Asthma and Stepwise Management Assignment

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Asthma and Stepwise Management Assignment

  • Asthma and Stepwise Management
  • Introduction

üFor the past 20 years, asthma has emerged as a  major public health issue in the United States

üI5 million Americans have been diagnosed with asthma. Asthma and Stepwise Management Assignment

üAnnually, 5,500 people die  from asthma (National Asthma Education and Prevention Program, n.d).

üThe rates of asthma-related hospitalizations, deaths, and ED visits are high among African Americans.

üAsthma-related costs have increased to 12.7 billion dollars since 1980s(National Asthma Education and Prevention Program, n.d).

üAsthma  control can be achieved  with proper care and adherence  to medications

ü

  • Long-term Control Treatment Options For Asthma Patients

üThe long term goal of asthma is to reduce the severity and frequency of occurrence  of asthma symptoms (Arcangelo et al (2017)

üHowever, medication compliance is mandatory  to achieve long term control

üThe drugs used for the long term control of asthma  based on recommendations by the FDA are LABA(Long-acting beta agonists, inhaled  corticosteroids(ICS), and leukotriene modifiers(Aalbers, Vogelmeier & Kuna, 2016). Asthma and Stepwise Management Assignment

üICS are the most effective, they act by preventing  airways hyper responsiveness

üSide effects of ICS that patients must be aware of include; hoarseness, oral thrush, easy bruising, and osteoporosis.

  • Quick Relief Treatment Options For Asthma Patients

üQuick relief  drugs are commonly known as recue drugs since they are used to manage symptoms during an asthma attack such as shortness of breathe, wheezing and   severe coughs.

üQuick relief  medications  act by  relaxing the airway muscles,  they have a fast and short  duration of action to improve breathing (Khalid, 2015).

üNPs must  educate all asthmatic patients to keep a rescue inhaler Asthma and Stepwise Management Assignment

üExamples of quick relief medications include  metaproterenol, albuterol, bitolterol, pirbuterol

üCommon side effects that NPs must know and educate patients about  include; tremors, anxiety, restlessness, an irregular heartbeat, and headaches(Arcangelo et al (2017).

  • Stepwise Approach To Asthma Treatment And Management

üA patient’s asthma management approach should be adjusted based on asthma management guidelines

üAccording to Khalid (2015), the stepwise approach to asthma management ensures the initiation of a  more intense and rigorous approach to therapy before stepping down to a lesser therapy

üThe stepwise approach to asthma management also promotes rapid control of symptoms before stepping down Asthma and Stepwise Management Assignment

üHas six steps:

üStep 1-a patient with intermittent asthma is prescribed a short-acting beta agonist such as an albuterol inhaler, inhaled 4-6 hourly as required.

üStep 2-prescribe a low dose ICS such as Beclomethasone HFA 80-240 µg Inhaled once

  • Stepwise Approach To Asthma Treatment And Management

üStep 3-prescribe either a low dose LABA (Salmeterol 50 mcg to be inhaled twice daily. ) or medium-dose ICS ((Fluticasone HFA/metered dose inhaler 264-440 µg)

üStep 4- prescribe both medium dose ICS (Fluticasone HFA/metered dose inhaler 264-440 µg) and LABA(50mcg)

üStep 5-prescribe a LABA (Salmeterol 50 mcg) and a high-dose ICS (Fluticasone HFA/metered dose inhaler >440 µg)

üStep 6- prescribe a LABA (Salmeterol 50 mcg), an oral corticosteroid (monteleukast once daily), and a high-dose ICS (Fluticasone HFA/metered dose inhaler >440 µg). Asthma and Stepwise Management Assignment

  • How Stepwise Management Assists Health Care Providers And Patients

üThe drugs prescribed by a NP using the stepwise approach to asthma management is determined by  a patient’s stage of asthma

üAccording to Trevor & Chipps (2018), the stepwise approach  guarantees healthcare providers with the ability  to assess  the level or extent  of a patient’s  symptom control

üHealthcare providers can also determine  the  effectiveness   of  prescribed drugs, potential side effects that  can prevent  compliance and a patient’s level of adherence

üA provider can use  this information to either step up or step therapy

üPatients may benefit from  continuous health education that happens in each stage that promotes a better control of symptoms.

ü

  • References

üAalbers, R., Vogelmeier, C., & Kuna, P. (2016). Achieving asthma control with ICS/LABA: a review of strategies for asthma management and prevention. Respiratory medicine, 111, 1-7.

üArcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins. Chapter 25, “Asthma” (pp. 377-392) Asthma and Stepwise Management Assignment

üKhalid, A. N. (2015). Stepwise management of asthma. In the International forum of allergy & rhinology (Vol. 5, No. S1, pp. S41-S44).

  • References

üNational Asthma Education and Prevention Program, Third Expert Panel on the Diagnosis and Management of Asthma. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Bethesda (MD): National Heart, Lung, and Blood Institute (US); 2007 Aug. Section 4, Stepwise Approach for Managing Asthma in Youths ≥12 Years of Age and Adults. Retrieved 16th December 2020 from: https://www.ncbi.nlm.nih.gov/books/NBK7222/

üTrevor, J. L., & Chipps, B. E. (2018). Severe asthma in primary care: identification and management. The American Journal of Medicine, 131(5), 484-491. Asthma and Stepwise Management Assignment

ü

 

Assignment: Asthma and Stepwise Management

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.  Asthma and Stepwise Management Assignment

Photo Credit: Photo Library / Getty Images

One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare
  • Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children. Asthma and Stepwise Management Assignment
  • Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.
  • Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.
By Day 7 of Week 3

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

  • Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
  • Explain the stepwise approach to asthma treatment and management for your patient.
  • Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 3 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Asthma and Stepwise Management Assignment
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
  • NOTE: SafeAssign does not accept files over 10MB in size. Please attempt to keep your files under 10MB.

NURS_6521_Week3_Assignment_Rubric

Excellent Good Fair Poor
Describe the long-term control and quick relief treatment options for the asthma patient from your practice, as well as the impact these drugs might have on your patient.
27 (27%) – 30 (30%)
The presentation clearly and accurately describes in detail the long-term control and quick relief treatment options for the asthma patient from their practice.

The presentation clearly and accurately describes in detail the impact these drugs might have on their patient.
24 (24%) – 26 (26%)
The presentation accurately describes the long-term control and quick relief options for the asthma patient from their practice.

The presentation accurately describes the impact these drugs might have on their patient. Asthma and Stepwise Management Assignment
21 (21%) – 23 (23%)
The presentation inaccurately or vaguely describes the long-term control and quick relief options for the asthma patient from their practice.

The presentation inaccurately or vaguely describes the impact these drugs might have on their patient.
0 (0%) – 20 (20%)
The presentation inaccurately and vaguely describes the long-term and quick relief options for the asthma patient from their practice, or is missing. Asthma and Stepwise Management Assignment

The presentation inaccurately and vaguely describes the impact these drugs might have on their patient, or is missing.
Explain the stepwise approach to asthma treatment and management for your patient.
27 (27%) – 30 (30%)
The presentation clearly and accurately explains in detail the stepwise approach to asthma treatment and management for their patient.
24 (24%) – 26 (26%)
The presentation accurately explains the stepwise approach to asthma treatment and management for their patient.
21 (21%) – 23 (23%)
The presentation inaccurately or vaguely explains the stepwise approach to asthma treatment and management for their patient.
0 (0%) – 20 (20%)
The presentation inaccurately and vaguely explains the stepwise approach to asthma treatment and management for their patient.
Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.
27 (27%) – 30 (30%)
The presentation clearly and accurately explains in detail how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

The presentation provides accurate and detailed examples to support the explanation provided.
24 (24%) – 26 (26%)
The presentation accurately explains how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Asthma and Stepwise Management Assignment

The presentation provides accurate examples to support the explanation provided.
21 (21%) – 23 (23%)
The presentation inaccurately or vaguely explains how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

The presentation provides inaccurate or vague examples to support the explanation provided.
0 (0%) – 20 (20%)
The presentation inaccurately and vaguely explains how stepwise management assists health care providers and patients in gaining and maintaining control of the disease, or is missing.

The presentation provides inaccurate and vague examples to support the explanation provided, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors
4 (4%) – 4 (4%)
Contains a few (1–2) grammar, spelling, and punctuation errors
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3–4) grammar, spelling, and punctuation errors
0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding
Total Points: 100

Name: Asthma and Stepwise Management Assignment NURS_6521_Week3_Assignment_Rubric