Personal Narrative: Asthma Attacks

R.J. is a 15-year-old boy with a history of asthma diagnosed at age 8. His asthma episodes are triggered by exposure to cats and various plant pollens. He has been using his albuterol inhaler 10 to 12 times per day over the last 3 days and is continuing to wheeze. He normally needs his inhaler only occasionally (2 or 3 times per week). He takes no other medications and has no other known medical conditions. Physical examination reveals moderate respiratory distress with a respiratory rate of 32, oximetry 90%, peak expiratory flow rate (PEFR) 60% of predicted, and expiratory wheezing.

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

History of Present Illness: Ms. Johnson is a very pleasant 66-year-old woman who was previously evaluated in this office by Elvira Aguila, MD for the diagnosis of asthma. She was last seen in January 2015. She states that overall, she has done well. However, over the last two to three weeks, she has noticed increasing shortness of breath as well as productive cough, rhinorrhea and postnasal drip. She states that she has been using her rescue inhaler above and beyond what is normal for her up to 10 times a day yesterday and she states that she has had some improvement in her symptoms with her short acting bronchodilator. She denies any fevers or chills.

“Final call girl’s four by eight-hundred-meter relay” called the official. The Ontario Track girl’s four by eight-meter team trooped up to lane one, in unison. I would not have wanted to be racing with anyone else but my relay family. We had trained all season for this one race. Every workout, asthma attack, tear, and shin splint has lead up to this one race to break a twenty year old school record. As we jogged with the official from the bullpen to the starting line, the crowd had uproars of excitement for the athletes. An immense smile grew across my face, not only from the ecstatic crowd, but from the anticipation to race. I approached the starting line, in the first lane, while my teammates arrayed along the fence with the other second,

Asthma is the leading cause of chronic illness in children and is responsible for nearly 10% of the Emergency Room visits for children <15 year of age. It occurs in as many as 10%-12% of children in the United States and is gradually growing. Asthma can begin at any age , but most children have their first symptoms by age five. Because Camp Wapiti is for children ages 8-13 exclusively, this report will focus primarily on childhood asthma.

During the clinical experience, I was able to care for a patient with the diagnosis of adult onset asthma. J. D. was a twenty-year-old with a one-year history of mild persistent asthma. His body mass index was 30, and he was a former 1/2 pack per day smoker for one year. Also, other lifestyle factors included social alcohol drinking (1-2 drinks per/day) over the last year since he moved out on his own. He did not regularly exercise, and he admitted to not using his daily Qvar. He lives with a roommate that does smoke in the apartment. His sister was the only family member with asthma and was diagnosed in childhood. He was being treated with a low dose inhaled daily corticosteroid (Qvar 80 mcg/daily) and a short-acting

The feeling of a lead brick on your chest, desperately needing air but unable to draw a breath and the feeling of drowning in the very substance you need to survive. Shaking hands squeeze a canister and suddenly there is a rush of medication, an odd taste and then the brick gets lighter and lighter as gradually more oxygen comes in and once again air is flowing in and out properly. For an individual with asthma, an inhaler feels like the most amazing invention ever to grace the human mind or hands. Without the medicine stored in the tiny canister, life as is known by the average non-asthmatic would be but a dream for myself and around 25.7 million other people (Akinbami and Johnson, 2012). The idea of inhaling medicine to cure ailments started

Now, by this time my asthma had disappeared completely. For years now here in the US I have had no asthma attacks like the ones I used to have in Cuba, and for all practical purposes I was no longer an asthmatic. I was in good shape, but the concern was still there, especially for my mother, who had suffered through my asthma attacks alongside me in Cuba. The thinking for us was that perhaps the 14 hours at sea during the 1980 Mariel trip, and all that vomiting I did somehow had “cleaned me out” (that is what my mother used to say), and the sea had taken my asthma away. Looking back, what I think probably happened was that in Cuba we were living in very polluted surroundings, and for allergic people like me the air pollution exasperated me to the point of making me asthmatic. All that Hollin (soot) Grandmother Hortensia used to have to clean all over the house every day in La Habana was an indication of the pollution of the city air, pollution which at nighttime as the air cooled would condense further in the lower atmosphere, making people like me suffer asthma attacks. Here in the US, the air was a lot cleaner, and thus I was no longer asthmatic.

Even though physical activity has been found to be beneficial to asthmatics. Exercise-induced asthma have been prevalent in our society. As

Occupational asthma is defined as asthma caused by exposure to airborne dust, vapors or fumes to individuals in the working environment without previous exposure to asthma, the term work-related asthma comprises of occupational asthma. Occupational asthma results from inhaling agents in the workplace and cases of occupational asthma requires to be clinically examined to confirm the actual diagnosis to patients identified with symptoms of asthma (Clayton, 2011:674&675)

On the eve of my seventeenth birthday, I was having a birthday party with my family, and I was not feeling well. My asthma had been bad for the past few months, but seemed to be worsening. I even had to leave my party for a little bit to take an aerosol treatment. That seemed to help, but only for about thirty minutes. I started to wheeze again, and I was not able to catch my breath. I have had asthma all of my life and have been in the hospital several times for exacerbations. After my family had left, my parents knew I needed to go to the emergency room. I took my rescue inhaler right before my parents and I left to go to the emergency room. We ended up going to Nationwide Children's Hospital in Columbus, Ohio. Once I arrived, there was a long line ahead of me, but a triage nurse listened to my wheezing and sent me straight to the front. The nurses seemed panicked when they took me back to a critical care section of the ER. When I got in a room, I knew it was serious because there were five nurses and two doctors. I ended up staying at Children’s Hospital for a week and being on oral steroids for four months. Because of my asthma, I missed a lot of school during my junior year. I was on oral steroids for a long period of time, so it began to weaken my immune system.

Breathing is a vital process for every human. Normal breathing is practically effortless for most people, but those with asthma face a great challenge. During an asthma attack, breathing is hampered, making it difficult or even impossible for air to flow through the lungs. Asthma is an increasingly common problem, and has become the most common chronic childhood disease. At least 17 million Americans suffer from it(1), and although it can be fatal, it is usually not that severe(4). There is no cure for asthma, but with proper care, it can usually be controlled.

As a result, I endured the from the time I left school to the time I got off the bus. Afterward, I could barely stand, and I felt this choking sensation in my throat. One of my cousins that was in the same bus with me went to get help, and my mom rapidly approached me with grave concern in her eyes. In addition, my parents drove me to Palos Community Hospital. By the time I got there, the doctors couldn’t control my asthma.

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

My mum had helped me up and had me sitting on a chair near the door and she had called the ambulance. I wasn’t breathing much but I was also sleeping and waking up every minute. This was intense because I couldn’t remember what was happening because I kept falling asleep on the chair waiting for the ambulance. My lungs were closing in not letting me to breathe I was scared but I was half asleep when it was happening. The ambulance had arrived at my house and they had brought in a bed with wheels, I thought it was cool to lay on one, I was scared when I went in an ambulance because it was my first time and I was laying in the bed in the back of the ambulance I had been taken to the children hospital as I was laying in the ambulance I had been concentrating on the way there seeing where I was going by looking at the window and seeing lights. In the ambulance I was given an oxygen mask which had helped me breathe it had opened my lungs and made me feel better but my chest was feeling tight and