms of focus groups, the studies were also heterogeneous in terms of the age

Gadbow believes it is the duty of adult educators to instill a life-long love of learning into their students, "helping adults learn how to learn is the most important thing a teacher ever does" (p. 53). The first responsibility of educators working with adults is to help them identify their learning styles and differences as well as other special learning needs, and then provide effective strategies to adapt to these individual learning needs (53). The author's contention that all learners are special means seeing the possibilities as well as the problems or particular needs of each student as they present themselves.

With secondary intervention, one can establish within the community is through a Spirometry test that will measures the function of the resident lungs. In addition, obtaining