Diagnosis of Asthma Shortness of breath as well as an individual’s experiencing either wheezing and coughing are the major symptoms of asthma that are known. An asthmatic attack may get dangerous if it lasts for more than 12 hours without any intervention and if the airway is obstructed (Kaufman, 2012). Symptoms like bluish coloration of the lips and rapid pulse are dangerous signs of severe attack. In diagnosis spirometry measures the total volume of oxygen that is inspired against that which is expired by the lungs. In the assessment of the status of the airwave, children with asthma who are of seven years or more should have a spirometry performed on them in order to measure how severe the airway is obstructed (NHS, 2012). Triggers of Asthma and the Risk factors Among the triggers of asthma are food preservatives that are found in foods that are either processed or prepared by various food manufacturing companies. An example of such a food preservative is sodium metabisulfite which is in the group of sulfite additives; it triggers asthma in those who are sensitive (Toole, 2013). There are certain risk factors that have been identified to trigger or contribute to the occurrence of asthma and are important in the easy identification of those individuals who are most at risk to develop asthma and those prevention strategies that are effective in managing the condition. These include smoking by the parent, especially when the child is still an infant, or the smoking by the mother when the child has not been born yet. The family history of asthma and exposure early in life makes a child more predisposed to suffer from asthma (Zahran, Person, Bailey & Moorman, 2012). Management of Asthma Arterial blood gas and lung function test will help in diagnosis of this condtion; a blood count that will be done will measure the levels of eosinophils in the blood and an indicator of infection. Inhalers are medical components also referred to as puffers used to administer medication into one’s body via the lungs in the treatment of Bronchial Asthma. Evidence-based best practice for children with asthma or those suspected to be suffering from the same is the administration of short acting bronchodilators vimemetered-dose inhalers (MDI) and spacers as opposed to administering nebulizers. The use of these MDIs as a first line of treatment during emergencies and general practice is important as it allows people to learn the correct techniques or procedures that come in handy in case of exacerbations in that the patient can manage herself (Barnes, 2009). It is recommended that spacers used in hospitals should be single patient use while in other clinical settings; the disposable spacers should be utilized. Drugs like short acting bronchodilators and corticosteroids will help in the management but physician consultation is helpful. Nebulizer is medical equipment made specifically to manage bronchial asthma where oxygen, compressed air breaks up medical solutions and suspensions to droplets easily taken by mouth. These are a bit easier to use as compared to the MDIs or the spacers in general practice both in hospitals and at homes, as they are easier to come about. However, the nebulizers have a finite life span just as the geometry of the jet and are therefore confusing during their use, thereby affecting the size of the particle leading to
Evidence Based Practice Evaluative Essay and Scenario Portfolio Name: Institution Asthma Asthma is a chronic condition that can be managed but not cured and it is a condition that attacks an individual at intervals and with varying degrees of severity. Asthma is characterized through the inflammation of the air channels where various cells or cellular components play a vital role…
Mr. Miller, a computer programmer, is a moderately obese 51 year old man with type 2 diabetes, first diagnosed 8 years ago with the disease. In an effort to improve his health, he is trying to quit his smoking habit of some 30 years.
This essay addresses the barriers that exist against using evidence-based practice in the treatment of atrial fibrillation. It will also evaluate different strategies that can be used to develop the use of evidence-based practice among critical nurses who tend to older patients suffering from atrial fibrillation.
The clients of this facility are the elderly patients who require nursing care services. Those with physical disability are also attended to in this care home. Physiotherapy, independent living training and palliative care are the services offered in the care home (Care and Social Services Inspectorate Wales, 2012).
Furthermore, some interventions which reliable researches showed to have significant benefits have been largely ignored. By bringing together the results of research in a systematic way, appraising its quality in the light of question being asked synthesizing the results in an explicit way and making the knowledge base more accessible, it is hoped to foster a greater sensitivity to the evidence by researchers, policy makers, health practitioners and the public.
However, the use of the term "evidence based" had confused many practitioners. Several researches were done to clarify the term. Aside from misconceptions and misinterpretations, evidence based nursing practice is also plagued with debates and issues that need to be resolved.
The main reason the patients on ventilator needs to be monitored and managed with dexterity is ventilator associated pneumonia (VAP), which adds to the morbidity and mortality statistics associated with ventilator management and hence this condition needs to be prevented (Fagon et al., 1996).
Its goal is to eliminate unsound or excessively risky practices in favour of those that have better outcomes.
"Evidence-Based Practice (EBP) is a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables health practitioners of all varieties to address healthcare questions with an evaluative and qualitative approach.
These companions could either be in the institution where the patient is, in a private home that offers care to such patients, or could be family members or other people paid to care for the patient (Klonsky 1039).
ed need for the increase in the number of Acute Care for the Elderly Units to allow for the provision of specialized quality care for this group of patients (Jaipaul & Rosenthal, 2009; British Geriatric Society, 2012).
With geriatric care being a key area of interest for me,
Similarly, evidence-based practice (EBP) is more of a specific approach, which can be part of the EBT (Spitz et al., 2007). The EBP approach involves the concerned family members through the treatment process, engaging with direct communication with the patient through
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