Prevention Of Asthma And Being Admitted Into An Emergency Medical Hospital

How does asthma fit into the Healthy People 2020? As it is stated in Health People 2020, the main goal is to, “Promote respiratory health through better prevention, detection, treatment, and education efforts.” Under this goal, Healthy People list several objectives such as, reducing asthma death, hospitalizations, emergency department (ED) visits, activity limitations, and miss school and work days; in addition, increasing education and prevention program (Healthy People 2020, 2014).

To better understand the impact of asthma, a brief overview of the causes (aetiology) and disease progression (pathophysiology) must be shown. As common as asthma is, not much is known about its aetiology, according to findings presented by Subbaroa, Mandhane and Sears (2009, pg. 181-187) in a review from the Canadian

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Since asthma exacerbations in adolescence can lead to emergency room visits, hospitalizations, missed school and diminished health status, there was an evident need for effective asthma management for this population (Quaranta et al., 2014). Unfortunately, these rural adolescents with asthma, and their families, had difficulty determining when their asthma was poorly controlled; and unless the asthma symptoms were disruptive to family life, there was often little motivation for these individuals to seek medical care, thus increasing the risk of poor outcomes (Quaranta et al., 2014, p. 99). According

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.

In this paper, I will explore asthma prevalence of children living in New York City. Asthma is an existing serious public health concern in inner cities and urban environments. Especially children with asthma from low SES families or minority groups face difficulties accessing health care, receiving high-quality continuous care, and preventative education. In other words, there is a disparity in the asthma prevalence and care in New York City.

As of 2009, studies conducted by the CDC have shown that asthma impacts approximately one in every twelve people, and the numbers only continue to grow (CDC, 2011). Some of the most common symptoms can range anywhere from coughing (especially at night or during exercise), wheezing and chest tightness, to shortness of breath. Asthma is often a chronic condition and while many times it can present itself as being mild, it can also sometimes lead to death if a person suffers an asthma attack. Asthma can be genetic, but it can also be caused, as well as exacerbated by, environmental factors such as air pollution. Studies have shown that children living in the Bronx are experiencing asthma at levels eight times higher than the national average. In addition, rates of death from asthma are a whopping three times higher than the national average, and hospitalization rates at about five times higher.” (Ruppell, 2000). Asthma is not a disease that targets only one group of people, yet the Bronx still exhibits disproportionately high levels of asthma especially in neighborhoods that are poorer areas of the city. In fact, people from these poor areas are 21 times more likely to be hospitalized due to asthmatic conditions compared to people from more affluent parts of the city (Ruppell,

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.

At various stages of asthma, preventative measures can be used to control or alleviate the symptoms associated with this disease. Education is an important component to every intervention phase, particularly in primary prevention, because the patient is encouraged to be proactive with their personal health in order to avoid and control the triggers. Prescribed medication, such as an inhaler, and an action plan that is individualized to the specific care of a particular patient is essential in the secondary prevention phase. Finally, in the tertiary prevention phase, the care is directed not only at the common asthmatic symptoms and triggers but also at the complications that result from long-term suffering of this disease. This paper focuses on environmental factors which trigger asthma, with specific focus on children from infancy to 16 years of age in low-income housing, and how the appropriate measure can minimize the triggers and symptoms. The New York City Housing Authority (NYCHA) is the example we will use.

Asthma is a chronic condition affecting the respiratory system and has a considerable impact on both individuals and a population. Everybody is susceptible to asthma, some more than others, depending of a variety of factors including, age, sex, geographical location and income. Asthma is particularly prevalent in younger children and the elderly and while it can be fatal, most people have mild cases of asthma that are relatively easy to treat. The condition mainly impacts an individual’s physical ability to contribute to a community.

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.

Childhood asthma impacts scores of youngsters and their families. In fact, the bulk of kids develop respiratory illness before the age of

Experts have yet to understand why the rates of asthma are rising by an average of 50% every decade worldwide. According to the Asthma Society of Canada (2016), asthma is now considered to be a major health concern with approximately 235 million suffering from this illness worldwide. Kuhn et al (2015) states that as at 2012, one out of 12 people in the United States had asthma and the number continues to rise. More people have been diagnosed with this disease and in 2007; over 3000 deaths were linked to Asthma. Furthermore, the costs of treating asthma continue to rise with about 56 billion dollars being spent in 2007 compared to $53 billion in 2002 (CDC, 2011). From data gathered in California, which is our area of study, it was estimated that 2.3 million