Sample Nursing Essays on Asthma

Health History

 

Name: Caroline Kay                              Marital status: Single

Age: 25 years                                       Occupation: Packaging at KAM pharmaceuticals Company.

Date of birth: 15, August 1992                Primary language: English

Gender: Female                                       Ethnic origin: America

 

 

Past/family Medical History

  • When did this problem begin?
  • When I was a child
  • Does anyone else in your family suffer from asthma?
  • People from my mother’s side

Review systems

  • Chest: Congestion
  • Respiratory systems: chest blockage, nostrils blocked, wheezing, and coughing.

Physical assessment priority: Needs immediate nebulization

Developmental/psychological considerations

  • Kay’s problem is within normal limits considering her past history and working environment.
  • Denies smoking but works at a pharmaceutical packaging company

Teaching/learning priorities

  • Use mask at work.
  • Stay warm and avoid strenuous exercising

Collaborative resources:

  • Fitness trainer

 

Health Education Needs

Clearing Caroline’s respiratory tract is important in order to clear her airways and ease breathing. Since asthma cannot be cured, controlling its symptoms is a priority. Caroline was diagnosed with asthma when she was 5 years old. Before that, it was cold and dust allergies that left her with a running nose and blocked nostrils sometimes. It, however, developed into serious attacks which later reduced as she grew up and joined many activities like sports. Caroline needs to consider a change in occupation since the fumes emitted from pharmaceuticals are not healthy for someone in her condition. This has made her develop occupational asthma, due to her worsening situation whereby she feels the need to use an inhaler more often than before. On top of the asthma family history, her occupation is an added trigger.

Caroline reports of a complaint from her supervisor saying that her performance has dropped drastically. This is because of absenteeism from work due to illness. It has affected her financial status and yet treatment of asthma requires quite an amount of funds. Caroline needs to get more appointments to see the doctor and also to consider a change in her treatment since asthma changes overtime. She also needs to talk to specialists who will guide her accordingly. Asthma can be easily managed without triggering the factors that cause allergies.

 

Reflection

My interaction with Caroline Kay brought me to a conclusion that assessing a patient is similar to what we have learnt in class. Communication seems to be most important since one needs to ensure that the patient is comfortable in terms of environment and tone with which the questions are asked. Although it seemed simple during class, assessment of a patient’s medical history needs careful deliberation since one needs to establish a relationship with the patient. The assessment was conducted in a quiet and warm room during morning hour’s hence encouraging comfort of the patient. It also promotes confidentiality such that the patient is assured that she is only talking to one person. At the beginning, I gave Caroline a few points on the knowledge I have about asthma and encouraged her to ask any questions on her mind. This put her at ease and we immediately created a bond. At some point, I would wander from the assessment and make a light joke to help her ease up especially when I asked about smoking.

During my interaction with her, I realized that she was a well-informed patient with vast knowledge of Asthma. Coming from a family with a history of the disease, she seems comfortable in answering all the questions despite her shyness. She brought a file with her past medical history which helped in making a connection to the disease progression. With this assessment, I realized that her occupation might be hazardous to her health. This is because of the pharmaceutical fumes emitted from the drugs being packaged.  I experienced a few problems with communication because of her fast tongue. She speaks very fast but in a very low voice because of her shyness. This made me keep asking her to speak up and try to bring words out slowly. I, however, realized that it was in her nature and decided to change tactics. Since I was sitting across the desk from her, I moved my seat closer facing her. I also changed my form of questions and started asking more direct questions which called for short answers. This ensured a smooth assessment with no unanticipated challenges.

However, I wish I had obtained more information on her living environment and other allergies that might affect her in relation to asthma. This includes factors like diet, exercise, and mode of transport. Also, I should have asked about the severity of her asthma attacks and how often they occur. The medication taken in the past should have also been a priority since the body seems to create a resistance to drugs if used for too long. She however mentioned that she always carries an inhaler with her because she had an incident at work where she was rushed to the emergency room. Next time, I will make sure that I venture in all the information needed to conduct a proper assessment. I will come up with questions that cover all areas for better results.

 

References

National, A. E., & Prevention, P. (2007). Expert Panel Report 3 (EPR-3): Guidelines for   the Diagnosis and Management of Asthma-Summary Report 2007. The Journal of                   allergy and clinical immunology120(5 Suppl), S94.