Asthma, as defined by the NIH, “is a chronic lung disease that inflames and narrows the airways. Asthma causes recurring periods of wheezing (a whistling sound when you breathe), chest tightness, shortness of breath, and coughing.” (National Institutes of Health, National Heart, Lung and Blood Institute [NHLBI], 2015). There are risk factors that may predispose a child to developing asthma, which include having allergies, eczema, and/or having parents who have asthma. Asthma is not a disease that is preventable. (NHLBI, 2015). The risk or likelihood that someone would have asthma is based on the biological makeup of the individual that would predispose them to the disease, rather than behavioral, environmental, or even social factors. …show more content…
(CDC, 2015).
Prevention of asthma is not the focus of interventions since it is not a preventable disease, but rather the focus is to intervene with the management of the disease. There are some protective factors that can be employed so that the occurrence of asthma attacks is reduced, or at least, well managed. Once someone has been identified as having asthma, the goal is to manage it well so that there are as few asthma attacks as possible. In 2008, the National Asthma Control Initiative (NACI) was created. The goal of creating the NACI is to have the ability to work with different partners throughout the community to successfully put asthma guidelines into action beginning with the home and moving out into the community, which may include schools, health care settings, as well as other parts of the community. (National Asthma Control Initiative [NACI], 2011). Primary interventions focus on preventing the disease before it occurs. Because asthma is not a preventable disease, the evidenced based interventions in place are more representative of interventions at secondary and tertiary levels than primary. Community health nursing health promotion interventions for asthma at the secondary level are largely aimed at diagnosing those with asthma and managing the disease.
The first step of asthma intervention is having it diagnosed. Usually either the primary care provider diagnoses the
Putting on AIRS is a free program for residents of Connecticut who have a diagnosis of asthma, and who may benefit from a home visit by a Certified Asthma Educator and an Environmental Specialist. Darlene had a home visit on March 4th. Enclosed you’ll find the signed release of information which permits the program to make available the summary of the visit. In addition, find the Asthma Control Test (ACT), taken from the Measures of Asthma Assessment and monitoring document page 67; “Patient Self-Assessment” (EPR-2 1997) that her mom completed at the time of
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.
I met the community outreach programmer Ms. Lisa and I discussed with her about an appropriate evidence-based practice. Ms. Lisa said that there is not education program in Taney County Health Department for asthmatic people. Thus, she asked me to find a successful evidence-based practice, which has been applied in the other Counties or States
One strategy that has shown to improve medication compliance and outcomes for patient with asthma is the provision of Asthma Action Plans (AAP). The Asthma Action Plan or AAP is widely recognized as the best tool for asthma self-management and has been demonstrated to improve outcomes for asthmatics. The AAP is a detailed plan that describes medications and treatments, how to control asthma, and how to address worsening asthma. The plan also describes when to call the doctor or go to the emergency room. The plan breaks down the severity of symptoms and treatment by color helping those with limited language skills and low health literacy the ability to understand the asthma treatment plan. (Nepaul et al.,
Asthma is a respiratory disease that many people deal with every single day. “According to World Health Organization, approximately 180,000 people die from asthma each year.” (Jardins and Burton 187) Most people never think of asthma as a life threatening disease, but it can be crucial. As the number of people with asthma increases, the more likely you are to come in contact with someone who has been diagnosed with this disease. Asthma is a severe breathing problem that has many complications that is dealt with daily like shortness of breath, chronic cough, tightness of the chest and shortness of breath, my main focus is childhood asthma, allergic asthma, and medication to treat asthma.
Global Initiative for Asthma, GINA, (2017) has provided global strategy guidelines for the best management and prevention for asthma. In the report GINA writes that a shared-care approach is associated with improved outcomes. It requires the development of a partnership
It is still the healthcare provider’s prerogative whether to utilize these guidelines or use an individualized approach, which ever works for the patient. I personally would utilize the stepwise approach first, since it is evidence-based, unless it is not working for the patient, then I would utilize an individualized approach. In addition, identifying trigger factors specific to the patient is vital in minimizing symptoms and exacerbations. A diary or log to note what type of activity, foods eaten, weather condition, presence of pollen, dust, smoke precipitates an attack would help in preventing future attacks by avoiding said factors. Nonpharmacological treatment would include stress reduction techniques, since high levels of stress has been cited as a trigger factor for some asthmatic patients. Preventive measures like, getting vaccinated, avoid smoking, and avoiding trigger factors can make a significant impact in asthma control. Making the patient actively involved in the management of the condition have a better chance of controlling
As the world population grows, so does the amount of people in this world with Asthma. “In the last decade, the proportion of people with Asthma in the USA grew nearly 15%, with 479,300 hospitalizations and 1.9 million emergency department visits in 2009 alone”(Kaur, Bani Preet). Asthma affects the bronchi, bringing of air into and out of the lungs. When an Asthma attack happens, the airways or passages to the lungs, swell up and close so the air passing through is very minimal, causing air not to be able to reach the lungs and pain to the person. In most cases it is not deadly unless not handled properly. This disease causes it to be harder to stay active than it is for others. It is easily manageable if properly diagnosed and properly treated. “4 million americans under 18 have Asthma” (Bronson). It is mistaken in young children for their crying and hiccuping is mistaken for Asthma. Especially when they are sick since they are unable to speak. Asthma is a painful
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.
The nurse plays a vital part in educating patients on effective ways to control asthma through self-care education and participation in asthma management programs. The purpose of this paper is to identify nursing interventions to help clients of all ages to better manage their asthma by educating the client on triggers, signs of good control, medications, and the best way to use an action plan. Even though there is no cure for asthma, clients can have a better quality of life by controlling it. However, before one can control their asthma it is essential to teach the best evidence based interventions available.
An AAP has been shown to one of the most effective tools to reduce the number asthma exacerbation and symptoms. There are English and Spanish versions of the AAP. An individualized AAP is a detailed plan that describes medications and treatments, how to control asthma, and how to address asthma exacerbations. The plan describes when to call the doctor or go to the ED. The plan breaks down the severity of symptoms and treatment by color helping those with limited language skills and low health literacy the ability to understand the asthma treatment plan. The AAP has been shown to be an important educational tool when caring for asthmatic patients, the key to the plan is recognition of symptoms and the importance of medication compliance (Nepaul et al.,
As far as asthma goes, triggers for asthma are: allergies, family history (because there is a genetic influence) dust mites, pet dander, dust, cockroaches, pollen, mold, anything like that, pollutions and factory immetions can trigger some allergies. And often your patient will give you a history of GERD and exema (especially when they were a kid).
Childhood asthma impacts scores of youngsters and their families. In fact, the bulk of kids develop respiratory illness before the age of
Asthma is often thought of as a childhood disease. However, asthma can affect all ages, young, old, and everyone in between. According to Kathleen Scogna, in her article, Asthma in The Gale Encyclopedia of Science, “there are approximately 7 million people 18 years of age or younger and 17.8 million adults have asthma in the United States” (Scogna 2014). Asthma can be genetic, as is often the case when diagnosed in children however, it can also present later in life. Asthma is a chronic inflammatory disease that causes the narrowing of the airways, which prevents oxygen reaching the alveoli: the air sac in the lungs. As a result, the body begins to burn oxygen much faster than usual. Asthma is frequently known to produce bouts of coughing, wheezing, and breathlessness. Although asthma responds well to treatment, it can be a wearisome disease. Common triggers for asthma include cold air, exercise, dust mites, air pollution, stress and anxiety.