Asthma and Stepwise Management

The long-term control and quick relief treatment options for the asthma patient from your practice, as well as the impact these drugs might have on your patient.

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.

One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare

· Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children.

· Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.

· Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

By Day 7 of Week 3

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

· Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.

· Explain the stepwise approach to asthma treatment and management for your patient.

· Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

Rubric Detail

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Name: NURS_6521_Week3_Assignment_Rubric

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  Excellent Good Fair Poor
Describe the long-term control and quick relief treatment options for the asthma patient from your practice, as well as the impact these drugs might have on your patient. 27 (27%) – 30 (30%)

The presentation clearly and accurately describes in detail the long-term control and quick relief treatment options for the asthma patient from their practice. The presentation clearly and accurately describes in detail the impact these drugs might have on their patient.

24 (24%) – 26 (26%)

The presentation accurately describes the long-term control and quick relief options for the asthma patient from their practice. The presentation accurately describes the impact these drugs might have on their patient.

21 (21%) – 23 (23%)

The presentation inaccurately or vaguely describes the long-term control and quick relief options for the asthma patient from their practice. The presentation inaccurately or vaguely describes the impact these drugs might have on their patient.

0 (0%) – 20 (20%)

The presentation inaccurately and vaguely describes the long-term and quick relief options for the asthma patient from their practice, or is missing. The presentation inaccurately and vaguely describes the impact these drugs might have on their patient, or is missing.

Explain the stepwise approach to asthma treatment and management for your patient. 27 (27%) – 30 (30%)

The presentation clearly and accurately explains in detail the stepwise approach to asthma treatment and management for their patient.

24 (24%) – 26 (26%)

The presentation accurately explains the stepwise approach to asthma treatment and management for their patient.

21 (21%) – 23 (23%)

The presentation inaccurately or vaguely explains the stepwise approach to asthma treatment and management for their patient.

0 (0%) – 20 (20%)

The presentation inaccurately and vaguely explains the stepwise approach to asthma treatment and management for their patient.

Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific. 27 (27%) – 30 (30%)

The presentation clearly and accurately explains in detail how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. The presentation provides accurate and detailed examples to support the explanation provided.

24 (24%) – 26 (26%)

The presentation accurately explains how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. The presentation provides accurate examples to support the explanation provided.

21 (21%) – 23 (23%)

The presentation inaccurately or vaguely explains how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. The presentation provides inaccurate or vague examples to support the explanation provided.

0 (0%) – 20 (20%)

The presentation inaccurately and vaguely explains how stepwise management assists health care providers and patients in gaining and maintaining control of the disease, or is missing. The presentation provides inaccurate and vague examples to support the explanation provided, or is missing.

 

 

 

Asthma and Stepwise Management

 

 

 

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Asthma and Stepwise Management

The Long-Term Control and Quick Relief Treatment Options for the Asthma Patient

“When you are having an asthma attack, you do not have any breath, and when you do not have any breath, it is hard to speak. You are limited by the amount of air you can spend from your lungs.” (Etgar Keret). Asthma is a long-term ambience affecting children and adults. Asthma is among the highly endemic diseases affecting about 25.7 million people in the United States, and it is a cause of almost half a million annual hospitalizations, killing nine people every day (Azar et al., 2020), and the options for managing asthma are providing long-term control over the disease, and in case of an asthma attack, one can achieve quick relief. The stepwise approach is the most effective and accepted approach for treating and managing asthma. This essay explores the long-term control and quick relief treatment options for asthma patients, the stepwise approach to asthma treatment and management, and how stepwise management assists healthcare providers and patients in gaining and maintaining disease control.

The Long-Term Control and Quick Relief Treatment Options for Asthma Patients

Treatment options for asthma patients turn on the type of disease or the activity stimulating the attack, asthma severity, and the patient’s age. The primary and most common treatment options for patients with asthma are long-term control and quick-relief treatments. A patient may need daily medication to achieve a long-term effect in case they are experiencing asthma symptoms for more than a week (Reddel et al., 2022). The long-term controllers are anti-inflammatory medicines and bronchodilators, and they are taken concomitantly to achieve the desired effect, whereas some medications, such as inhaled corticosteroids such as budesonide, flunisolide, and mometasone, are more effective in preventing asthma symptoms than relieving the attack. Despite specific side effects such as stunted growth in children, corticosteroids have an accepted efficiency in controlling asthma. Cromolyn sodium is also a popular medication for asthma, stopping swelling in airways which develops as a reaction contacting with triggers (Mandlik & Mandlik, 2022). To reduce the negative effect of leukotrienes, montelukast, zafirlukast, and zileutone are used as pills. Bronchodilators are taken together with anti-inflammatory medicines to help relax the muscles around the airways. The quick-relief medications provide instant relief for symptoms that flare up. Patients can use inhaled short-acting beta2 agonists, including albuterol and levalbuterol, which have a loosening effect on tight muscles around the airways, releasing the airflow. Such medications can be essential for asthma treatment, hence reducing asthma cases globally.

The Stepwise Approach to Asthma Treatment and Management for Patients

A stepwise approach to treating and managing asthma is one of the most used alternatives for dealing with this chronic disorder, and according to the approach, the recommended decisions are based on a patient’s age and divided into three groups, which are children aged 0-4, children aged 5-12 years, and children above 12 years and adults. Every venture involves treatment and management options for the disease’s six steps: intermittent, mild persistent, moderate persistent, and severe persistent (Reddel et al., 2022). The importance of the stepwise approach is that it allows altering medication use and treatment strategy, on the whole, depending on the patient’s condition changing under the impact of diverse factors such as environment season and emotional condition. This approach is essential for treating and managing asthma, minimizing the death rate and affecting people.

Stepwise Management in Assisting Healthcare Providers and Patients Gain and Maintain Control of Asthma

Stepwise asthma management plays a vital role in helping healthcare providers and patients gain and maintain asthma control. The stepwise approach is involved in asthma guidelines and recommendations on how to be used by physicians. It allows asthma control maintenance and provides the necessary treatments according to the patient’s requirements (Martignon et al., 2019). It can be achieved because of an opportunity to select a step up or down in case patient monitoring indicates that the condition improves or worsens. One of the essential aspects involved in the steps of the approach is the change of medication doses.

Conclusion

In summary, asthma is a chronic condition that, in spite of active research in the field, cannot be prevented. Hence, there is a requirement for approaches allowing the management and control of the disease. A stepwise approach is an integrated approach grounded on changes in the dosing of long-term and quick-relief medications. The medication options are based on patient monitoring, which is an integral component of asthma management and treatment. Avoiding triggers stimulating the attacks is the most exciting part of asthma treatment and management.

 

 

 

 

 

 

 

References

Azar, K. M., Shen, Z., Romanelli, R. J., Lockhart, S. H., Smits, K., Robinson, S., … & Pressman, A. R. (2020). Disparities in outcomes among COVID-19 patients in a large health care system in California: Study estimates the COVID-19 infection fatality rate at the US county level. Health Affairs39(7), 1253-1262. https://doi.org/10.1377/hlthaff.2020.00598

Mandlik, D. S., & Mandlik, S. K. (2020). New perspectives in bronchial asthma: pathological, immunological alterations, biological targets, and pharmacotherapy. Immunopharmacology and Immunotoxicology42(6), 521-544.

Martignon, S., Pitts, N. B., Goffin, G., Mazevet, M., Douglas, G. V., Newton, J. T., … & Santamaria, R. M. (2019). CariesCare practice guide: consensus on evidence into practice. British dental journal227(5), 353-362. https://doi.org/10.1038/s41415-019-0678-8

Reddel, H. K., Bacharier, L. B., Bateman, E. D., Brightling, C. E., Brusselle, G. G., Buhl, R., … & Boulet, L. P. (2022). Global Initiative for Asthma Strategy 2021: executive summary and rationale for key changes. American Journal of Respiratory and Critical Care Medicine205(1), 17-35. https://doi.org/10.1164/rccm.202109-2205PP

Reddel, H. K., Bateman, E. D., Schatz, M., Krishnan, J. A., & Cloutier, M. M. (2022). A practical guide to implementing SMART in asthma management. The Journal of Allergy and Clinical Immunology: In Practice10(1), S31-S38. https://doi.org/10.1016/j.jaip.2021.10.011

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