Case Management: Living with Asthma Essay

The Nursing and Midwifery council (NMC 2008)states that a nurse should be able to protect and promote the health and well-being of those in their care. This essay will be discussing the health promotion role of a nurse looking after a patient that has Chronic Obstuctive Pulmonary Disease(COPD) .The essay will focus on a 65 year old gentleman Mr Abraham who has been admitted into a general medical ward,with an acute exacerbation of COPD. Mr Abraham is well known to the ward as he is admitted regularly, the ward staff are aware of the fact that he continues to smoke and uses his inhalers incorrectly.

Respiratory diseases such as asthma in the older population has contributed a significant impact in the health services (Mcdonald, Higgins, Gibson, Peter, 2013). The difficulty of experiencing the symptoms of asthma by the elderly population is complex and needs different approaches to be addressed (Mcdonald, Higgins, Gibson, Peter, 2013).

An MDI is an aerosol medication, taken orally and inhaled into the lungs (AAAI, 2015). A metered dose inhaler on a medical stand point is a bronchodilator and corticosteroid that aides in the breathing process when bronchiole tubes become constricted (AAAI, 2015). Bronchiole tube constriction is the reason for the difficulty breathing, and the main symptom of asthma (AAAI, 2015). An MDI dilates the bronchioles (AAAI, 2015). 73 patients were analyzed, and 16 of them were dubbed as having ‘inadequate health literacy’ (Bilderback et al., 2005). 10 questions were answered in true or false format to determine these results and 22% didn’t know how to properly administer their medication. These patients had no knowledge of when they should or shouldn’t take their medicine, when and how they should treat an asthma attack, and lastly how much time will persist before symptoms subside and how promptly they should be treated (Bilderback et al., 2005). Out of those 16 patients, 13 of them were hospitalized in the last 12 months, 14 of them had to visit the ER in the last 12 months, and 10 of them are said to have near-fatal asthma (Bilderback et al., 2005). On a satisfactory note, 11 of those 16 were removed from the list of those with inadequate literacy after one educational session

Task analysis is the process of obtaining information about a job by determining the duties, tasks, and activities involved and the knowledge, skills, and abilities required in performing each task. There can be broken down into six

COPD is one of the many preventable diseases that health care providers deal with. Nurses needs to familiarize themselves with this disease process and how it affects the body, preventative methods, and treatment plans, so that they can be well informed when it comes to patient education. Education is a big part of nursing and considering COPD is the third leading cause of death, nurses will be in frequent contact with

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

Nursing revolves, not merely about looking after patients, but creating awareness in the society about self care nursing and prevention strategies and to communicate with their patients in a holistic manner, so as to satisfy their physical, mental and spiritual health needs. Various nursing theorists have repeatedly

Asthma affects 1 in every 12 Americans. According to the American Academy of Allergy Asthma & Immunology, Asthma is affects “About 1 in 9 (11%) non-Hispanic blacks of all ages and about 1 in 6 (17%) of non-Hispanic black children had asthma in 2009, the highest rate among racial/ethnic groups.” As a mother of child with asthma, I know how scary it can be to deal with asthma attacks and learning how to treat the symptoms and minimize risk factors.

This shift in the setting for health care is moving health care back into the patient’s environment and also requiring people to take a greater role in their individual health management. Nurses can offer professional guidance in this trend as well. Proper diagnosis and treatment will be of paramount importance in the future so that health care funds can be better applied and the nursing experience and knowledge gleaned can be more widely disseminated in the field. (Saver, 2006)

As Nurses, we often ask ourselves what more can we do than is currently being done to improve the health of our clients not only in an individual sense but as a community. We are required by the scope and standards of nursing to ask ourselves this type of question by virtue of our profession and indeed is a baccalaureate nurse essential as well. We are in a unique position as nurses to have the most interaction with the community of patients we serve, and we often see the issues that affect the communities we serve more readily. One such issue that is undeniably

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.

Nurses play an important role in promoting health within the patient, family, and community (Kemppainen, Tassavainen, & Turunen, 2012). The focus of patient care has been transferred from treating the illness to disease prevention (Mchugh, Robinson, & Chesters, 2010). The implementation of consultation, education, and follow up exams can increase the overall quality of life for an individual (Kemppainen et al., 2012). I will discuss the various roles of a nurse in health promotion along with the multiple work environments in which they can be implemented within. I will also reveal the maintenance plan of my own personal health regimen.

An education program is essential if a patient or caregiver is going to be successful in managing asthma symptoms. A one on one patient education program should be developed. First, the educations should focus on the basic facts about asthma which includes; defining well controlled asthma, purpose of medications, and appropriate use of inhaler devices.

“Life is not a spectator sport.” In order to live to the fullest, you must overcome obstacles to achieve happiness and success. Millions of people break barriers every day, like Jackie Robinson and myself. I would like to share the story of how I broke my biggest personal barrier.

Often in practice, we as nurses deal with a variety of diseases and treatments and often have to react to the illness that the patient presents with upon our interaction. While this is an essential piece of our practice, we also have a duty to our patients to be proactive in preventing specific health-related consequences based on their risk factors and to promote their health and well being. Health promotion as it relates to nursing is about us empowering our patients to increase their control over their lives and well beings and includes: focusing on their health not just illness, empowering our patients, recognizing that health involves many dimensions and is also effected by factors outside of their control (Whitehead et al. 2008)..