Clinical Guideline for the Management of Asthma

Document Type:Research Paper

Subject Area:Nursing

Document 1

Clinical practice guidelines aim to provide best practices that have best outcomes for patients. The need for safety and quality in clinical practice makes it necessary that practitioners be aware of how to handle certain specific situations to reduce health complications (Niyazi, 2016). The purpose of this document is to provide an evidence-based clinical guideline for monitoring, diagnosing, and managing asthma. The guideline aims at improving accuracy in diagnosis, help individuals to control the condition and even lower the chances of asthma attacks. The recommendations are the perspective of NICE that they availed after carefully considering available evidence. For children below the age of five with suspected asthma, clinicians are required to treat symptoms by basing their decisions on clinical judgment and observation.

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It is appropriate that the child is viewed on a regular basis. Objective tests should be carried out when the child reaches the age of five, yet he or she still shows signs of asthma. Establishment of asthma diagnostic hubs should be established by healthcare officials to attain economies of scale and foster the chances of achieving standards that are required for the development of evidence-based practices in the treatment and management of asthma. Several medical experts highly recommend objective tests for management of asthma. In case of adults with infrequent, normal lung function, and short-lived wheeze, SABA is recommended. Consider treatment with SABA reliever therapy alone in adults 17 years of age and older with newly diagnosed asthma. A low dose of ICS is recommended under the following conditions; people with three weeks or more asthma-related symptoms or causing them to wake at night or asthma that cannot be controlled with SABA alone ("Asthma: Guidance and guidelines | NICE", 2018).

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For uncontrolled asthma in adults, provision of leukotriene receptor antagonists and additional ICS and check response after 48 hours. A long term beta2 antagonist will be required with a combination of ICS and review of LTRA would be necessary. A GP in the management of asthma has a role in diagnosing, prescribing the needed medications. He should also provide instructions and patient advice on how to take the drugs. They can also assist patients in writing asthma action plan. They can also provide advice on quitting smoking or managing adverse asthma conditions (Nathan et al. The GP could also refer a patient to a specialist in case of difficult situations. Pharmacists could also help patients with information on how particular drugs worked and how the drugs can react with the body.

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The pharmacists can also play the role of Alerting physicians to suspected issues noted such as overusing inhaled bronchodilators and underusing anti-inflammatory therapy. Making such a step provides an opportunity for clinicians to consider making adjustments in the management plan of a patient when it is necessary. Acting in that capacity of information sharing and educational roles, pharmacists foster the improvement and control of the condition thus enabling patients to live active and productive lives Respiratory specialists may also be needed in the process of asthma treatment. People who have difficulties in managing their asthma condition may be referred to a respiratory specialist. Technology has revolutionized every aspect of human being and should be embraced in the process of healthcare practice (Maldonato et al.

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Technicians should, therefore, ensure that equipment is well maintained to facilitate easy retrieval, storage, and dissemination of information between members of a disciplinary team. They should also ensure that equipment used in diagnosis and treatment are well maintained to reduces the possible errors. Such an effort will make the work of healthcare professionals easier. Clinical psychologists are also important in the asthma treatment process. The organization boosts a reputation for independence, rigor, and objectivity. Level of Evidence The level of evidence-based practice described can be classified as level V, simply because they are experts’ opinions (Melnyk, 2016). The guidelines fall under the last category of evidence because they are a collection of work of experts without clear information concerning the process that they used in coming with such information.

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The fact that the guidelines fall under the last category of evidence does not make them ineffective. However, the reputation of the organization makes such guidelines reliable. Asthmatic individuals should be able to understand the disease from a broader perspective, including its causes, the presence of signs and symptoms, and other things that might accompany the condition such as allergies and eczema (Rance et al. Asthma management team should aim at prevention of acute episodes. In case asthma is worsened by allergies, it is necessary that patients know how to avoid such situations and what to do to modify normal management of asthma routine in case it occurs. Results from research studies concur that promoting education about asthma and increasing awareness can greatly reduce the chances of asthma-related emergency visits, hospitalizations, missed days at work and school, and even death.

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The nurse and the pharmacist should play a great role in patient education. As more treatment options become available for controlling the condition, a collaborative effort between care providers and patients together with education and emphasis to patients on adherence to is critical for effective management of asthma Also, I believe that healthcare professionals especially nurse and pharmacists usually provide patient education so that it would be easy for patient to take care when there are no specialists around. There is tangible evidence from research that self-management of asthma reduces chances of emergencies, missing work and school. Some elements of patient education include how to use inhaler, how to know when another inhaler is necessary, how to obtain them. They also provide information on aspects such as noticing asthma symptoms and how to reduce adverseness of the condition.

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The treatment of asthma is done depending on an individual’s condition. The overview provides steps starting from diagnosis followed by treatment, patient education and possible referrals. It is therefore essential that every healthcare provider take his or her respective role in asthma treatment. An interdisciplinary approach is necessary for the management of special considerations should be made on unmanageable cases. The primary doctor should be able to provide referrals for such conditions. References Asthma: diagnosis, monitoring and chronic asthma management | Guidance and guidelines | NICE. doi. org/10. 1097/01258363-200806000-00001 Leicher, V. , & Mulder, R. Team learning, team performance and safe team climate in elder care nursing. http://dx. doi. org/10. 1051/tpe/2009022 McDonald, V. , Higgins, I. doi. org/10. 1111/wvn. 12181 Nathan, R. , Meltzer, E.

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