Asthma is a chronic inflammatory disease of the airway. The narrowing of air occurs due to the inflammation and excessive mucous secretion. Asthma is know to be the commonest diseases in childhood and in young adulthood. Mr Saunders suffering from asthma encounters exacerbation, which commonly means asthma attack or acute asthma leading to shortness of breath, wheezing and many other symptoms. Exacerbation refers to decline in expiratory airflow, which can bring mild to life threatening conditions in the patients. This essay will discuss the assessment done considering the health issues of Mr James Saunders. Assessments that will be carried out for Mr Saunders will be the detailed respiratory assessment for his diseases condition, Asthma.
Mr James Saunders a 36-year-old man has been admitted in the ward with his exacerbation of asthma. The subjective data (data collected by communicating) presented are Mr Saunders say that he is not feeling too bad and has no chest pain. He also says that he has been struggling from this disease since his childhood and it is more frequent in the early spring and it is even worst in the windy days. The objective data (data obtained from observing) are he has his hearing aid on the both ears, shortness of breath, on taking vital signs he has Blood pressure of 140/70, his respiration rate is 28/mins, oxygen saturation in room air is 90% Mr Saunders appears to be flushed, and is speaking in short sentences. He has a moderate use of accessory muscle while breathing and in auscultation he has wide spread of wheeze. There are four main ways for the respiratory assessment, which are inspection, palpation, percussion and auscultation.
Obtaining a detailed history from the patient is one of the essential parts in assessment of the patient. Detailed history includes asking past and present history (medical history, surgical history, allergies, medications, injuries, accidents, immunizations’ and childhood illness), family health history and social history includes (alcohol use, history of travelling, education, economic status, religion, drugs used, roles and responsibilities). Focused respiratory assessment is required for Mr James Saunders so that the specific problems could be identified and care plan could be arranged. The assessment needs to be instant and efficient to prevent from further deterioration in his diseases condition. Deterioration in the respiratory disease is one of the most possible reasons for the patient admission in intensive care unit (Kennedy, 2006). Firstly among the 4 assessments inspection was done to Mr Saunders for the shape of thorax, symmetry in his breath, symmetry of the chest wall, normal space between intercostal ribs, respiratory rates, patterns depth, symmetry, mode of respiration, colour of sputum. Secondly palpation it was done in order to know if there are any masses, broken ribs, pulsation, warmth, and thoracic tenderness. Thirdly after palpation percussion was done in chest and thoracic area for the abnormal/normal sounds. Lastly auscultation in the chest in order to know the chest sounds for wheezing decreased breath sounds or absence of breath sound, voice sounds, oxygen saturation and blood pressure.
The signs of asthma includes wheezing, difficulty in breathing, tightness in chest, persistent cough, shortness of breath, rapid pulse, sweating, flared nostrils and pursed lips, bluish discoloration of the lips and fingernails (Killeen et al., 2013). The obvious signs that Mr. Saunders was not feeling well were his breathing pattern. Although he reports to be well his breathing was short and fast. This is indicative signal for respiratory distress (Guthrie, 2002). Mr. Saunders was also experiencing tachypnea with the respiratory rate of 28breaths per minute (usual respiratory rate is 12-20 breaths per minute). Mr. Saunders had dyspnea; difficulty in breathing and shortness of breathe. It occurs when the demand for ventilation is out respond to...
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