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Essay Available:
Pages:
4 pages/β‰ˆ1100 words
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Check Instructions
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
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Date:
Total cost:
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Topic:

Diagnosis and Treatment of Asthma

Coursework Instructions:

Assignment Details
Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another state. She has an appointment with the prenatal care provider next week, however her respiratory symptoms brought her to your office today.
History - Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No other acute or chronic problems. She advises you that she is up to date on all immunizations except she has not had a flu shot (it is October).
Social - Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive domestic situation. She has no support network in this area and has not yet found employment. She has no medical insurance.
HPA - Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other complaints.
PE/ROS - Pt appears disheveled but clean. Wheezing in all lung fields. T 98, P 82 regular, R 28 no stridor. FH 130 regular. The remainder of the exam is WNL.
Directions:
1. Construct a narrative document of 4-5 pages (not including cover page or reference page)
2. Diagnose the patient based on the above findings and provide your rationale for how you arrived at the diagnosis.
3. Develop a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
4. Describe community resources (using your own community) currently available in your state/city to support this patient.
5. Provide a communication plan that you will use to ensure the patient is an active participant in the treatment plan. Refer to therapeutic communication concepts.
6. Utilize national standards, your pharm and/or patho book, and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts.
7. Use references to support your concepts. Utilize correct APA formatting (7th edition) and mechanics of professional communication.
Assignment Requirements:
Before finalizing your work, you should:
• Read the Assignment description carefully (as displayed above);
• Consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary.
Your writing assignment should:
• Follow the conventions of Standard American English (correct grammar, punctuation, mechanics, etc.);
• Be well organized, logical, and unified, as well as original and insightful;
• Utilize correct APA formatting, 7th edition.
• Submit to, and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course.
Please include this book if you have access
Norrie, Tommie L (2018), Porth’s Pathophysiology: Concepts of altered health states (10th ed R. Lalchandani) Lippincott Williams & Wilkins

Coursework Sample Content Preview:

Diagnosis and Treatment of Asthma
Name
Institution
Due Date
Diagnosis and Treatment of Asthma
Diagnosis of the disease
The patient admitted that she was infected with asthma and chicken during her childhood. The patient, too, admitted that she had been coughing, and at times, she wakes up at night due to coughing. She is fatigued and experiences cases of wheezing all day. Based on the patient's history and the symptoms that she exhibited, in addition to that, the patient also admitted that she used an inhaler at some point when she was infected. The patient in question could be suffering from asthma.
Considering the patient's clinical history is one of the ways of diagnosing asthma. Genetic predisposition greatly increases the chances of contracting the disease. Family link could also be another cause of the disease; one of the patient's relatives was infected with asthma. Asthma is a chronic disorder that affects the respiratory tract, leading to breathlessness, coughing, wheezing, and chest tightness. Coughing is more pronounced at night or very early in the morning (Kaufman, 2011). Asthma is also associated with the lungs' airflow obstruction, although it is reversible when the patient undergoes treatment or happens spontaneously.
Asthma is attributable to atopy. Atopic asthma occurs during the childhood or adolescence stage and is largely associated with family linkage. The disease is triggered when allergies respond to allergens such as tree pollen, house dust mite. When atopic individuals are exposed to allergens, they will release excessive Immunoglobulin amounts from the lymphocytes, resulting in inflammation (Kaufman, 2011). Inflammation triggers the release of inflammatory radiators and causes bronchoconstriction and inflammation, which adversely affects the airways.
Pharmacological treatment of asthma
One of the pharmacological ways of treating asthma involves the use of corticosteroids, and so the intake of a dose of this antibiotic can greatly suppress the detrimental effects of asthma on the patient. Scientific research has shown that it can alter remodeling (Walters et al., 2007). Corticosteroid treatment influences various types of structural and inflammatory cells located in the airways and is largely involved in the remodeling process. The patient is advised to take a dose of anti-immunoglobulin as a possible treatment for asthma. Recent research has shown that anti-immunoglobulin affects airway remodeling and is a perfect remedy for asthmatic people.
A five-stage plan for the treatment of asthma is recommended for this patient. The five stages involved are stage 1, which involves treatment of mild intermittent asthma, stage 2 is described in medical terms as the 'regular preventer therapy,' stage 3 is described as the 'initial add on therapy,' at stage 4 occurs when there is a 'constant poor control' and stage involves the regular use of corticosteroids(Kaufman, 2011). The right prescription of drugs for each of these stages and the medical consequences is vital information for the patient and needs further explanation.
In stage 1, some of the prescribed drugs for the patients are salbutamol or terbutaline, and it entails the inhalation of a short-acting beta2 agonist. The intake of...
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