Asthma and Stepwise Management Sample

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NURS 6521 Week 3 Assignment: Asthma and Stepwise Management

[Stepwise Approach to Asthma Management.]
Walden University
[Asthma]
Asthma is a chronic disorder estimated to occur in 1-11 children, and 1-12 adults in the United States (Rosenthal & Burchum, 2018). Signs and symptoms include chest tightness, breathlessness, cough, dyspnea and wheezing. NURS 6521 Week 3 Assignment: Asthma and Stepwise Management
Causes:
Allergens like pollen, dust mites, molds and animal dander are common triggers to asthma attacks, other ongoing health conditions are additional triggers—obesity, obstructive sleep apnea and acid reflux (American College of Allergy, Asthma & Immunology. Org.(2020).
Asthma attacks could also be triggered by extreme weather conditions, stress, air irritants like smoke, chemical fumes and noxious odors. Cold and sinus infections could exacerbate asthma.

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Asthma management using stepwise approach
The goal of asthma treatment is identifying and avoiding allergen triggers, and initiation effective drug therapy for persistent asthma to reduce frequency of severe asthma attacks (Acaai.org, 2020). NURS 6521 Week 3 Assignment: Asthma and Stepwise Management
Stepwise approach has proven effective in asthma management, with the goal of reducing impairments and risk of reduction while using less amount of medications (National Institute of health. gov, 2007).
The use of stepwise method is recommended in the EPR 3, as one of the best practice n asthma management (Holt, 2009).
Stepwise approach to asthma management allows the treatment to be stepped up or stepped down, or modified as control of disease is achieved and to prevent further exacerbation (Holt, 2009). NURS 6521 Week 3 Assignment: Asthma and Stepwise Management

[Asthma management with medications]
Quick-relief asthma treatment: Use of short or quick relief medications at initial sign of symptoms:-
Bronchodilators–Short-acting inhaled beta2-agonists (SABA) examples are albuterol, levalbuterol.
Anti-inflammatory drugs—Glucocorticoids.
Anticholinergics-Atropine, Cogentin, dicyclomine.
Long-term control treatment: Taken daily to prevent symptoms & attacks:-
Anti-inflammatory drugs:–Glucocorticoids (oral & inhaled), leukotriene modifiers (Montelukast (Singulair),
Asthma could equally be managed with non-pharmacological methods— through patient education and caution to allergen triggers.

The stepwise approach to asthma therapy is designed to step up care to regain control or stepped down for patients who have maintained control for a good length of time. The number of medications are increased or reduced when necessary to achieve and maintain control of disease process (NIH.gov, 2007). The control of asthma are two-fold—reduction of impairment and risk.
Reducing impairment comprises the prevention of chronic and persistent symptoms, maintenance of near normal lung function and activities and meeting patients/families care expectations and satisfaction. Risk reduction implies prevention of recurrent and persistent asthma attacks, less emergency visits, pharmacology use with less or minimal adverse effects (Nih.gov, 2007).

[Stepwise asthma approach figure 1]
Stepwise approach to asthma management is an evidence-based module of treatment that varies depending on frequency and severity of patient’s symptoms, disruption of activities of daily living, lack of sleep from symptoms, and increased of use of rescue medications (Holt, 2009).
Achieve and maintain control of symptoms
Prevention of asthma exacerbation
Maintain pulmonary function as close to normal as possible.
Minimize frequent emergency room visits and hospitalization
Avoid adverse effects of asthma medications
Promote and maintain normal activities of daily living.
NURS 6521 Week 3 Assignment: Asthma and Stepwise Management
Follow up appointment should be 3 months if control is achieved, or after 1 month when not adequately controlled. The APRN should endeavor to monitor any pitfall and correct if present. Patient should be seen monthly, health education provided. Once control is achieved, follow up can be after 3 months.

References
American College of Allergy, Asthma & Immunology. Org.(2020). Asthma treatment. Https://acaai.org/asthmaotreatment/

Holt, T.O. (2009). Stepwise approach to asthma management. Https://eds.a-ebscohost-com.waldenulibrary.org/eds/pdfviewer/

National Institute of health. gov.(2007). Stepwise approach for managing asthma in youths 12 years of age and adults. Https://www.ncbi.nlm.nih.gov/books/NBK7222/

Rosenthal, L.D. & Burchum. J.R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier

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.

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.
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. NURS 6521 Week 3 Assignment: Asthma and Stepwise Management
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.
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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.
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.
Grading Criteria

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.
Points Range: 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.

Points Range: 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.

Points Range: 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.

Points Range: 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.

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.
Points Range: 27 (27%) – 30 (30%)
The presentation clearly and accurately explains in detail the stepwise approach to asthma treatment and management for their patient.
Points Range: 24 (24%) – 26 (26%)
The presentation accurately explains the stepwise approach to asthma treatment and management for their patient.
NURS 6521 Week 3 Assignment: Asthma and Stepwise Management
Points Range: 21 (21%) – 23 (23%)
The presentation inaccurately or vaguely explains the stepwise approach to asthma treatment and management for their patient.
Points Range: 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.
Points Range: 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.

Points Range: 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.

The presentation provides accurate examples to support the explanation provided.

Points Range: 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.

Points Range: 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.
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. NURS 6521 Week 3 Assignment: Asthma and Stepwise Management
Points Range: 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
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors
Points Range: 4 (4%) – 4 (4%)
Contains a few (1–2) grammar, spelling, and punctuation errors
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3–4) grammar, spelling, and punctuation errors
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding
Total Points: 100
Name: NURS_6521_Week3_Assignment_Rubric NURS 6521 Week 3 Assignment: Asthma and Stepwise Management