Asthma Management Example Paper
Nurses play an important role in health promotion. Part of the health promotion process includes performing a thorough assessment of your patient’s health. This requires more than just a physical examination of your patient. It includes asking your patient several questions about his or her health history, medications, lifestyle, diet, exercise, and behaviors/habits.Asthma Management Example Paper But the questions you ask your patient must be open-ended, so you can collect information rather than your patient just giving you a yes or no answer. This essay begins with a description of the individual I interviewed, including her age, gender, race, social circumstances, employment status, general education level, allergies, medications, any relevant family medical history, and her health literacy score. Next, I will discuss three assigned Functional Health Patterns and one additional Functional Health Pattern applicable to the individual and the questions and answers associated with them. I will identify one body system that I believe is important to assess in my client based on my discussion with her. I will then discuss why I chose to assess that specific system. A summary of what I learned about my client’s health will be included. Next, I will reveal at least three health-teaching resources that I found appropriate for my client and the rationales for why I chose them. Finally, I will reflect on my experience of being a “health coach” and communication partner in health promotion strategies.
Part One, Section One: The interviewee
The following assessment is based on a 21-year old Caucasian female who lives independently with her two-year-old daughter, whom she has 50/50 custody of. They sometimes stay with her boyfriend and his two-year-old daughter in an apartment in Farmington, Missouri. Other times she stays at her parents’ house. She is employed full-time as a server at Applebee’s restaurant and she holds an Associate Degree in Arts and Sciences with a major in History.Asthma Management Example Paper She plans to return to college but is unsure of what course of education she would like to pursue. My client reported that she has allergies to eggs, nuts, pet dander, pollen, trees, and grass. She denies having allergies to any medications. She has a family history of asthma and allergies and she has a personal history of asthma, allergies, and eczema. She recalls being hospitalized for two days when she was nine years old for an asthma exacerbation. She currently takes Advair and an Albuterol inhaler to control her asthma and she uses triamcinolone cream to treat her eczema. She is prescribed a birth control medication. Her health literacy was assessed using the Short Assessment of Health Literacy tool – English version, on which she scored a perfect score of 18. She seems to have a good understanding of basic medical terminology and her health.
Section Two: The assessment
The following is a detailed report of the interview with my client beginning with questions regarding the Health Perception – Health Management Pattern:
Answer: Overall, I think I am healthy.
Answer: I have asthma, allergies, and eczema but they are all good right now.
Answer: I haven’t missed work due to any of these issues.
Answer: Most of the time I only use it when I get sick.
Answer: Not anymore, but my mom said I used to always cough at night. That’s why she brought me to the doctor; he diagnosed me with asthma when I was like two years old.
Answer: Just once. I spent two days in the hospital because of an asthma attack when I was nine years old.
Answer: Yes. It was December and it was very cold out that morning. My teacher took our class out for a walk at the beginning of the school day and I started coughing, wheezing, and having a hard time breathing when we got back.
Answer: Yes, they are. When I was little, and I would laugh or cry hard I would start wheezing and my mom would have to give me a nebulizer treatment. I remember having trouble breathing once when my mom sprayed Lysol in our house. And when I get sick I usually have trouble breathing. Also, in the Spring when everything is blooming.Asthma Management Example Paper
Answer: Just a few times.
Answer: I’m very good at that. My mom taught me how to take my medications at a very young age. I’ve been taking them for so long that it is not hard for me to remember to take my medicine.
Answer: No. I’m on my mom’s insurance so I just pay the copay.
Answer: I go for a checkup once a year and I see him when I get sick or my inhaler isn’t helping my breathing.
Answer: I smoke cigarettes occasionally, but not every day. But I don’t drink or do drugs. I don’t really eat the best.
Answer: I go to the gym at least a few times a week and I drink a lot of water.
Answer: I’m allergic to eggs, nuts, pet dander, pollen, trees, and grass.
Answer: I don’t eat eggs or nuts and we always keep the air conditioner on in the warmer months, so the pollen doesn’t bother my breathing. I do go outside sometimes, but then I break out from the grass and stuff and it makes me itch.
Answer: I take a shower and use my triamcinolone cream.
Answer: No. I have one, but I don’t carry it because I hate needles, so I won’t use it. My mom tried to get me to carry it when I was in high school, but I never would. She said someone else could give it to me if I needed it, but I still wouldn’t carry it. I think I had one in the nurse’s office when I was still in school though.
Answer: Yes, I know.
Next, I asked questions regarding the Coping – Stress Tolerance Pattern:
Answer: I probably have more stress than most people my age because I have a two-year-old daughter and I’ve had custody issues with her dad and stuff. Being that my daughter is two, she sometimes throws temper tantrums. My daughter and I share a bedroom at my parents’ house so I’m trying to find a house of my own, but I haven’t been able to find anything in my school district yet. I have a lot of stress at work because my boss yells at everyone all the time so I’m looking for a different job. And everyone keeps telling me that I need to go back to school but I don’t want to give up any more time with my daughter than I already do; she’s going to be starting school in two years and she’ll be in dance class and sports and stuff and I don’t want to miss any of that to go back to college. Asthma Management Example Paper
Answer: I just try to get away from whatever is stressing me out. If it is my daughter, I will put her in her room or put her to bed if it is late. If my boss is stressing me out, I just try to ignore her. Sometimes I go to the gym when I’m stressed out.
Answer: Yeah, my mom or my best friend.
The Values and Beliefs Pattern was assessed next:
Answer: My daughter, my boyfriend, my car, having enough money to buy a house hopefully soon and maybe going back to school but I’m not going to go back to school if it takes time away from my daughter because I already only have her 50% of the time.
Answer: Yeah, but I feel good and I work out sometimes, so I’m not worried about it.
The additional pattern I chose to ask my client about is the Sexuality – Reproductive Pattern. I chose this pattern because my client is a young, sexually active female who is at risk for STDs and other female issues like pregnancy and breast cancer. Our conversation went like this:
Answer: Maybe one more. But not for a while.
Answer: No, I didn’t realize that, but I will.
Answer: Once a year.
Answer: I don’t know. I mean, I haven’t really thought about that too much, but I haven’t had a lot of partners.
Answer: No, not really.
Answer: Yes, my mom’s mom died from breast cancer.