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Nursing communication methods
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Living with asthma requires significant participation by the patient with self-care and management of their chronic illness. The focus of this research is to educate and promote health in patients with asthma, with nursing interventions. Education is vital for a patient with asthma and involves a collaborative partnership between the nurse and the patient. Because of the chronic nature of asthma, nurses have a vital role in educating patients on how to recognize when asthma is worsening, and when to respond appropriately to improve their outcome. Education can empower the patient to effectively self-manage and take responsibility for their illness. Written, verbal, and visual education should be used to teach the patient how effectively to use their medication. Most importantly, the patient should be able to explain their medication and demonstrate use of their inhaler. It is through better asthma-centered education that the quality of care can be enhanced. The main goal with asthma is to take time to educate the patient on the triggers, signs of good control, medications, and the best way to use an action plan.
Asthma: Patient Education and Nursing Interventions
Currently 24 million Americans of all ages have the chronic illness asthma. The prevalence of asthma has increased from 7.3% (20.3 million persons) in 2001 to 8.2% (24.6 million persons) in 2009, a 12.3% increase (Centers for Disease Control [CDC], 2011). In 2009, the prevalence of asthma was greater among children (9.6%) than adults (7.7%), and was particularly high among boys (11.3%) and non-Hispanic black children (17.0%) (CDC, 2011). Among all children, the asthma rate significantly increased during 2001-2009 from 8.7% to 9.6%, with...
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...ase, and clinical guidelines advocate a stepwise approach to drug therapy, where treatment is stepped up when required and stepped down when control is good. Asthma care requires routine health care visits, pharmacological treatment to effectively manage and control symptoms and an environment that minimizes exposure to asthma triggers. Asthma sufferers can decrease the severity and the number of attacks by using their medications as prescribed and avoiding or treating the triggers of asthma, such as allergies. hey will learn the importance of preventative treatment that can help to keep them healthy and help avoid both hospital admissions and emergency room visits.
-Prevention management includes teaching the patient who has persistent airflow obstruction and frequent attacks of asthma to avoid triggers of acute attacks and to pre-medicate before exercising.
Secondly, severe asthma can be life-threatening. Suffering from asthma can be frightening to experience and people often feel scared and anxious. The fear and scare can also lead to breathlessness and so mak...
This exacerbation of her COPD revealed the need for inhaler re-education. This education holds more importance due to her exacerbation that possibly could have been prevented with proper inhaler use. An education plan should be developed to assess her readiness to learn and to map out a schedule of sessions. Several sessions over an extended period of time with continuous re-evaluations is essential. Research has shown that this approach has better long term outcomes (M., Duerden & D., Price, 2001).
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)..
The three measurable outcome of asthma management includes improved quality of life, decreased use of resources, and increased patient and family satisfaction. Regardless of the practice settings case managers help to increase access to health care service, reduces health care cost, improved outcomes of the care delivered and over all improve the quality of care (Powell). The categories of outcome indicators are
...n improve adherence to medication” (Toole, 2013). School-based interventions through an asthma program clearly show to be the most practical, cost-effective way to reach out to children with asthma and manage their condition.
"Asthma is a pulmonary disease with the following characteristics: 1) airway obstruction that is reversible in most patients either spontaneously or with treatment; 2) airway inflammation; and 3) increased airway responsiveness to a variety of stimuli" (Enright, 1996, p. 375). There presently exist many varieties of asthma that differ in the severity, means of induction, and methods of treatment. One type is exercise-induced asthma. "Exercise-induced asthma (EIA) is a temporary increase in airway resistance and acute narrowing of the airway that occurs after several minutes of strenuous exercise, usually after the exercise had ceased" (Spector, 1993, p. 571). Perfectly healthy individuals with no history of asthma or allergies can experience EIA. EIA can be found in 5.6%-25% of the general population and in 40%-90% of asthmatics (Randolph, 1997). EIA has been recognized for over 300 years, but only recently have it's pathophysiology, diagnosis, and treatment been studied in detail.
... “The Best Step-Up Regimen for Uncontrolled Asthma in Children.” Medscape Today. 25 May 2010. Web. 01 June 2010. .
Asthma is chronic inflammatory disorder of the airways characterized by recurring episodes of wheeling and breathlessness. It often exists with allergies and can be worsened through exposure to allergens. In fact, asthma is complicated syndromes that have neither single definition nor complete explanation to the point. In light of its treatment, it is worthwhile to notice that asthma cannot be cured, instead can be only managed by avoiding exposure to allergens and/or by using medications regularly.
More than 17 million Americans suffer from asthma, with nearly 5 million cases occurring in children under age 18. In the United States, asthma causes nearly 5,500 deaths each year. Asthma occurs in males and females of all ages, ethnic groups, and socioeconomic levels. For reasons not completely understood, asthma is generally more common in poor urban neighborhoods, in cold climates, and in industrialized countries.
Asthma is treated with two types of medicines: long-term control and quick-relief medicines. Long-term control medicines help reduce airway inflammation and prevent asthma symptoms. Quick-relief, or "rescue," medicines relieve asthma symptoms that may flare up.
This paper throughly explores the care administered to the cases study Zachy a seven year old boy who has presented to the hospital following the an exacerbation of asthma. Discussed throughout is the pharmacological management of Zachy’s asthma including the pharmacodynamics of these prescribed medications and what affect these medications have on the pathophysiology within the respiratory tract.
Most of you may not think of asthma as a killer disease, yet more that 5,000 Americans die of asthma each year. According to the Mayo Clinic web page, asthma also accounts for more that 400,000 hospital discharges annually. As the number of people with asthma increases, the more likely you are to come in contact with a person who has the disease. As far as I can remember, I have had asthma my whole life. My mother and one of my sisters also have asthma, so I have a first hand experience with it. This morning, I will discuss some interesting facts about asthma, I will specifically focus on what it is, warning signs, symptoms, causes, and the treatments that are used.
Exercise and sport are vital to keeping healthy and fit, however in these cases can trigger asthmas attacks Joseph loves to play sport but gets out of breath very quickly. Having a small amount of regular exercise will help him maintain his health, however this can affect his relationship with his classmates and therefore he may ignore his symptoms causing another asthmas attack. When resting or breathing naturally we breathe through our nostrils which moistens the air travelling to our lungs, when we are more physically active we often breathe more quickly than normal though our mouths which produces dry air to travel to our lungs and that can irritate the airways causing an asthma
Nursing Diagnosis I for Patient R.M. is ineffective airway clearance related to retained secretions. This is evidenced by a weak unproductive cough and by both objective and subjective data. Objective data includes diagnosis of pneumonia, functional decline, and dyspnea. Subjective data include the patient’s complaints of feeling short of breath, even with assistance with basic ADLs. This is a crucial nursing diagnosis as pneumonia is a serious condition that is the eighth leading cause of death in the United States and the number one cause of death from infectious diseases (Lemon, & Burke, 2011). It is vital to keep the airway clear of the mucus that may be produced from the inflammatory response of pneumonia. This care plan is increasingly important because of R.M.'s state of functional decline; he is unable to perform ADL and to elicit a strong cough by himself due to his slouched posture. Respiratory infections and in this case, pneumonia, will further impair the airway (Lemon, & Burke, 2011). Because of the combination of pneumonia and R.M's other diagnoses of lifelong asthma, it is imperative that the nursing care plan of ineffective airway clearance be carried out. The first goal of this care plan was to have the patient breathe deeply and cough to remove secretions. It is important that the nurse help the patient deep breathe in an upright position; this is the best position for chest expansion, which promotes expansion and ventilation of all lung fields (Sparks and Taylor, 2011). It is also important the nurse teach the patient an easily performed cough technique and help mobilize the patient with ADL's. This helps the patient learn to cough and clear their airways without fatigue (Sparks a...
Asthma is a disease that currently has no cure and can only be controlled and managed through different treatment methods. If asthma is treated well it can prevent the flare up of symptoms such as coughing, diminish the dependence on quick relief medication, and help to minimize asthma attacks. One of the key factors to successful treatment of asthma is the creation of an asthma action plan with the help of a doctor that outlines medications and other tasks to help control the patient’s asthma ("How Is Asthma Treated and Controlled?"). The amount of treatment changes based on the severity of the asthma when it is first diagnosed and may be the dosage may be increased or decreased depending on how under control the patient’s asthma is. One of the main ways that asthma can be controlled is by becoming aware of the things that trigger attacks. For instance staying away from allergens such as pollen, animal fur, and air pollution can help minimize and manage the symptoms associated with asthma. Also if it is not possible to avoid the allergens that cause a patient’s asthma to flare up, they may need to see an allergist. These health professionals can help diagnosis what may need to be done in other forms of treatment such as allergy shots that can help decrease the severity of the asthma ("How Is Asthma Treated and Controlled?").