These circumstances influenced the creation of this paper where the author will discuss chronic asthma, emerging issues relative to the disease, and nursing approach to the identified issues to facilitate nursing care. Asthma attacks take the life of over 1,100 patients every year (Anderson 2007) and 0.05% of this population comprises of patients who suffered from brittle asthma (Ayres 1998). Brittle asthma is a phenotype classification of asthma coined by Turner-Warwick in 1977 as an asthmatic condition with maintained wide variation in peak expiratory flow (PEF) despite high doses of inhaled steroids. After Turner-Warwick’s revelation sprung several more definition from authors who aims to give the condition a more precise identity. Garden and Ayres (1993) claim that a more concise manner to define it would be “patients with a defined and persistent marked diurnal variation in PEF despite multiple drug treatment.” Nevertheless, this implies a chronic illness with no effective treatment available leaving the patient filled with pain and suffering from dyspnoea. Ayres (1998, p.315) classified brittle asthma into two. The first one is Type 1 brittle asthma, which is characterised by a sustained wide PEF variability over a period of at least 150 days regardless of extensive medical treatment. The other one is Type 2 brittle asthma considered as abrupt acute attacks taking place in less than three hours. This type may occur even on a seemingly normal airway function or a well-controlled asthma. Between the two, Type 1 patients are more likely to be on emergency and admitted on hospitals due to its severe acute attacks and its need for a more intensive treatment. This group of patients with brittle asthma requires greater amounts of medications compared to the other forms of asthma. Most needs prolonged oxygen therapy and higher doses for steroids and bronchodilators. Biomedical management mostly involve steroids, subcutaneous ?2 antagonist, long acting inhaled ?2 antagonist, and adrenaline, which are all costly if given in a longer period and higher doses. On the course of therapy, the patients often suffer from the effects of prolonged drug exposure such as osteoporosis, weight gain, and oesophageal reflux to name a few (Ayres 316). Physical morbidity is tantamount to all chronic illness and its psychosocial counterpart is always present too. Garden and Ayres (1993, p.503) discussed the psychosocial effects of brittle asthma to a person. They suggested that prolonged chronic illness develop traits such as anxiety, nervousness, sensitivity, denial, lower self-esteem and obsession. These trait alterations acclaimed to be due to extremely difficult management. Many of them have run out of therapeutic options and patience and eventually stop seeking medical consult from their physicians. Poor compliance and worsening condition follows from these actions of hopelessness. Studies found out that these patients lacks self confidence in managing attacks, believes their doctors less, and has an increased feeling of disgrace. Another testified that patients with highest morbidity from asthma often time hesitate in seeking help from clinicians during acute attacks while others do not strictly comply on usage of bronchodilators or still continue to do prohibited habits such as smoking or exposure to allergens (Smith, et al. 2005). “
Nursing Care in Patients with Brittle Asthma Death is a common phenomenon in health care facilities especially those which caters to the needs of elderly and chronically ill patients. Yet the familiarity of this concept still brings chaos to psychosocial and emotional behaviours of both the carer and the patient…
Chronic inflammation with remodelling of the bronchial tree leads to airway obstruction. The disease is more prevalent in young children than adults. Asthma can affect the quality of life and may impact psychologically on the growth and development of a child.
Asthma is a chronic respiratory disease which is a considerable drain on healthcare resources in terms of costs, manpower, morbidity and mortality (Akinbami, Moorman & Liu, 2011). Chronic diseases like asthma are best managed with a collaborative effort between physicians, nursing staff, patients and their family members (Wooler, 2011) As the prevalence of asthma among children has been increasing over the years (Akinbami, Moorman, Garbe & Sondik, 2009), nurses have come to play a key role in the specialist care of pediatric patients requiring management of acute and emergency episodes as well as ongoing care of chronic asthma.
According to a survey which conducted by Brunton (2011), most patients do not comply with drug prescriptions. It also revealed that the level of patients understanding affects their compliance to drug therapy. Lack of adherence could be unintentional or intentional.
This paper reviews background information of irritable bowel syndrome. Introduction Nursing is one of the professions in health care sector and ensure care provision to people and groups towards desired health standards. Nurses ensure that individuals and groups such as families and communities achieve high level health standards through preventive measures and that proper management initiatives are put in place to ensure treatment of diseases and infections and to facilitate recovery from effects of the diseases and infections.
1) What is asthma? Asthma is a chronic inflammatory airway disorder marked by airflow obstruction and airway hyperresponsiveness to a multiplicity of stimuli. This widespread but variable airflow obstruction is caused by bronchospasm, edema of the airway mucosa and increased mucus production with plugging and airway remodeling.
Asthma is known to be a chronic disease, encompassing varied and frequent symptoms resulting in impediment of reversible airflow due to inflammation of inner walls of airways, generating sensitivity to irritations and thereby augments susceptibility to allergies.
This search yielded 1163 article references.
A combination of "asthma education" and "improved asthma control" was searched through the Medline data base with a return of 243 articles. Limits were then imposed to isolate specific articles related closely to the question.
rse is, for most of the time, the first contact of medical care for patients admitted in the emergency room for exacerbations of many diseases, including asthma and Chronic Obstructive Pulmonary Disease. COPD “is an umbrella term covering a range of conditions including
g staff, patients and their family members (Wooler, 2011) As the prevalence of asthma among children has been increasing over the years (Akinbami, Moorman, Garbe & Sondik, 2009), nurses have come to play a key role in the specialist care of pediatric patients requiring
While some individuals find asthma to be simply a nuisance, it can become a life-threatening problem for others. Asthma cannot be cured, but there are treatments available for symptoms. The most typical treatments for asthma sufferers include a
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