Asthma And Stepwise Management Discussion Paper

Asthma And Stepwise Management Discussion Paper

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Prevalence of asthma has increase in various patient populations globally. This trend is associated with increase in rate of smoking and urbanizations (Enilari & Sinha, 2019)Asthma And Stepwise Management Discussion Paper. Consequently, an evidence-based treatment intervention should be implemented to achieve positive health outcomes. This presentation illustrates how the asthma stepwise management approach is used in treating asthma symptoms. The presentation includes long-term control and quick relief treatment options; the patient’s stepwise approach to asthma treatment and management; and how the stepwise management approach enables clinicians and benefits to control asthma.

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Long-term asthma control involves use of various anti-inflammatory drugs. This treatment intervention aims at minimizing swelling and tightening in patient’s airways (Stoodley et al, 2019)Asthma And Stepwise Management Discussion Paper. Asthma patients get maximum health benefits after using these medications for a long period such as several months. Therefore, long-term asthma control is considered as lifestyle intervention. This treatment approach is recommended for individuals with persistent asthma

Quick-relief medications relieves give asthma patient an immediate relieve of symptoms caused by tight and narrowed airways, including coughing, chest tightness, and wheezing. In most cases, asthma patients inhale quick-relief medicines so that they can directly go to the lungs where they are needed. Short-acting beta-agonists, which are considered bronchodilators are the most common used quick-relief drugs used in relieving asthma symptoms during an attack (Stelmach, 2021). Therefore, these drugs benefits the client by giving an immediate relieve of the symptoms, preventing further health complications.

The stepwise approach for a 12yo female with persistent asthma is as follows. Step 1 involves administering SABA, which is effective in managing intermittent symptoms. At step 2, the client takes a low-dose ICS to manage persistent asthma (Rosenthal & Burchum, 2021). The dose of ICS is increased in step 3 and 4 and a LABA to enhance the effectiveness of treatment therapy in managing persistent asthma symptoms. ICS dosage is increased further at steps 5 and 6 for better health outcomes. Chronic oral corticosteroids specifically prednisone is considered in step 6 for further improvement in asthma symptoms (Ahmed & Turner, 2019)Asthma And Stepwise Management Discussion Paper.

Stepwise management approach of asthma depends on if an individual has intermittent or persistent asthma. Only step 1 (SABA) is applied in managing pertinent asthma. On the other hand, step1 to 6 are applied in managing persistent asthma (Bernstein & Mansfield, 2019). Therefore, the stepwise approach guides healthcare providers in making the best clinical decisions depending on severity of asthma symptoms. Consequently, clinicians meet healthcare needs of an individual patient by controlling asthma symptoms effectively.

The stepwise asthma approach entails a step-down therapy or step-up therapy (Bernstein& Mansfield, 2019)Asthma And Stepwise Management Discussion Paper. The choice of treatment therapy depend on severity of asthma symptoms and treatment goal. In step-up therapy, an individual patient starts treatment with low-dose, which is titrated upwards gradually until optimal control of asthma symptoms is attained. On the contrary, one starts with a higher dose and titrated it down gradually in Step-won therapy. These dosages are altered until the patient achieves stability in the control of asthma, resulting in positive health outcomes.

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.

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: Asthma And Stepwise Management Discussion Paper

• 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:

• 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.

RESOURCES

• 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)Asthma And Stepwise Management Discussion Paper

RUBRIC

NURS_6521_Week3_Assignment_Rubric