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Case study of a child with asthma

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Introduction

Contents Introduction............................................................................pg.2 History..................................................................................pg.2 Patho-physiology......................................................................pg.3 Diagnosis...............................................................................pg.4 Nursing Care...........................................................................pg.6 Conclusion...............................................................................pg.8 Reference list...........................................................................pg.9 Appendix 1..............................................................................pg.11 Introduction This academic assignment will discuss a case study of a child who is suffering from asthma. To protect the child's identity for the purpose of this assignment he will be referred to as David. Petrila (2000) describes confidentiality to be the right of an individual patient to have personal, identifiable medical information kept private. According to Johnson (2008) asthma is a chronic, inflammatory lung disease involving recurrent breathing problems such as wheezing, shortness of breath, coughing and chest tightness. Chronic illness may be defined as a disorder with a protracted course which can be progressive and fatal or associated with a relatively normal lifespan despite impaired physical or mental functioning (Coyne 1997). These diseases including ones such as asthma frequently shows periods of acute exacerbations requiring intensive medical attention (Nuutila and Salanter´┐Ż 1997). History David is a nine year old boy who was admitted to hospital by ambulance after suffering what his parents described to be severe shortness of breathing and wheezing. He has no previous history of asthma but is presenting with symptoms similar to the condition. Both of his parents are smokers and the family live in a two storey house which has carpets throughout. ...read more.

Middle

The reading will indicate how much air is flowing through the bronchioles and the degree if any of an obstruction within the bronchioles. A low peak flow reading indicates a constriction in the lungs. This reading is taken and the patient will be given some medication which is used to help expand the airways. The patient will then be asked to repeat the peak flow test. If the second reading is greatly higher than the first reading after taking the medication it will usually support a diagnosis of asthma. When David was asked to perform a peak flow test he gave a reading of 150, following administration of an inhaler Salbutamol he performed another peak flow test and gave a reading of 350. This reading helped to support the diagnosis of asthma. The doctor will usually back up his diagnoses by performing blood tests these can indicate the overall health of the individual to help rule out conditions that cause symptoms similar to asthma, to identify patient allergies, and to help identify and evaluate complications that arise. When blood tests were performed on David he was found to have a low level of both PaCO2 and O2. His bloods pH was slightly high and his HcO3 levels were normal. ...read more.

Conclusion

(2007) Breath of Fresh Air, Occupational health, 59(11), pp.22-24 Gulledge, J. and Beard, S. (1999) Clinical Pathways, Guidelines and Clinical Management, Aspen Publishing, Gaitherburg Holland, K., Jenkins, J., Solomon, J. and Whittam, S. (2003) Applying the Roper Logan Tierney Model in Practise, Churchill Livingstone, Edinburgh Johnson, R. (2008) Paediatric Asthma, (online), Available: http://www.rwjuh.edu/health_information/adult_pediatrics_glossary.html (Accessed 1st November 2008) Kirschmann, J. (2006) Nutrition Almanac (4th ed), McGraw-Hill Professional, United States McClure, L., Harrington, K,. Graham, H. and Gerald, L. (2008) Internet Based Monitoring of Asthma Symptoms, Peak Flow Meter Readings and Absence Data in a School Based Clinical Trials, 5(1), pp.31-38 Meggs, W. and Svec, C. (2004) The Inflammation Cure, McGraw-Hill Professional, Usa Naspitz, C., Szefler, S., Tinkelman, D. and Warner, J. (2001) Textbook of Paediatric Asthma: An International Perspective , Informa Health Care, Colorado Nuutila, L. and Salanter´┐Ż, S. (1997) Children with a Long-Term Illness: Parents' Experiences of Care, Journal of Paediatric Nursing , 21(2), pp. 153-160 Parbury, J. (2005) Patient and Person - Interpersonal skills in nursing (3rd ed), Elsevier, Australia Petrila, John. (2000) Confidentiality of Behavioural Health Care Information: Ethical, Legal and Policy Issues." In Mental Health: A Report of the Surgeon General. Washington Robinson, M. (2002) Communication and health in a multi-ethnic society, The Policy Press, Bristol Smith, R. and Ledingham, I. (2008) Pyrexia, (online), Available: http://www.rcsed.ac.uk/eselect/cc13.htm (Accessed 28th October 2008) Tollefson, J. (2004) Clinical Psychomotor skills (2nd ed), United States Appendix 1 ?? ?? ?? ?? 12 ...read more.

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