Bridge's Transition Model Of Asthma

Table of Contents Introduction 3

Summary of Articles 3

Analysis of Articles 4 Similarities 4 Differences 5

Application to Nursing Practice 6 Foster Positive Relationship with Health Care Professionals 6 Encourage Positive Familial Relationships 7 Developing and Maintaining Positive Emotional Status 8 Address Fear and Uncertainty 8

Summary 9

References 10

Appendix 11

According to Cicutto (2014), asthma is a chronic inflammatory disorder of the airways that is characterized by wheezing, breathlessness, chest tightness, and coughing. It is a form of airway hyperresponsiveness that results in airway edema and excessive mucus production (Cicutto). In this paper, asthma is discussed in relation to the adolescent population.
According to the Bridge’s transition model, the individual will experience loss, fear, and uncertainty during the Ending phase (Bridges, 1980). As discussed by both articles, the fear and uncertainty experienced during early stages of adaptation can be related to asthma exacerbations, or future in terms of job, family, and children. As nurses, it is imperative to identify the source of fear in order to reduce stress level. By alleviating stress, nurses can facilitate adaptations to asthma.
To alleviate fear and uncertainty, HCP can reassure adolescents and family by providing appropriate information. Arnold and Boggs state that fear of unknown is eliminated by helping clients and family anticipate what will happen as a chronic illness progresses and how the day-to-day needs will change (2011). As HCP, providing suggestions to change, and supporting family through change is crucial for positive normalization (Arnold and Boggs). Similarly, Rhee et al. (2007) suggest identifying individualized coping strategies that have worked for adolescents. By strengthening and redirecting existing coping strategies, there are increased chances of coping with fear and uncertainty. Furthermore, Cicutto (2014) suggest answering questions and concerns expressed by patient and family. By providing factual information about patient’s condition helps
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