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37 years old female with a history of asthma was diagnosed 2 years ago. No history of any other medical condition. Shrijana lives in Kathmandu Nepal with her family.She weights 65 kg.She is currently...

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37 years old female with a history of asthma was diagnosed 2 years ago. No history of any other medical condition. Shrijana lives in Kathmandu Nepal with her family.She weights 65 kg.She is currently working as a salesperson which requires a lot of walk every day. She had a history of smoking in the past but stopped after being diagnosed with asthma. Patients experience shortness of breath when exertion, chest tightness and cough especially when exposed to cold air or dust. She is currently on Formoterol fumarate and budesonide 6mcg+200mcg, Lemont 5mg once a day and nebulization. Has a good understanding about how to use the inhaler and nebulization, and when to take medication. Knows its indication, side effect. However, she mentioned that she misses taking an inhaler sometimes. Where she experiences shortness of breath. Her goal is toimprove shortness of breath and to minimize the asthmaexacerbation.She said that she and to go to ED fewtimes due to asthma attacks in the past where she experienceddifficulty in breathing, palpitation, severe coughing and wheezing, where the symptom’s last for around 20 mins.

Answered 2 days After May 08, 2024


Dilpreet answered on May 11 2024
4 Votes
Written Assignment        2
Table of Contents
Introduction    3
Overview of the Interviewee and the Chronic Condition    3
Overview of the Pathophysiology of the Chronic Condition    4
First Priority of Care    4
First SMART Goal    5
Outline of Health Education for First Priority Care    5
Second Priority of Care    6
Second SMART Goal    6
Outline of Health Education for Second Priority Care    7
Conclusion    8
References    9
The person, who has been interviewed here is Shrijana. She is a 37 years old female living in Kathmandu, Nepal. Shrijana has been diagnosed with Asthma two years ago. As far as her primary health conditions need to be discussed, Shrijana has been diagnosed primarily with Asthma, characterised by symptoms such as shortness of
eath, chest tightness, and cough, which is primarily the result of exposure to cold air or dust. The care priority, which will be focused in this case include asthma management by providing Shrijana with the with facilities allowing optimal management of her asthma so as to improve her quality of life and reduce the risk of exace
ations. She requires consistent medication to improve her health condition. Another care priority, which will be considered is providing educational support to Shrijana so as to train her regarding asthma self-management techniques. This will include symptom recognition, and proper use of inhalers and nebulizers. Here, and effort has been made to overview of the chronic health condition of Shrijana followed by a
ief overview of the pathophysiology of the chronic condition. Later, Shrijana’s first and second priority of care along with the first and second smart goals will be discussed.
Overview of the Interviewee and the Chronic Condition
    The person, who has been interviewed is Shrijana, who is a 37 year old women residing in Kathmandu, Nepal. She weighs 65 kg. She was diagnosed with asthma two years ago and has a history of smoking. She managed to quit smoking after she was diagnosed with this chronic health condition. She often has been experiencing asthma attacks followed by shortness of
eath, coughing, and chest tightness. Shrijana has been working as a salesperson, and therefore has to walk for long distances. She lives with her family in Kathmandu.
    On the Roper-Logan-Tierney Model of Nursing, Shrijana’s health condition has placed at her at both levels of dependency and independency in different situations. For instance, Shrijana is independent, when it comes to her mobility, and maintaining her personal hygiene. However, she is dependent on her daily medications such as inhalers and nebulizers to manage her asthma. She experiences shortness of
eath, and coughing once she misses her daily dose of inhaler medicines and this has an adverse impact on her daily life such as her work. Therefore, it can be said that she is dependent on her medicines to manage her health as well as the day-to-day activities.
Overview of the Pathophysiology of the Chronic Condition
    After interviewing Shrijana, it has been identified that she is suffering from the chronic disease of Asthma. Asthma can be described as a medical condition, in which the airway of a person becomes inflamed, swelled, and na
ow. It further leads to the production of more mucus leading to difficulty in
eathing (Joe et al., 2023). The pathophysiological features of the disease have been identified as
onchial inflammation, and limited airflow resulting in recu
ing episodes of cough, chest pain, and difficulty in
eathing (Sinyor & Perez, 2023). Asthma attacks can be triggered through dust, pollens, beathing in certain chemicals, and
eathing in cold, and dry air (Sockrider & Fussner, 2020). The inflamed airways lead to muscle contraction, which limits the airflow (Menzies-Gow et al., 2021).
    In case of Shrijana, her symptoms are similar to the pathophysiological features of asthma. (Niespodziana et al., 2020). Her condition is worsened once she is exposed to cold air, dust, and other pollutant allergens. Additionally, she has also discussed about her history of smoking, which can be considered as a severe contributor towards her health condition. Undoubtedly, her habit of smoking has contributed to her trouble of Asthma. Shrijana has been experiencing asthma attacks in the past leading to coughing, palpitations, and difficulty in
First Priority of Care
    The first priority of care, which has been identified here is asthma management through medications like inhalers and nebulizers, while ensuring consistent adherence to the medication routine (Larsson et al., 2020). Her medications include formoterol fumarate, and budesonide inhalers. She is also dependent on nebulisation. Certain medication ba
iers have also been identified in case of Shrijana such as occasionally missed doses.
    This priority of care is crucial as effective management of this chronic health condition of asthma is essential for controlling and avoiding the symptoms (Amin et al., 2020). This will also help to prevent exace
ations leading to a better quality of life. Conditions like asthma require continuous treatment and monitoring to ensure that the symptoms are under control (Clark,...

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