Asthma treatment is consistent with care along a continuum which may change at any time to accommodate the individual’s current symptoms. The clinical based guidelines consist of step by step guidelines with varying treatments arranged by age and organized by the severity and the addition of pharmacological therapies (NAEPP, 2007). The process of treating asthma has been proven most successful with the NAEPP clinical guidelines. The NAEPP guidelines provide a holistic approach to caring for individuals suffering from asthma. Treatment consists of assessing and monitoring the severity of one’s asthma, the provision of patient education to assist with self-management, assisting with the need to control one’s environmental risk factors, the …show more content…
Follow up treatment or assessment has been identified as the single most beneficial aspect to ensuring one’s asthma is well controlled (Axelsson et al., 2015). Follow up with individuals should take place between 2-6 weeks of acute exacerbation and between 1-3 month intervals regularly (NAEPP, 2007). Evaluation and changes in treatment are recommended based on assessment of one’s adherence to medication regimens and management of environmental factors (NAEPP, 2007). Once it is established if the individual is maintaining adherence and controlling environmental factors but the individual’s asthma that is not well controlled a one step up method of treatment is recommended and a two step up approach for very poorly controlled individuals (NAEPP, 2007). Asthma well controlled should be evaluated and concluded controlled for 3 months prior to changes in medication regimens (NAEPP, 2007). After 3 months of well controlled asthma, an individual’s medication regimen may be stepped down by 1 step and the dose of ICS’s may be reduced by 25 percent every 3 months until the lowest control dose is reached (NAEPP, 2007).
In the event asthma is no longer manageable by a primary clinician the need for a referral may be require. Referral to an asthma specialist for management is recommended if there are complications achieving or maintaining control of asthma. Also, if the patient required more than 2 uses of oral systemic corticosteroids in 1 year or has required hospitalization it is imperative for the individual to be referred for further management (NAEPP,
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.
Unfortunately, when someone is suffering from asthma disease, it becomes necessary for the patient and the doctor to prepare an action plan in order to eliminate triggers. On the other a hand, detailed action plan is required to eradicate triggers and prescribe the best treatment in order to control the asthma symptoms. Moreover. It is a chronic disease and being able to control, this disease will let prevent the symptoms like wheezing, coughing, decrease the frequency of asthma attacks and being able to lead a normal life. In addition, can take care or prevent this disease with the help of asthma masks.
The aim of policy is raise awareness of asthma and its management within our community and providing a safe and healthy environment in which people at risk of Asthma can participate equally in all aspects of services. In addition, they take actions to provide a clear set of guidelines and expectations to be followed with regard to the management of asthma. For instance, they provide Asthma Emergency Kits in facilities to be stored and display Asthma First Aid posters in each room. All the staff in the center should administer first aid according to the individuals Asthma Action Plan or assist them to follow this plan if they are capable of administering themselves. If the staff lack an Asthma Action Plan, it is significant to administer asthma
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
According to the fundamental burden of allergic rhinitis on global health, Allergic Rhinitis and its Impact on Asthma (ARIA) and Global Initiative for Asthma (GINA) guidelines have been developed to provide evidence based recommendations for the management of allergic rhinitis and asthma coexistence (2, 6). Physicians’ unawareness and unfamiliarity with guidelines and lack of positive attitude toward application of guidelines have key role in the mismanagement of this disorder (7).
In an article by morbidity and mortality weekly, it states that, “Guidelines issued by the National Asthma Education and Prevention Program (NAEPP) specify essential components of asthma management, including patient education, objective monitoring of symptoms, and avoiding asthma triggers.” (MMWR, 2007). People with asthma should have proper management to prevent further damage to their bodies. Asthma management plan should be a person’s first priority and it is also a best management plan to prevent symptoms. Making a management plan can be done by yourself just keeping your triggers in mind. An effective plan should allow you to live an active life without having asthma symptoms, exercise without complications, a good sleep at night, attend
Olympic Committees published the guidelines for banned and accepted medications for asthma (Randolph, 1997). The results of these studies provided the basis on which to classify EIA. This basis includes airway constriction within the first 6-12 minutes of vigorous exercise, a peak at about 5-10 minutes after exercise, and recovery that is usually spontaneous and within 60 minutes, except in severe cases where it may require up to 3 hours (Enright, 1996; Spector, 1993).
Despite evidence of asthma, the current clinical practice resists to recognize the association of asthma and the treatment of one, encourages the improvement of the other, and vice versa. These findings emphasize the importance of medical education in the evaluation and concomitant treatment of asthma. Two observational studies have shown recently that the treatment of allergic rhinitis in asthmatic patients with rhinitis reduces the need for emergency services and hospitalizations due to asthma.
Ingemansson, M., Wettermark, B., Jonsson, E. W., Bredgård, M., Jonsson, M., Hedlin, G., & Kiessling, A. (2012). Adherence to guidelines for drug treatment of asthma in children: potential for improvement in Swedish primary care. Quality In Primary Care, 20(2), 131-139. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/22824566
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
Asthma is marked by recurrent episodes of airway obstruction, which reverses either spontaneously or once the individual receives medication and the condition is usually associated with bronchial hyper responsiveness together with chronic airway inflammation. Most asthma cases are mild and are easily diagnosed and treated by family general practitioners (GPs). However, severe asthma cases are more difficult to treat. The disease can start at any age but in most cases first symptoms occur during childhood. The disease is more prevalent in children (10-15%) than adult 5-10%): in children it is more common in males and in adults it is more common in females (Martinez and Vercelli 2013). Asthma is strongly associated with
Jillian, great presentation! Asthma is a diagnosis that I see often. One thing that I think you have covered well is the nursing implications. This is an important area because if parents are taught properly on the right way to treat asthma, it can be controlled well depending on the severity (Epocrates, 2017). When patients are experiencing severe uncontrolled asthma one medication that we gave in the infusion center is Xolair.
Asthma is a chronic inflammatory disease of the airways characterized by variable recurring symptoms, reversible airflow obstruction and bronchospasms. It is the most common chronic disease among children and occurs in all countries regardless of level of development. Studies conducted by the World Health Organisation (WHO) in 2011 determined 235-300 million people suffer with asthma this number has dramatically increased across the last fifty years. The disease is responsible for the deaths of approximately 250-345 thousand people annually, eighty percent of which are in low or lower-mid socioeconomic countries. Some individuals will have stable asthma for weeks or months and then suddenly develop an episode of acute asthma. It is believed
Asthma is not a preventable disease but it can be controlled and symptoms prevented. Educating asthma sufferers and their families on signs and symptoms, as well as triggers is the most effective primary preventative intervention against asthma. The best way to diagnose asthma is with a lung function test, complete medical history and physical exam and other diagnostic tests. For adults and children, preventative annual medical visits allows the asthma sufferers to learn about the disease and risks. It also provides them an opportunity develop an action plan so exposure can be minimized. Furthermore, there may be physiological factors to consider that trigger an attack not just outside factors like allergens, pets, or chemicals. (Beasley,