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

Collaborative Partnerships and Chronic Disease

Introduction

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).

Conclusion

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.