Summary: Medication Therapy Management Program For Asthma

Asthma is a serious problem nationwide. It is also a significant problem in the state of Massachusetts, especially in communities in Boston. However, according to Harvard School of Public Health and NIEHS Center for Environmental Health, Roxbury and North Dorchester are highly noticeable hotspots (Backus, Terrell, Wool, & Straubel, 2012, p. 23). For the purpose of this paper, the main focus will be on asthma cases in

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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

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.

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.

Findings from WP1 revealed the following themes as barriers for medication administration: resistance to medication, fear of medication and experienced side effects, practical problems and complexity of treatment, time-consuming nature of treatment, embarrassment/stigma and formulation of medication. There were some facilitators for successful medication administration. Overall there was a lack of information about children with multiple allergies. Themes for barriers to medication administration on online forum discussions in WP2 were resistance to medication, fear of medication, anger at medication, the difficulty of using medications, dislike of formulation, and side effects. The consequences of resisting to medication were parents having

I began to do research on living with asthma. I started with the American Lung Association website. I read every page on it that had to do with asthma. It was there that I learned about a program called “Breathe Well, Live Well”. The American Lung Association (2014) website states that this is a program, aimed at adults, who want to better control their asthma. It involves a small workshop that teaches the participants how to get help from their physician, what asthma control medicines are available, how asthma and other conditions interact, what may trigger an attack, tracking symptoms, and developing healthy habits. I participated in one of these workshops and came away feeling much better about my condition. I met other people, young and old, who were also living with asthma. This allowed me to make new friends and connections with people who understood what I was experiencing.

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.

The overall project goal was to lessen the asthma burden and improve health outcomes for asthmatic children and their families. Home health workers conducted household safety assessments, provided asthma prevention education and targeted environmental interventions to reduce indoor triggers and allergens. The study showed a significant improvement in the health during the 11-12 month follow up period, which essentially led to an increase in annual savings due to a decrease in emergency medical expenses. Despite findings in their favor, the follow-up period was too short. In order to build a stronger case, the follow up period should be on-going to measure long-term success.

At the time of the visit, although we reviewed in detail using model lungs, illustrated instructions, and an asthma video to describe asthma pathophysiology, the purpose, preferred delivery method and care of his asthma medications, his mom was unable to teach back any of the information we reviewed. When the asthma educator continued with explaining when and how to prime the medications, how and why to use an aero chamber, knowing when to refill his prescriptions and when to begin treatment of the quick relief medication; mom was also not able to repeat any of the instructions reviewed.

3. What components of the patient’s asthma management plan should be monitored during a home visit?

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