Preview

Acute Exacerbation of Asthma - Case Study

Powerful Essays
Open Document
Open Document
2493 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Acute Exacerbation of Asthma - Case Study
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 important

You May Also Find These Documents Helpful

  • Powerful Essays

    Asthmaken Case Study

    • 408 Words
    • 2 Pages

    Contraindications: hypersensitivity to drug, relatively contraindicated if active ulcer disease or asthma, not indicated for peds…

    • 408 Words
    • 2 Pages
    Powerful Essays
  • Good Essays

    Asthma is a chronic condition of the respiratory system that causes hypersensitivity and reversible inflammation of the airways resulting in breathing difficulties (Levy et al., 2006).…

    • 566 Words
    • 3 Pages
    Good Essays
  • Best Essays

    For the purpose of this essay, I will discuss the case of a five years old patient presenting to my place of work with the symptom of shortness of breath (SOB). To maintain confidentiality the pseudonym “Ryan” will be used to refer to the child and Ryan’s mother will be frequently referred to as “mum”.…

    • 4906 Words
    • 20 Pages
    Best Essays
  • Better Essays

    Asthma Clinical Management

    • 2575 Words
    • 11 Pages

    Chief Complaints: Nasal congestion, dyspnea, increase amount of coughing at night & early morning and during exercise, chest tightness for one week that started with persistent coughing while playing football.…

    • 2575 Words
    • 11 Pages
    Better Essays
  • Good Essays

    Despite of the advances in medical therapy, millions of Americans continue to suffer from asthma; a respiratory disorder defined, by chronic inflammation airways and characterized by presence of persistent cough, shortness of breath, and wheezing that commonly occurs after exposure to a stimulus. The severity, of this respiratory ailment varies from patient to patient, and its classification( mild, moderate, severe persistent asthma) is based on the patient's signs and symptoms manifestation as well as the frequency and/or exacerbation events experienced by the patient. Consequently, once a diagnosis has been established, data obtained from the patient's history and diagnostic evaluation is crucial to guide the medical therapy(Woo, & Robinson, 2016).…

    • 593 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Participants were outpatients aged 65 and older with asthma who were currently taking daily medications to control their asthma.…

    • 4053 Words
    • 17 Pages
    Powerful Essays
  • Good Essays

    Asthma is a disease that is sweeping the country. With so many new cases being reported daily, it has become somewhat of an epidemic. It can be found in almost all corners of the world. Although it is most common in the US, Canada, and UK, it is growing more common in heavily industrialized countries like Brazil and South Africa. This disease can affect anyone; from women to men, children to adults, Caucasians to African Americans. However, it is most prevalent in African Americans, and even more so in African American women.…

    • 1178 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Reactive airway disease, also known as asthma, is characterized by a constricting of the airway that carries oxygen to our lungs. This is caused by the air passages inflaming. Although, there are many treatments for asthma, it is still a very severe and hazardous disease that causes almost 2 million emergencies a year and affects nearly 26 million Americans (What 1). There are many aspects to this disease that are very important including; the 3 main features, the types of asthmas along with the signs and symptoms, who it happens to, treatments, and other important facts.…

    • 587 Words
    • 3 Pages
    Good Essays
  • Best Essays

    Unpacking Assessment

    • 3380 Words
    • 14 Pages

    Throughout this piece the writer will discuss the fundamentals of nursing (primary,secondary and tertiary care) when assessing Mr Murphy who is a seventy two year old gentleman recently discharged home from hospital on oxygen, post an exacerbation of his chronic lung disease. The assessment setting takes place within the commuity where the comunity nurse plays a pivotal role in assessing both Mr Murphy and Mrs Murphy within their home. This is appropriate due to Mr Murphy not being the only person who will suffer from psychological and physical hardship during this time in life.…

    • 3380 Words
    • 14 Pages
    Best Essays
  • Best Essays

    This assignment will be based around the care that is implemented and evaluated, within a National Health Service (NHS) Foundation Trust (FT). The focus of the assignment will be to discuss two health problems that a selected patient has and has been admitted to the FT with. The selected patient had been admitted into FT with breathing difficulties and also suffering from dehydration. The assignment will focus upon the goals that are set for the patient whilst in FT and the reasons why the goals are set. The patho-physiology of the two problems will also be discussed and also the care that had been implemented to achieve the goals. Throughout the assignment, the patient will be known as Terry with the permission from the patients parents, according to the Nursing and Midwifery Council (NMC, 2008) confidentiality guidelines.…

    • 4287 Words
    • 18 Pages
    Best Essays
  • Best Essays

    The patient on which the care plan will be assessed will be a 72 year old female, May Watters who I assisted in the care of during clinical placement in the Emergency Department (ED). May Watters is a pseudo name to ensure confidentiality to An Bord Analtrais standards (ABA 2000). May was brought in by ambulance which was called by her husband Jimmy. May was brought into the ED for Diarrhoea and Vomiting 5/7 days and generally unwell and weakness and non productive cough. Mays’ husband who is her next of kin was concerned about her deterioration over the days previous to admission and called an ambulance to bring her into hospital. Her medical history includes having asthma from a young age, for which she takes a Ventolin inhaler twice daily. Her social history is she smokes ten cigarettes a day and consumes ten units of alcohol a week. She lives at home with her husband. Mays’ husband said that she has not been eating well for two weeks and feels she has lost weight. Immediate assessment of Airway, Breathing and Circulation was carried out and the nursing diagnosis was that the patient had shortness of breath with Spo2 levels of 89% and cyanosis in the mucous membranes. My preceptor decided that it was important to give the patient high flow oxygen in a non rebreathable mask immidiatly to maintain saturation and assess the patients breathing until a doctor could be consulted.…

    • 3499 Words
    • 14 Pages
    Best Essays
  • Satisfactory Essays

    Before setting the goals and objectives that will be accomplished by the program, there is need to identify the problem that must be tackled and the affected population. After this step, one should try to determine how to resolve, reduce and prevent the disease or any other problem that has been identified. The clients or population in this scenario are asthma patients. The goals and objective that will be developed will favor both the clients and the physicians. The strengths and weaknesses of the clients need to be catered for and at the same time; the steps for implementing the interventions of nurses should be specified in the goals and objectives.…

    • 301 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Idiopathic Asthma

    • 462 Words
    • 2 Pages

    He had no history of asthma nor does he have any family history of asthma. The asthma attack was the first one that he has ever had in his life. The nurse says the he had bronchitis earlier which might have a link as to why he had a random asthma attack. This is possible because bronchitis is the inflammation of the bronchioles. So that might have predisposed him into having an asthma…

    • 462 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Ethical Considerations

    • 1108 Words
    • 5 Pages

    Health and Human Services [USDHHS], Centers for Disease Control and Prevention National Center for Health Statistics [CDCNCHS], 2010). “Asthma is an inflammatory disease that is characterized by airway obstruction and may…

    • 1108 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Lack of adherence to medication is another trigger for acute exacerbation of asthma (Jackson et al., 2011). Without his nightly dose of Salbutamol over the last three days, Geronimo would experience difficulty maintaining a patent airway. Studies have shown that to prevent acute exacerbations, individuals should…

    • 1212 Words
    • 5 Pages
    Powerful Essays

Related Topics