ASTHMA EXACERBATION.

Virtual patient you are referring to below:

  1. The virtual patient is a 16 year old female that presents with wheezing, a
    nonproductive cough lasting 3 weeks , and shortness of breath for the past 3days.
  2. A chest xray PA and lateral view was done and it was found to have pulmonary
    hyperinflation with a normal cardiac silhouette. A peak expiratory flow rate
    interpretation showed a reduced FEV1 of 75% consistent with ASTHMA
    EXACERBATION.
  3. She was prescribed Albuterol 90mcg inhaler 1-2pu s as needed every 4-6 hours,
    Prednisolone 20mg tablet twice a day for 5 days, and Symbicort 160mcg
    budesonide/4.5 mcg formoterol inhalation twice a day.
  4. The education that was provided was education on asthma, what it is, and
    management plans, testing process, and triggers to avoid, proper inhaler technique
    and recognition of worsening symptoms. Treatment options. Side e ects of
    medications. And lifestyle changes: recommend a balanced diet, stress
    management, and recognizing and avoiding triggers.
    Instructions:
  5. Address the following questions:
    a. Which resources would you recommend if the client requested
    complimentary alternative medicine (CAM) as part of her treatment strategy?
    b. How would these resources change the education provided to the client?
  6. Include the following components:
    a. write 150-300 words in a Microsoft Word document
    b. demonstrate clinical judgment appropriate to the virtual patient scenario
    c. cite at least two relevant scholarly source within 5 years that are tailored
    towards doctors and nurses. Please use your own work as it will be check for
    plagiarism.
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Sample Answer

 

 

 

This is a great scenario for discussing the integration of Complementary and Alternative Medicine (CAM) into asthma management.

a. Resources for CAM in Asthma:

When a 16-year-old patient with asthma requests information on CAM, it’s crucial to approach the topic with an open mind but also with a focus on evidence-based information and patient safety. Here are some resources and approaches:

  • National Center for Complementary and Integrative Health (NCCIH):
    • This is a branch of the National Institutes of Health (NIH) and provides evidence-based information on various CAM therapies.

 

Full Answer Section

 

 

 

 

    • It’s a reliable source for information on the safety and effectiveness of CAM treatments.
    • It is a good resource for health care providers, and patients.
  • American Lung Association (ALA):
    • While the ALA primarily focuses on conventional medicine, they also provide information on some CAM therapies that may be helpful for asthma, such as breathing techniques and stress management.
    • They stress the importance of discussing any CAM therapies with the patient’s physician.
  • Academic Databases (PubMed, Cochrane Library):
    • These databases contain scientific studies on CAM therapies, which can help in evaluating their effectiveness.
    • However, it’s important to note that not all studies are of equal quality, and some CAM therapies may have limited evidence.
  • Registered Professionals:
    • If the patient is interested in specific CAM therapies, such as acupuncture or massage, recommend seeking treatment from qualified and licensed professionals.
    • This ensures that the therapy is administered safely and appropriately.
  • Emphasis on Integrative Approach:
    • Stress the importance of an integrative approach, where CAM therapies are used in conjunction with conventional medical treatment, not as a replacement.
    • This approach prioritizes patient safety and ensures that the patient receives evidence-based care.

b. Changes to Education Provided:

Integrating CAM into the patient’s education would require the following adjustments:

  • Open and Non-Judgmental Discussion:
    • Begin by listening to the patient’s specific interests and concerns regarding CAM.
    • Avoid dismissing CAM therapies outright, as this can damage the patient-provider relationship.
  • Emphasis on Safety and Evidence:
    • Provide evidence-based information on the safety and effectiveness of CAM therapies.
    • Clearly explain which therapies have been studied and which have limited evidence.
    • Stress the importance of discussing all CAM therapies with the physician, to prevent harmful drug interactions, or negative side effects.
  • Integration with Conventional Treatment:
    • Emphasize that CAM therapies should be used as complementary to, not as a replacement for, conventional asthma medications.
    • Explain how CAM therapies, such as breathing techniques or stress management, can help to improve asthma control and quality of life.
  • Potential Risks and Side Effects:
    • Discuss any potential risks or side effects associated with CAM therapies.
    • This is especially important for herbal remedies, which can interact with conventional medications.
  • Importance of Monitoring:
    • Instruct the patient to monitor their asthma symptoms closely and to report any changes to their physician.
    • This ensures that the patient’s asthma remains well-controlled.
  • Focus on Lifestyle Modifications:
    • Continue to emphasize the importance of lifestyle modifications, such as a balanced diet, stress management, and trigger avoidance, as these can enhance the effectiveness of both conventional and CAM therapies.
  • Breathing techniques:
    • Explain how breathing techniques such as pursed lip breathing, and diaphragmatic breathing can help the patient better control their breathing.
  • Stress reduction:
    • Explain how stress can exacerbate asthma symptoms, and how stress reduction techniques such as meditation, yoga, and exercise can help.

By incorporating these points into the education provided, healthcare professionals can empower patients to make informed decisions about CAM therapies while ensuring their safety and well-being.

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