nursing care plan for asthma patients essay

Nursing Foundations: Asthma Treatment and Care Plan Essay

Introduction, analysis of the care plan process, role of metaparadigm and smart criteria in care plan development.

Bronchial asthma is a chronic inflammatory disease characterized by increased reactivity of the lower respiratory tract, usually leading to reversible restriction of air flow. Stress, excessive calorie intake, nutrient-poor food, and low levels of physical activity are associated with worsening asthma control, decreased quality of life, and increased medical care. The key question for clinicians is whether changing the diet and reducing anxiety can provide benefits to asthma patients in routine clinical practice and contribute to the prevention of exacerbations. Currently, nutrition research and clinical recommendations for the prevention and control of chronic diseases are increasingly paying attention to healthy eating and lifestyle changes. With regard to cardiovascular pathology, there is evidence regarding changes in the nature of nutrition. Dietary recommendations for adult patients with AD are currently only in their infancy.

Is there really asthma caused by stress? Yes, it actually refers to factors that can provoke attacks of this disease. Research suggests that the body’s response to stress triggers the immune system and causes the release of certain hormones. And they, in turn, can lead to an exacerbation of asthma, that is, an asthmatic attack. Today, the world is conducting research on the exact role of stress and its hormones in asthma. One of them showed that a stressful episode of great strength, such as the death of a close family member, almost doubled the risk of asthma attacks in children or other relatives with this disease. According to experts, the cause of more than half of all cases of bronchial asthma and skin manifestations of allergies are psychological problems. Stress and asthma cannot be compatible, since stress is an aggravating factor of an asthma attack. To relieve tension and thereby prevent an attack of suffocation, you need to learn how to deal with stress. This paper is aimed at a deep and comprehensive analysis of the specific situation in relation to a patient with asthma in order to implement the best treatment and care plan.

This plan is designed to meet the physical and psychological needs of the client experiencing stress and anxiety, followed by signs and symptoms of mild asthma. It is an evidence-based approach based on the best guidelines that allow nurses and practitioners to gather information, provide a diagnosis, and establish and execute intervention plans meant to treat and manage the condition affecting the patient (Ackley et al., 2019). The process is cyclic, involving steps that can be repeated after evaluation to improve the condition continuously.

The ultimate aim of the plan is to promote wellness and help the client return to normal life. In a care plan, the goals are customized or centered on the client’s specific needs, and all the strategies, tasks, and schedules are tied to those goals. Moreover, the care plan helps the nurses conduct a comprehensive assessment of the patient to determine their medical and family background that can impact the current situation (Ackley et al., 2019). Five important steps of the plan were accomplished- assessment, diagnosis, outcomes, planning, implementation, and evaluation.

A comprehensive understanding of the client’s background ensures that the diagnosis step is well-informed and that there is no room for ambiguity. The assessment stage requires critical thinking skills and the collection of data that is subjective and objective in nature. Without this data, it is difficult to comprehensively understand the client’s medical and family background and the factors that may affect their health and well-being (Ackley et al., 2019). In turn, it is difficult to establish an effective diagnosis without subjective and objective data.

The second stage involved developing a nursing diagnosis, a clinical judgment about the client’s response to health conditions and life processes or vulnerability for that specific response by a person, family, group, or the whole community. In this stage, the rationale is to set a basis for choosing the best actions by the nurse to achieve specific outcomes (Ackley et al., 2019). Maslow’s hierarchy of needs applies in this case, with psychological needs such as food, sleep, and water coming top of the list.

Based on the diagnosis results, the plan sets goals to resolve the client’s problems through implementation. In the third stage of the plan, the SMART goals are outlined based on evidence-based practice guidelines. The patient’s overall condition, together with the diagnosis and other information, apply to set the achievable goals needed to achieve desired and realistic health outcomes on a short-term and long-term basis (Ackley et al., 2019). In the implementation stage, the idea is to execute the actions needed to support the patient in the goal-achievement process. Here, nurse interventions are expressed by following the physician’s orders or developing them from scratch based on the EBV approach and guidelines. The final stage of evaluation involves determining whether the desired outcomes have been met and adjusting the plan based on the findings.

When developing the care plan, the focus was on the four components of the metaparadigm approach- person, environment, health, and nursing. These components greatly help nurses when developing a comprehensive care plan. In this case, the person component of the paradigm helped consider the client’s social, spiritual, and physical needs since various factors associated with them contribute to the individual’s general well-being (Ackley et al., 2019). The aim was to focus on the individual as the subject and allow her to manage their well-being with self-preservation and dignity. The environment component guided me in examining the person’s surroundings, including internal and external influences. Such contributing factors and players as social connections and economic conditions affecting the client were considered, along with their possible impacts on her health and well-being. On its part, the health component guided in examining the extent of the client’s wellness and access to healthcare. The physical, emotional, intellectual, and social aspects were considered together with their contributions to overall health (Ackley et al., 2019). Finally, the nursing component guided me in the effort to deliver optimal health outcomes by emphasizing the application of knowledge, technology, skills, professional judgment, and collaboration. On its part, the SMART criteria improved the care plan as it helped set achievable, relevant, measurable, and specific conditions in relation to the selected timeline.

When developing the first nursing care plan, several challenges affected the process. At first, collecting data on the person was difficult due to fear of asking them personal questions. Similarly, establishing the SMART goals proved to be a challenge. However, I had no difficulties establishing the correct diagnosis, given my background in nursing. I learned that the best way to overcome challenges is to engage multiple clients with different needs and learn from experience.

Ackley, B. J., Ladwig, G. B., Makic, M. B. F., Martinez-Kratz, M., & Zanotti, M. (2019). Nursing diagnosis handbook E-book: An evidence-based guide to planning care . Elsevier Health Sciences.

• The Role of Research in Scholar-Practitioner Identity
• Burnout in Nursing: The Negative Effects
• Nursing: Introspection Through Narrative Pedagogy
• The Asthma and Allergies Relationship
• Asthma Is a Chronic Inflammatory Disorder
• Rising to Meet the Needs of Patients
• Issues and Trends in Nursing Education
• Discussion: Ethics in Staff Development
• Management of Pressure Ulcers in Non-Ambulatory Patients
• Malpractice and Legal Issues in Nursing
• Chicago (A-D)
• Chicago (N-B)

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