Posted: September 11th, 2023

Asthma and stepwise management

Asthma and stepwise management

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.

The Assignment

Create a 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.

NOTE FROM THE TEACHER

For your Assignment this week, you are creating a staff development presentation regarding the stepwise management of asthma. Of note, grading is exclusively based on the content of the slides (do not include speaker notes). To achieve and maintain control of asthma, a stepwise approach to therapy is recommended, in which the dose and number of medications and frequency of administration are increased as necessary and decreased when possible. As this is a pharmacology course, it is important for you to identify specific medications for each of the steps.

As discussed previously, evidence-based guidelines and recommendations from reputable peer-reviewed journals are fundamental to clinical practice, as they assist providers with clinical decision making. I have attached for your reference below the Global Initiative for Asthma (GINA) report, which is a collaborative report between the World Health Organization (WHO) and the US Department of Health and Human Services National Heart, Lung, and Blood Institute (NHLBI)

Title: Asthma and stepwise management
Slide 2
Long- Quick
For my patient a 45-old female with persistent asthma long-term control medications include fluticasone propionsalmeterol/50 mcgaledAdvairus). Her quick relief medication is albuterol 90 mc inhaled needed symptoms (ProAir Respiclick These medications control her asthma but can cause side effects throat irritation.
Slide 3:
The Stepwise
The approach asthmaifying asthma severity and to determine the appropriate based on symptoms and lung function (GINA, 2022). For my patient’s moderate asthma treatment involves a low-dose inhaled corticosteroid (ICS) a beta2-LAB or leukotri receptor antagonist). Her treatment is at Step 3.
Slide
Maint Control Ast
Regular use of controller medications like ICS can help airway inflammation and prevent symptoms. Monitoring for asthma control sp every 1- allows for adjustments in therapy up or down the treatment steps as neededNHL 2019). This stepwise patients gain and maintain- control of their.
Slide 5
Adjusting Treatment
If a patient remains uncontrolled on 3, for Step include to a dose ICSLABA oral cort. For patients uncontrolled on 4,ologic targeting specific inflammatory pathways may at StepN 2019
Slide 6
Global Initiative for. ( and prevention. https://asthma.
National Heart,ung, and Institute. ( Asthma quick reference Diagnosing and managing asthma. httpswww.nhlnih.healthtopicsall-publications-and-resources/asthma-carequick-reference-diagnosing-and
Powell., McCaffery, K., Thornton,., & Heneghan (2019). Implementing guidelines: Challenges for patients and professionals. NPJ care 29(-7. https://.ni.mnih/pmc64876/
Schatz M., & Deykin,. (2019hma mobile technology: A review of outcomes. Journalergy Clinicalology: In Practice, 7(1 21-30. https://.ncb.nlm.nih.gov/pmc/articles/PMC0148/
Study Notes:

Asthma is a chronic inflammatory condition that affects the airways and causes breathing difficulties. It can be triggered by various factors, such as allergens, infections, exercise, stress, or cold air. Asthma can have a significant impact on the quality of life and well-being of patients, especially children. Therefore, it is important to provide effective and individualized treatment and management plans for asthmatic patients.

One of the methods that can help advanced practice nurses to prescribe appropriate drug therapy for asthmatic patients is the stepwise approach. This approach is based on the level of asthma severity and control, and it recommends different types of medications and doses depending on the patient’s needs. The main goals of the stepwise approach are to achieve and maintain good asthma control, prevent exacerbations, reduce the need for rescue medications, and minimize adverse effects.

The stepwise approach consists of two categories of medications: long-term control and quick relief. Long-term control medications are used to prevent or reduce inflammation and bronchoconstriction in the airways, and they are taken daily on a regular basis. Examples of long-term control medications are inhaled corticosteroids, leukotriene modifiers, long-acting beta agonists, and theophylline. Quick relief medications are used to relieve acute symptoms and bronchospasm during an asthma attack, and they are taken as needed. Examples of quick relief medications are short-acting beta agonists, anticholinergics, and systemic corticosteroids.

The stepwise approach recommends starting with the lowest level of treatment that is appropriate for the patient’s asthma severity and control, and then adjusting the medication type and dose up or down as needed. The level of treatment is determined by assessing the patient’s symptoms, lung function, and risk factors. The patient’s response to treatment should be monitored regularly and evaluated at least every 3 to 6 months. The stepwise approach also emphasizes the importance of patient education, self-management skills, environmental control measures, and adherence to the treatment plan.

The stepwise approach is a useful tool that assists health care providers and patients in gaining and maintaining control of asthma. By following this approach, health care providers can prescribe optimal drug therapy that is tailored to the patient’s needs and preferences, and that can improve the patient’s outcomes and satisfaction. Patients can also benefit from this approach by understanding their condition better, knowing how to use their medications correctly, recognizing their triggers and symptoms, and seeking timely medical attention when needed.

_____________________
Triggers of Asthma.

Asthma is a chronic inflammatory condition that affects the airways and causes breathing difficulties. It can be triggered by various factors, such as allergens, infections, exercise, stress, or cold air. Some of the common triggers of asthma are:

– Pollen, dust mites, mold, animal dander, and cockroaches
– Viral respiratory infections, such as colds and flu
– Physical activity, especially in cold or dry air
– Emotional stress or anxiety
– Tobacco smoke, air pollution, perfumes, and cleaning products
– Certain medications, such as aspirin, beta blockers, and NSAIDs
– Food additives, such as sulfites
– Weather changes, such as thunderstorms or high humidity

Asthma can have a significant impact on the quality of life and well-being of patients, especially children. Therefore, it is important to provide effective and individualized treatment and management plans for asthmatic patients.

One of the methods that can help advanced practice nurses to prescribe appropriate drug therapy for asthmatic patients is the stepwise approach. This approach is based on the level of asthma severity and control, and it recommends different types of medications and doses depending on the patient’s needs. The main goals of the stepwise approach are to achieve and maintain good asthma control, prevent exacerbations, reduce the need for rescue medications, and minimize adverse effects.

The stepwise approach consists of two categories of medications: long-term control and quick relief. Long-term control medications are used to prevent or reduce inflammation and bronchoconstriction in the airways, and they are taken daily on a regular basis. Examples of long-term control medications are inhaled corticosteroids, leukotriene modifiers, long-acting beta agonists, and theophylline. Quick relief medications are used to relieve acute symptoms and bronchospasm during an asthma attack, and they are taken as needed. Examples of quick relief medications are short-acting beta agonists, anticholinergics, and systemic corticosteroids.

The stepwise approach recommends starting with the lowest level of treatment that is appropriate for the patient’s asthma severity and control, and then adjusting the medication type and dose up or down as needed. The level of treatment is determined by assessing the patient’s symptoms, lung function, and risk factors. The patient’s response to treatment should be monitored regularly and evaluated at least every 3 to 6 months. The stepwise approach also emphasizes the importance of patient education, self-management skills, environmental control measures, and adherence to the treatment plan.

The stepwise approach is a useful tool that assists health care providers and patients in gaining and maintaining control of asthma. By following this approach, health care providers can prescribe optimal drug therapy that is tailored to the patient’s needs and preferences, and that can improve the patient’s outcomes and satisfaction. Patients can also benefit from this approach by understanding their condition better, knowing how to use their medications correctly, recognizing their triggers and symptoms, and seeking timely medical attention when needed.

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