Counselling of patients and their caregivers, performed by health care professionals, plays a key role in inhaler use so as to minimize errors and optimize treatment.( 9 , 17 , 22 , 26 ) Poor inhaler technique is a risk factor for poor control of respiratory diseases,( 12 , 13 ) being associated with poor treatment adherence.( 30 ) It is noteworthy, however, that this is a modifiable risk factor, and some findings of the present study can act as reference points in the inhaler technique to be targeted for improvement , as well as allowing the identification of the profile of those patients who will potentially require further clarification regarding inhaler use.
Easier-to-use devices and educational strategies on proper inhaler use from health
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.
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.
“Fear is one of the persistent hounds of hell that dog the footsteps of the poor, the
A type of bronchodilator, aminophylline is a type of muscle relaxation medicine that helps lungs and chest circulate oxygen better. It is used to treat and prevent wheezing, restricted breathing and shortness of breath. The medicine is usually prescribed to those with bronchitis, asthma and lung diseases. As this medication requires a prescription, it is very important for a user to follow the instructions prescribed and take only at the times and the amount prescribed by his or her physician. Aminophylline can be in the form of liquid syrup, a pill or a cream. How this drug works is by making the lungs less sensitive to any allergens or foreign substances that may be inhaled, thus causing the muscles to relax in the chest and lungs and opening up the air passages so that breathing can be easier. It also increases the contractions in the diaphragm which aids better breathing patterns.
Through the convenience sampling, 90 clients were recruited as research participants were in the waiting room of the respiratory clinic. 60 subjects agreed to attend a support group for socialization with each other. 30 of 60 clients were assigned to participate in the presentation and therapeutic exercises by the instructor. The instructor group divided into halves: 15 clients received instructions with family caregiver and the other clients without a caregiver. The second 30 clients received written materials and allowed to access the website for video presentation and exercises. Half of website group assigned to the family caregiver and the other half without a caregiver. The last 30 subjects were assigned as a control group, and half of these clients received usual care with family caregiver and other 15 clients without a family caregiver. The data was collected by the pulmonary functional status survey, 30 items, five points, Likert-type scale.
I didn’t know what to expect with my observation with the respiratory therapist. All what I knew about them was they floated around and gave patients aerosol breathing treatments. I learned that a respiratory therapist does a lot more than that. They have access to the Pixis, and are able to give patients any type of respiratory medication. They teach patients how to correctly use inhalers. They educate their patients on way they have to do breathing treatments, or why they have to take certain respiratory medications. They also do an examination to find out what type of breathing treatment or oxygen device is needed to help a patient get the oxygen they need, or help with expanding their lungs, etc
Respiratory therapists are specialized healthcare practitioners that care for patients who have trouble breathing due to a multitude of reasons such as asthma, emphysema, or chronic obstructive pulmonary disease. They practice under and aid physicians in assessing patients, diagnostic evaluations, treatment, prevention, education and general pulmonary care. Respiratory therapists assume primary responsibility for all diagnoses and treatments. Respiratory Therapists discuss and review patients with physicians and other healthcare professional to assist in developing and/or modifying a patients’ care
It is suggested by Henderson (1998) that breathlessness in the UK today is a common and complex subjective set of symptoms. A vast range of medical and lifestyle choices cause and exacerbate breathlessness, which can be a frightening and sometimes a painful experience for the patient. A nurses interaction with a patient can help alleviate and reduce these episodes and make a substantial difference to patients both in the community and hospital setting.
The American Association for Respiratory Care is a non-profit organization which provides numerous resources for registered respiratory therapists all over the United States. Membership through the AARC renders an abundance of incentives such as professional development, respiratory care education, social networking opportunities, continuing education programs and much more. The American Association for Respiratory Care truly believes in the cause of respiratory therapy and in the rights of their patients to receive competent respiratory care. Their advocacy team works with local, state and federal governments concerning public policies that affect their patients as well as their profession.
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).
4). Therefore, I asked nurse A to stay with us while I was administrating the puffers to client W because that was my first time giving inhalers, so I wanted to make sure that I was using the proper techniques. Afterwards, I stayed with the client for at least 10 to 15 minutes just to make sure his breathing is stable after administrated his inhalers.
I will analyse the prevalence of the condition and what the potential causes may be. My interests have been directed to pre hospital care and community lead treatment packages, which are potentially available to the patient, as this is the acute environment, which I will have contact with in my employment as a paramedic. The initial reading was to understand COPD as a chronic condition, what is COPD? and its prevalence in the population. The (World health organisation, 2000), states that one in four deaths in the world are caused by COPD. In 2010 (Vos T Flaxman etal, 2012), says globally there were approximately 329 million, which is 4.8% of the population who are affected by this chronic condition, In the UK (NICE, 2010), have estimated that 3 million people suffer from COPD, with more yet to be diagnosed. This information about the amount of people living with this condition was surprising, as I little knowledge of its existence. During the early 1960’s (Timothy Q. Howes, 2005), says the term COPD had been designated as a single term unifying all the chronic respiratory diseases. Since then the term COPD, has been sub divided in to three umbrella areas, Bronchitis, Emphysema and Chronic asthma, which are separate conditions, which I have been previously aware of as their individual conditions. The 58 year old patient who we visited,
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.
“Teaching patients about promoting, maintaining, and restoring their health is a required nursing skill that most often results in a positive outcome, enhancing the patient 's quality of life” (Lewis et al., 2014, p.52). The intent of this analysis is to educate patients with chronic obstructive pulmonary disease on means that can enhance their quality of life and avert the progression of their disease. More specifically, it will focus on the aspect of teaching Mrs. N, a patient, how to effectively handle certain symptoms experienced with techniques like pursed-lip breathing and also, to upsurge the client’s awareness on preventative measures to abate the possibility of acute exacerbations. Mrs. N is a 100-years-old woman of Canadian and Arabic background. In mid-September, she was rushed to the hospital after experiencing worsening dyspnea and a fever. The doctors deduced a diagnosis of pneumonia and therefore, she was transferred to the medical unit at the Lakeshore hospital in order to be treated with intravenous antibiotics. Mrs. N has a past medical history of chronic obstructive pulmonary disease, hypertension, anemia, deep vein thrombosis and mixed dementia. Mrs. N is a retired widow with two daughters, who come and visit her on a daily basis at the hospital and encourage her to mobilize and eat because she has an extremely poor appetite on most days. She’s well cared for by a team of care workers in the nursing home where she lives and her daughters and
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