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Case Study of Pediatric Patient with Chronic Asthma: Collaborative Partnerships and Chronic Disease Assessment Answer

Assessment name: Collaborative Partnerships and Chronic Disease.

Task description: TASK.

Your task for this piece of assessment is to critically discuss a complex chronic disease scenario from the perspective of a collaborative partnership*. (The 4 case studies that you can choose from are on the Assessment 2 page of the Blackboard site).

This paper requires an introduction and a conclusion. (~ 100 words each)

Part A. Chronic Illness. (300 words)

From a chronic disease and disability perspective, critically discuss the ongoing health problems for the person in the chosen scenario.

Part B. The Interdisciplinary Collaborative Team. (350 words)

Explain the roles and responsibilities of 3 key health care professionals (not nursing) who would be part of the interdisciplinary collaborative support team for the person in the chosen scenario.

Part C. The Nurses role in the collaborative partnership. (350 words)

As one of the interdisciplinary collaborative team members, critically discuss the registered nurses’ health promotion role when caring for the person in the scenario. Particularly focus on the nurse’s role to empower the person to self-manage their own health and wellness.

*Work with the collaborative partnership definition from your prescribed textbook” (Smith et al., 2018.p.15).

What you need to do:

This is an individual piece of assessment. Preparation should include:

• Reading the TASK instructions carefully.

• Refer to the learning resources in the NSB303 Blackboard site as a starting point for key words.

• Search the library data base to expand your knowledge and understanding.

Length: 1200 words +/-10%. Word length includes in-text referencing but excludes your reference list. No direct quotes. Please note markers will not mark beyond the word limit.

Weighting: 60%

How will I be assessed: 7+- point grading scale using a rubric.

Presentation Requirements.

Your assignment should be written in QUT CiteWrite APA 7th edition style and prepared as follows:

• Make your own cover sheet with the assessment title, your name, student number, tutor name and word count.

• Include a ‘footer’ on each page with your name, student number, unit code and page number.

• 2 cm margins on all sides, double-spaced text

• Use font, such as Times New Roman, Arial or Calibri; font size 12

• CiteWrite APA style referencing. Note it is a requirement that you include page numbers for all in-text references (see

• This is a contemporary paper, and unless you are referring to a historical event, literature and resources need to be within 7 years of age

• Literature must be of highest possible quality, with peer reviewed research-based material as the preference.

• Textbooks may be used but to a maximum of 25% of your total reference list.

• Legitimate websites such as the Nursing and Midwifery Board of Australia or the 

Australian Institute of Health and Welfare may be used also.

This paper requires an introduction and a conclusion. (~ 100 words each)

Reference recommendations.

• As a 3rd year academic unit, there will be no recommendations as to the minimum number of references to be used in your academic writing.

• To give your paper authority, validity and accuracy, you need to always show the source of your evidence.

• Please note that unreferenced material cannot be accepted as factual or credible.

Learning Outcomes assessment.

1. Analyse the nurse's role in promoting health and wellbeing for individuals, families and communities who have chronic conditions and /or complex care needs.

3. Evaluate and apply evidence-based models of health behaviour change, health education, self-management support, and partnerships in health care as relevant to the promotion of health and wellness and rehabilitation of individuals and communities.

What you need to submit:

One Word document that contains the following items:

The assignment cover sheet, written academic paper with References attached.

Resources available to assist you to complete the task:

• Support for Learning on the Blackboard site

• HiQ and the library resources.

• Learning Resources on the Blackboard site.

• QUT Cite|Write APA guide.

• Turnitin Tip Sheets

Assessment 2. Collaborative Partnerships in Chronic Disease.

Choose one of the scenario-based case studies below. Only work with the chosen

case study.

Please Note: The chapters highlighted are from your prescribed textbook, Living with Chronic Illness and Disability. Principles for nursing practice. 3Ed. (2018). Eds. Chang and Johnson. The chapter may not be specific to the developmental age or needs of the person in the case study but will be a good starting point for you.

Choose one:

Scenario 1

Paediatric: 10-year-old schoolboy, Joshua with chronic asthma (diagnosed at 4 years of age), who has become resistant to taking his preventor medications in the past 6 months. As a result, he has had regular asthmatic events and acute admissions to hospital. His mother is asking for assistance from the collaborative team to address his resistance. Ch.18. (Stumbles, Andrus Allen & von Garnier, 2018)

Scenario 2

Young adult: 21-year-old female professional violinist, Abbey diagnosed with insulin dependent Type 1 Diabetes Mellitus 9 months ago. Due to her irregular working hours, she is struggling to stabilize her Blood Glucose Level and is also noted to be in the obese BMI range weighing 90 kgs with a height of 189cms. She has also been feeling very low and is concerned that she is developing some symptoms of depression. She would like to address both problems and is asking for assistance from the collaborative team. Ch.26 (Dunning 2018).

Scenario 3

Adult: 45-year-old primary school teacher, Sylvia wheelchair bound due to paraplegia as the result of a motorcycle accident 5 years ago. She is self-caring and able to continue working as a teacher but is experiencing chronic back and shoulder musculo skeletal pain which she can’t manage with her current medication regime. As a result she must take regular days 54 from work, which is impacting on her relationship with her students. She is asking for assistance from the collaborative team to address her chronic pain and her student relationship concerns. Ch.9 (Chisengantambu & McDonald 2018).

Scenario 4

Older Adult: 85-year-old man, Ron diagnosed with Parkinson’s Disease 8 years ago. His ability to communicate and mobilise has become progressively more difficult. His wife is concerned as he is becoming more frustrated with her and himself when she cannot understand his requests, when he can’t independently self-care. She is asking for assistance from the collaborative team to address their communication issues. Ch17. (Ray & Kavanagh, 2018.)


Collaborative Partnerships and Chronic Disease


The purpose of the assignment is to focus on the case study of the Pediatric patient who is aged 10-year-old schoolboy suffering from the chronic asthma (who is diagnosed in the 4 years of age). As the patient is using the medication consistently which has caused the resistance in the body of acceptance, it is important to understand the likeliness of the course of action. As a result, the patient has been experiencing regular asthmatic events experiencing the acute admissions who are likely to be admitted to the hospital. So far, the mother is also looking forward to the collaborative team to overcome the resistance  of the medication and the problems.

Part A Chronic Illness

In the case, the patient is suffering from chronic asthma caused due to the long-term condition of inflammation in the lungs. The patient has been intermittently experiencing inflamed conditions, due to which there is a blockage in the airways of the lungs (Lyster, pg 57, 2019). Due to the inflammation, it has further caused the airways to swell. Asthma can cause further body reactions such as wheezing sound, chest tightness, shortness of breath, coughing and in long term can cause disability due to which the problem can be evaluated as the ongoing  consequence to the health. Asthma is a chronic condition that can cause the inflammation of the airways. It is caused due to the wheezing which can be experienced during the inflammation in breathe (Sebastian et al, pg, 115, 2018). Some triggers points include exposure to an allergen or irritant, viruses, exercise, emotional stress, and other factors problems that can impact the patient.  As in the case, the patient is experiencing chronic asthma since the age of 4 years and there have been repeated instances, where the patient has been admitted to the hospital, due to which the patient is repeatedly taking the same course of medication. It is important to educate the mother, about the exact causes of asthma, such as trigger points and the reasons can be different from person to person (Turner, pg-314, 2019). Subsequently, it can be a result of the strong response that can cause resistance and impact immune system, It is due to the repeated exposure to the allergen in the environment. For example,  dust particles, pollutants particles, pollens etc,, that can react with the airway causing an impact strongly. Another factor is how the patient is reacting due to the same allergen can overcome in some time due to the immune and likeliness to respond can be different (Tung et al, pg 95, 2019). The reason can also reaction due to the exposure and the likeliness of the partially explained by genes.  In the case, as a nurse, it is important to make the patient and his mother  be aware of the trigger points, causes of the exposure and the prevention ways of reoccurring asthma (Bender et al, pg 366, 2019)

Part B The Interdisciplinary Collaborative Team

For the specific scenario, the collaborative interdisciplinary team would be GPs, pharmacists, and respiratory specialist. Depending on the community and as per the patient needs required on the basis of the age, gender and the factor of reoccurrence, each of the individual’s interdisciplinary team would have an important role to play.

The role of the GPs is to check for the patient health and wellbeing, continuously diagnose, and even check for any signs of the treatment for the illnesses. It would be important to offer advices, provide adequate support, by quickly diagnosing the situation and providing quick relief to the patient. The GP's role is to understand day-to-day asthma care, understand diagnosis course of actions,  providing a relevancy plan of action and checkpoints. GP's are also important to understand the annual asthma review, diagnosing if the asthma is poorly controlled and determining the situation when the patient has become resistant and how to overcome.

The role of the Pharmacist is to understand the medication given to the patient, dosages recommended as per the age group and interpreting the pharmacologist course of actions (Cowan, pg  123, 2019). The Pharmacist can understand the situation, determine the medical professional's course of the actions and the recommend prescription, check the patient resistance levels, and even help in overcoming the situation.  

The role of the Respiratory specialists helps in focusing on providing adequate care by checking respiratory condition, providing a swift action of care plan  and even interpreting how to correctly diagnose condition and overcome the situation (Gallant, pg 153, 2016), The specialists are the doctors who can provide the adequate care plan, also determine the conditions such as asthma and relate with the course of action to improve the lung conditions. As in the case, the patient has become resistant to the medicines and has so far repeatedly being admitted to the hospitals, therefore the role of the specialists is to check for the suitable treatment, recommendations, and even evaluate both short- and long-term plans for the asthma patients (Granrud et al, pg 2900, 2019) The respiratory specialist can help to check the causes of the inflammation, probable steps and even diagnosing a plan of action, care and steps to improve during the critical stages. The specialist also plays a vital role in planning and drawing relationship, in between the patient condition and the medication reactions to it, such as long term and short term side effects.

Part C The Nurses role in the collaborative partnership

The nurse role in the collaborative partnership, within the given situation of patient condition is to coordinate with the GP’s, with the respiratory specialists, physiologist, and pharmacy, along with the Pediatrics asthma doctor’s to collaborate and provide treatment plan. As the nurses, while diagnosing and accessing the patient, knows the patient key requirements, and his specialist training in the treatment along with managing asthma, the nurse role is also to understand the right medicines, to be given at right time and dosage (Harbman et al, pg 33, 2017). The patient can be checked for the medication and the probable reactions to it. The action plan devised is to regularly review the condition and write a course of action for the future (Hardman, et al, 382, 2017). For example, as the patient has now stopped reacting to the medication, the nurse can discuss the situation with the respiratory specialist and  with the GP's who would be discussing the medication reaction and also how to overcome the problem. The patient can be checked for the probable reactions, which can be observed with the necessary chain of adverse events, and steps of how to resolve the problem periodically. The nurse, can further discuss with the team, on how to guide the mother who can overcome the future problem, such as checking hygiene and taking precautionary measures to overcome the situations to prevent it (Hu et al, pg 522, 2019). The nurse’s role is to understand how the patient has been reacting to the medication and collaborate with the GP’s and the other team members to understand the history of the patient, the chain of events, trigger points and the frequency of the reaction that can allow to detailed plans of the outcomes and the diagnosis. Overall, with the counter-reactions and even understanding the patient conditions can help to timely intervene and to understand the counter-reactions to it (Kinnaman, pg 322, 2014). The role of the nurse is also to educate the patient's mother and to share the knowledge. of prevention strategies, such as, importance of hygiene, possible reactions, and any sort of trigger points. The nurse also plays a vital role in timely updating the team of experts and sharing the concern, in case of new findings. The nurse's role is also to provide adequate care and even diagnose the patient's condition to devise  plans (Lyster, pg 121, 2019).


To conclude, the chronic patients require a timely intervention and the monitoring plans, to avoid any necessary lapses and the reoccurrence stages. Patients with chronic asthma can closely be checked for any reactions, devising a plan of action and providing the necessary care. The role of the nurses with the collaborative team of experts helps to overcome the defined problem and also work progressively with the other team of experts to understand the medical condition of the patient and how to overcome it.

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