Acute Exacerbation of Asthma - Case Study

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Nursing Care Study

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 reviewed and how they are contributed to the overall care of this asthmatic patient will be illustrated. To ensure confidentiality the name of the patient has been changed and consent obtained from both the patient and ward manager in compliance with section five of the code of professional conduct (NMC 2008).

Jane, a 25 year old, was referred to the respiratory ward by her GP she had a five day history of increased shortness of breath, a cough and an audible wheeze. Jane was diagnosed with asthma at the age of ten. There is a history of asthma in her mother’s family. Jane’s previous admission for exacerbation of asthma was March 2007 to another hospital. On arrival Jane was immediately seen for aggressive treatment of exacerbation of asthma.

Asthma is a chronic disease and its common occurrence has increased considerably over the last decade. In 2006 Asthma UK found that the UK had the highest occurrence of asthma sufferers (up to thirteen percent) from anywhere else in Europe, (Asthma UK, 2006). In the past asthmatics were treated intermittently, it was not recognised that their affliction was due to a chronic inflammatory process requiring long term management. Levy and Hamilton (1999) noted that the most...
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