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A 35-year-old sales representative attends the practice for an asthma review.Her medical record notes that she has had asthma since childhood, and although for many months of the year her asthma is well controlled (when she often reduces or stops her inhaled steroids), she experiences one or two exacerbations a year requiring oral steroids.
The patient’s asthma control was assessed and management optimised in two structured reviews.
Her goal was to avoid disruption to her work and her personalised action plan focused on achieving that goal.
There is no record of her having been given an asthma action plan.
The lady in this case study is struggling to maintain control of her asthma within the context of her busy professional and domestic life.
according to Roper et al (1980) breathing is an activity that is crucial for life therefore all other activities are dependent on us being able to breathe.
The nursing management, pharmacological agents and the tools used will be critically As Jane was presenting with a symptom of a life threatening event it was important that treatment was immediate.During this time, he has also been waking up with asthma symptoms approximately twice a month, and has had three unscheduled asthma visits for mild flares.Based on the National Asthma Education and Prevention Program guidelines, Mr. As a result of these symptoms, spirometry was performed revealing a forced expiratory volume in the first second (FEV1) of 78% predicted. T then was prescribed treatment with a low-dose corticosteroid, fluticasone 44 mcg at two puffs twice per day.This case presents a patient with poorly controlled asthma that remains refractory to treatment despite use of standard-of-care therapeutic options.For patients such as this, one needs to embark on an extensive work-up to confirm the diagnosis, assess for comorbidities, and finally, to consider different therapeutic options. T is a 40-year-old recreational athlete with a medical history significant for asthma, for which he has been using an albuterol rescue inhaler approximately 3 times per week for the past year.She has a young family and a busy lifestyle so does not often manage to find time to attend the asthma clinic.A few weeks previously, an asthma attack had interfered with some important work-related travel, and she has attended the clinic on this occasion to ask about how this can be managed better in the future.The healthcare professional advising the lady is likely to be aware that international and national guidelines emphasise the importance of supporting self-management.There is an extensive evidence base for asthma self-management: a recent synthesis identified 22 systematic reviews summarising data from 260 randomised controlled trials encompassing a broad range of demographic, clinical and healthcare contexts, which concluded that asthma self-management reduces emergency use of healthcare resources, including emergency department visits, hospital admissions and unscheduled consultations and improves markers of asthma control, including reduced symptoms and days off work, and improves quality of life.These are usually triggered by a viral upper respiratory infection, though last summer when the pollen count was particularly high she became tight chested and wheezy for a couple of weeks.Her regular prescription is for fluticasone 100 mcg twice a day, and salbutamol as required.