Asthma is a chronic inflammatory disease of the airways that cause airway hyper responsiveness, mucosa edema, and mucous production. The inflammation often leads to recurrent episodes of symptoms such as cough, chest tightness, wheezing and shortness of breath” (Brunner & Surddaths). Asthma episodes vary from mild to severe and can be provoked by various factors like allergens which can originate from pollens, grass, eggs, peanuts and chocolates. Or other factors like infections, environmental contaminants/toxins, exercise induced and exciting circumstances. Treatment of asthma starts with identification and avoidance of the recognized triggers. Inhalation or vaccination of bronchodilating drugs can help improve a mild asthmatic episode …show more content…
Nursing intervention: Review breathing training/techniques, effective coughing process and conditioning exercise with the patient. Rationale: Pursed-lip and abdominal breathing exercise toughens respiratory muscle, reduces risk of collapsed airways, and reduces the episodes of shortness of breath.
Intervention: Discuss the importance of health check and when to report necessary health changes to the physician(healthcare provider). Rationale: Monitoring the disease process gives the opportunity for modification of plan of care, to meet changing needs and help prevent complications.
Intervention: Review oxygen handling requirements and dosages with the patients on supplemental oxygen and discuss safe use of oxygen as indicated by the supplier. Rationale: Knowing the oxygen requirement and dosages reduces the risk of misuse and consequential complications; it also promotes environmental and physical safety.
Intervention: Demonstrate correct technique of how to use a metered dose inhaler (MDI) with spacer such as removing the cap from both the spacer and the inhaler, the sitting position, how to hold it, the breathing techniques and oral hygiene after the administration of MDI. Ask the patient to do a return demonstration of the MDI usage and to verbalize its potential adverse effects. Rationale: proper
The management of respiratory problem because adult learners affected will have to go through behavioral and lifestyle changes which are very significant to learn as individuals ( Morris, Marzano, Dandy and O’Brien, 2012).
The nursing role in pulmonary rehabilitation includes one on one sessions with patients to cover more in-depth education of the disease process including actual anatomy and physiology of the pulmonary system. After that has been covered then the nurses can focus on causes of COPD, symptoms of the disease and management of them, diet, pulmonary exercise, medications for COPD and compliance issues, and most importantly smoking cessation. The nurses will likely require the patient to give return demonstrations of the medication use and pulmonary exercises such as pursed lip breathing (Mohammadi, Jowkar, Khankeh & Tafti, 2013).
“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,
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.
Two protocols were administered; the first group only did the exercise without any help from the NIV. The patients were asked to lift containers with weights in them, ranging from 0.5 to 5 kg during a five minute period. Their arms had to be extended and move them from a waist high shelf to one above their head. The second group performed the same procedure, but had assistance from the BiPAP ventilator. The settings were an IPAP of 10 cmH2O and an EPAP of 4 cmH2O using a facemask. The COPD patients had to become accustomed to
The team will navigate patients through the program, resources and pulmonary rehabilitation. The registered nurse will meet with the patient prior to discharge to evaluate and refer them to the appropriate services along with the social worker, which may find alternative way to pay for patients medication and other support services that may be offered. The nurse practitioner and the respiratory therapist will see the patient within 48 of hours upon admission into program. The nurse practitioner and respiratory therapist will evaluate the needs at home and enroll the patient in pulmonary rehabilitation, which will be part of the care offered to all patients. Resources for the patient will consist of a 24-hour hotline for patients who may need to seek medical advice prior to going to the emergency room. Patient will be supplied with emergency medications for home use if symptoms begin to appear. A nurse practitioner will be available to advice the patient in intervention with the emergency medications is indicated and advice if treatment may need to be continued in the emergency room. With the protocols in place for medications, the patient will be seen within 12 hours if use of the emergency medications were taken in the home. The nurse practitioner will update the electronic medical chart of the patient to document
Shallow breathing and pain altered this patient’s comfort. Therefore, one of the nursing diagnoses can be stated as “Breathing Pattern, Ineffective r/t pain and anxiety, as evidenced by respiratory depth changes" (Ackley & Ladwig p. 175). We briefly discussed the specifics of incentive spirometry use before initiating the intervention. After return demonstration, the patient was ready to use his incentive spirometer.
The main priority for all the pediatric patient was to make sure they are getting enough air. They needed an open airway. Without an open airway nothing else matters. To help with the patients airways we monitored their O2 sats and if they were low we made sure to apply oxygen, and continue to monitor their sats. Once oxygen was applied we worked on
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.
I stayed close to the patient during this whole period, but I was not paying enough attention to her low oxygen level. The patient was a healthcare aid and she kept telling me that, “It’s ok, I am always a shallow breather”. However, I should have my own judgement ability and provide more competent care with timely evaluation of the effectiveness of the interventions.
Throughout the years knowledge about asthma has grown, as well as treating it effectively. Over 300 million people are said to be victims of this disease with another 100 million being estimated by 2025 globally (Currie and Baker, 2012). In the United Kingdom, asthma is increasingly becoming one of the leading disease affecting individual of different age, ethnicity, race and gender. British Lung Foundation (2011) stated that it is more common at childhood stage and can also occur at a later age. According to Asthma UK (2014) asthma in men is less prevalence than it is in women and children troubled more with asthma than adults. Recent data in the UK shows that in children and occupational asthma in adult is on the rise with an estimate
Breathing techniques such as inhaling through the nose and breathing out from the mouth slowly can be helpful for a patient to be aware of. Last, the patient should always have the physician’s information if asthma attacks become more frequent or they believe their inhaler to not be helping.
Respiratory Therapists are part of the multidisciplinary team. Patient education by all member across the spectrum is vital. In order to embed prevention measures in a patient’s head, repetition must occur by all healthcare personnel. According to Liu (2014), primary prevention involves the education of pneumococcal immunizations to prevent pleural effusions from pneumonia. As previously mentioned, pulmonary embolisms are a common cause of pleural effusions, therefore educating about the importance of exercise and compliance with anticoagulants is significant. Educating early on about smoking cessation can help prevent pleural effusions in the long run. The average American has a fifth grade reading level, therefore use language that can be understood. Sitting with your patients at eye level while establishing trust and rapport will aid in their compliance with education provided to prevent pleural effusions. Patient education about prevention is often times bypassed due to time constraints, therefore educate and engage in conversation before, during, and after respiratory treatment.
The nurse’s primary goals were to provide continuous monitoring over patient’s weight, administer prescribed medications and provide teaching on purse lip breathing, using the incentive spirometer and living with COPD. In order
The interventions for pneumonia are as follows. First, the patient must have oxygen administered to increase the blood's oxygenation level and ensure proper oxygenation to the body's organ systems. As the patient is treated with oxygen, she should be encouraged to breath deeply, as oxygen is the best cure of pneumonia. Next, vitals should be consistently monitored and oxygen treatment repeated whenever the oxygenation level drops below 90 percent. Finally, the on-call physician should be notified of the patient's condition so that