Asthma And Stepwise Management Assignment Discussion

Asthma And Stepwise Management Assignment Discussion

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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.

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.


REQUIRED READING: Asthma And Stepwise Management Assignment Discussion

  • Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants(2nd ed.) St. Louis, MO: Elsevier.
    • Chapter 62, “Drugs for Asthma and Chronic Obstructive Pulmonary Disease” (pp. 557–579)
    • Chapter 63, “Drugs for Allergic Rhinitis, Cough, and Colds” (pp. 580–588)
  • Document: APA Presentation Template


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.
  • 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.

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: Asthma And Stepwise Management Assignment Discussion

  • 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.


Students who use subheadings/paragraphs in their posts get better grades.

Asthma And Stepwise Management Assignment Discussion

Asthma is a common chronic condition associated with narrowed airways that excrete excess mucus, making an individual experience difficulty breathing. The main asthma symptoms include chest tightness, coughing, breathlessness, and wheezing. However, Wang et al. (2021) accentuates that these symptoms’ severity varies from individual to individual. Also, various individuals’ asthma can be easily controlled, while others may experience a variety of persistent issues, considering that asthma may get suddenly or gradually worse. Asthma is classified into four categories, which are mild intermittent symptoms that happen two nights monthly and twice a week. Mild persistent symptoms happen twice weekly but exist for one day; moderate persistent symptoms happen daily and overnight weekly, while severe persistent symptoms occur daily and frequently at night (Wang et al., 2021)Asthma And Stepwise Management Assignment Discussion. When patients experience severe attacks, it is necessary to seek medical attention since these attacks are life-threatening, even if it is unusual. The presentation will evaluate drugs effective in treating asthmatic patients, ways to apply the stepwise approach, and how stepwise management helps to control asthma.

Asthma treatment incorporates long-term control and quick relief management. According to Bridgeman and Wilken (2020), long-term control for asthma utilizes medications that minimize airway inflammation. Some of the medications used as long-term control are inhaled corticosteroids like mometasone, budesonide, and ciclesonide. In most cases, the inhaled corticosteroids are usually well-tolerated, safe, and the most effective asthma medication. Also, the long-acting beta-agonists, which include vilanterol, formoterol, and salmeterol and are more effective when healthcare providers combine them with inhaled corticosteroids (Wang et al., 2021). Consequently, other long-term control medications for asthma include leukotriene modifiers like zileuton and zafirlukast. In general, asthma patients using long-term control medication have to take them daily, even without the symptoms, to minimize asthma attacks and symptoms.

Apart from long-term control medications, asthma patients require quick-relief medications. As Wang et al. (2021) accentuate, quick-relief medication incorporates medications that open up an asthmatic patient’s airways. Some quick-relief medications include intravenous and oral corticosteroids like prednisolone and methylprednisolone, which help manage airway inflammation when patients experience severe asthma. However, intravenous and oral corticosteroids must be prescribed in the short term to prevent the prevailing side effects. Also, ipratropium is crucial since it results in bronchodilation (Papi et al., 2020)Asthma And Stepwise Management Assignment Discussion. Patients utilize short-acting beta-agonists (SABA) like levalbuterol and albuterol using nebulizers and portable hand inhalers to relieve asthma patients within minutes.

Due to the impact that asthma presents, therapy must be reassessed in every patient visit. That is because its management reflects a dynamic process that changes depending on the patient’s needs (Papi et al., 2020). As a result, the stepwise approach is the main recommended approach to treat asthma patients. The approach integrates dose decrement or increment, dosage frequency, and the number of medications necessary to reach symptomatic control. Stepwise approach utilization occurs when medication dosage is increased until the symptoms are relieved and the patient can stay active, sleep well, and minimize emergency visits. The main goal associated with the stepwise approach is to engage the least medication amount necessary to reach asthma control (Papi et al., 2020). Such an approach enables the healthcare providers to make informed decisions during prescription by engaging in individualization of patient care.

The stepwise approach involves six stages that help healthcare providers in providing effective management and control of asthmatic episodes. In every stage, the healthcare care provider must assess the patients’ needs effectively and the need to increase or decrease medications to maintain control of the symptoms (Papi et al., 2020). For instance, in step one, the most recommended intervention is providing the patients with SABA, which is mainly essential to treat intermittent asthma. However, healthcare providers cannot use a similar approach when treating severe asthmatic attacks. That is because, in case of a severe attack, the healthcare providers must use higher doses to control these attacks. That is why the recommended medication in stage six includes a high inhaled corticosteroid dose and an oral systemic corticosteroid combined with LABA (Bridgeman & Wilken, 2020)Asthma And Stepwise Management Assignment Discussion. The alternative that healthcare providers have in step six is the usage of high inhaled corticosteroid dose combined with either oral systemic corticosteroid or theophylline.


A stepwise approach is crucial in asthma management since it equips healthcare providers with knowledge on ways to conduct patient education and empowerment. That is because it is easier to assess the medications, activities, and environments that exacerbate or alleviate asthmatic symptoms (Papi et al., 2020). In that case, the healthcare providers can use various strategies like show me and teach back strategies to ensure that the patients clearly understand what is expected of them, particularly when using oral inhalers (Bridgeman & Wilken, 2020). Consequently, the stepwise approach enhances the ways healthcare professionals balance asthmatic medications for patients. In conclusion, due to the adverse effects associated with asthma, healthcare professionals must select effective medication based on the attack’s severity. Consequently, these healthcare providers should base their decisions on a stepwise approach to control asthma attacks effectively. Asthma And Stepwise Management Assignment Discussion

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