Respiratory And Critical Care Medicine Essay Assignment

Respiratory And Critical Care Medicine Essay Assignment

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The definition provided by the World health organization (2023) is that asthma is a health condition linked with the narrowing of airways that leads to the production of excessive mucus leading to breathing difficulties. As World health organization (2023) accentuates, the common asthma symptoms include coughing, sleeping difficulties wheezing, chest pains and shortness of breath which affects over 262,000 individuals and is common in both adults and children. Also, asthma classification falls under the following categories depending on the symptoms and signs. These categories are severe, moderate and mild persistent asthma and mild intermittent asthma. Severe persistent asthma symptoms happen throughout the day and are more frequent at night. For moderate persistent asthma, the symptoms happen daily and exceed over one night in a week (World health organization, 2023). The mild persistent asthma symptoms happen two times or more weekly for just a day. Lastly, mild intermittent symptoms occur for almost two days weekly and two nights monthly. Respiratory And Critical Care Medicine Essay Assignment

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Asthma treatment involves long-term control medications necessary to provide relief and alleviate the presented patient symptoms. According to Reddel et al. (2022), long-term medications are those medications that asthma patients take daily to manage their chronic symptoms and control asthma attacks. These medications include inhaled corticosteroids like Fluticasone, which help in reducing airway swellings and inflammation. Long-acting beta-agonists are also part of long-term control medications and include medications like Formoterol that enhance the opening of the airways through the relaxation of the surrounding muscles(World health organization, 2023). Also, Leukotriene modifiers like Zafirlukast that block various immune system chemical actions. Respiratory And Critical Care Medicine Essay Assignment

Quick relief medications are those medications that offer asthma patients quick relief from the prevailing symptoms. According to Reddel et al. (2022), these medications include short-acting beta-agonists like Albuterol that enable quick opening of the airways. Another medication, Ipratropium, opens asthma patients’ airways by blocking the natural substances that lead to airway constriction. Also, intravenous and oral corticosteroids like prednisone are crucial since they minimize airway inflammation (Reddel et al., 2022). However, these medications are associated with different side effects. For instance, inhaled corticosteroids may lead to mouth infections, while using oral corticosteroids on a long-term basis may cause osteoporosis, diabetes, and hypertension. That is because corticosteroids reduce calcium absorption and increase the ways bones become broken, leading to osteoporosis (Beasley et al., 2020). Respiratory And Critical Care Medicine Essay Assignment

In asthma treatment, it is necessary to involve a stepwise approach that incorporates adjusting the medication amount and type in response to the asthma symptoms changes. As Mauer and Taliercio (2020) posits, the main goal of stepwise asthma treatment and management is to maintain control of a disease with minimal medication amount and with fewer side effects. These steps include;

• Step one assesses intermittent asthma and provide a short-acting beta agonist.
• Step two assesses mild persistent asthma and provide low-dose inhaled corticosteroid.
• Step three assesses moderate persistent asthma and provide long-acting beta-agonist and low or medium-dose inhaled corticosteroid.
• Step four assesses severe persistent asthma and provide long-acting beta-agonist and medium-dose inhaled corticosteroid.
• Step five assesses severe-persistent asthma and provide long-acting beta-agonist and high-dose inhaled corticosteroid.
• Step six assesses severe persistent asthma and provide oral corticosteroid, long-acting beta-agonist, and high-dose inhaled corticosteroid.
• Step one: Intermittent asthma- Provide a short-acting beta agonist.
• Step two: Mild persistent asthma- Provide low-dose inhaled corticosteroid.
• Step three: Moderate persistent asthma – provide long-acting beta-agonist and low or medium-dose inhaled corticosteroid.
• Step four: Severe persistent asthma- provide long-acting beta-agonist and medium-dose inhaled corticosteroid.
• Step five: Severe-persistent asthma- provide long-acting beta-agonist and high-dose inhaled corticosteroid.
• Step six: Severe persistent asthma – provide oral corticosteroid, long-acting beta-agonist, and high-dose inhaled corticosteroid. Respiratory And Critical Care Medicine Essay Assignment

The stepwise approach is crucial since it aims to help clinicians make the appropriate decisions to provide patient-centric healthcare services. Hence, the stepwise approach does not focus on replacing medication since once patients are stable within three months, the step down process can reduce the medication (Beasley et al., 2020). Therefore, the stepwise approach is a structured framework that clinicians use to treat asthma patients. Generally, it is a flexible and individualized treatment plan that healthcare providers can adjust depending on the patient’s response to medication and symptoms. Consequently, the stepwise approach helps to maintain and achieve asthma control and reduces the usage of quick-relief medicines that have side effects like osteoporosis (Beasley et al., 2020). Also, it is through the stepwise process that healthcare providers manage to engage the patient in the treatment plan, thus leading to better treatment adherence and enhancing their quality of life. Respiratory And Critical Care Medicine Essay Assignment

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Asthma is the excessive mucus production causing breathing difficulty.

The main symptoms are coughing, sleeping difficulties wheezing, and shortness of breath.

Clinicians can use long-term and quick-relief medication to control asthma.

However, for effective treatment, a stepwise approach will be necessary.

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. Respiratory And Critical Care Medicine Essay Assignment