Assignment: What would some Discharge orders might look like (including medications, education content, follow-up, and referrals) for a patient with Asthma

Assignment: What would some Discharge orders might look like (including medications, education content, follow-up, and referrals) for a patient with Asthma

Assignment: What would some Discharge orders might look like (including medications, education content, follow-up, and referrals) for a patient with Asthma

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Asthma Education

Discharge orders for an asthmatic patient should focus on the medications, patient education, and follow-up. The patient and their guardian (for children) should be informed that two types of medications are used in managing asthma, short- and long-term therapies. Patients should be shown quick-relief medications and informed that they should use them during exacerbations (Menzies-Gow et al., 2021). In addition, the nurse should inform the patient of the long-acting medications and that they aim to achieve and maintain control of persistent asthma. Furthermore, the nurse should demonstrate the proper technique when administering a metered-dose inhaler like Ventolin. 

Asthma is a chronic respiratory condition often worsened by exposure to allergens, which trigger exacerbations. Environmental exposures and irritants play a major role in exacerbating asthma symptoms. Therefore patient education on managing asthma should prioritize environmental control (Rehman et al., 2020). Once the triggering allergens are identified, the nurse should advise the patient on avoidance of the allergens to prevent exacerbations. Efforts should focus on the home since much time is spent there. Patients should be advised to clean and dust their homes regularly, wash bedding in hot water to eliminate dust mites, and maintain carpets dry to prevent mold (Menzies-Gow et al., 2021). Furthermore, patients should be instructed to avoid active and passive smoking since smoke is a major trigger.

Patients on discharge should be informed of their next follow-up and instructed to seek immediate medical care if they experience exacerbations that are not improved by short-relief medications. Besides, they should be informed that if they have moderate-to-severe persistent asthma that is difficult to control, they will be referred to a pulmonologist or allergist to ensure proper management (Rehman et al., 2020). They will also be referred to an allergist or immunologist for skin testing to identify specific allergens, guiding indoor allergen prevention efforts.

References

Menzies-Gow, A., Busse, W. W., Castro, M., & Jackson, D. J. (2021). Prevention and Treatment of Asthma Exacerbations in Adults. The journal of allergy and clinical immunology. In practice, 9(7), 2578–2586. https://doi.org/10.1016/j.jaip.2021.05.016

 Rehman, N., Morais-Almeida, M., & Wu, A. C. (2020). Asthma Across Childhood: Improving Adherence to Asthma Management from Early Childhood to Adolescence. The journal of allergy and clinical immunology. In practice, 8(6), 1802–1807.e1. https://doi.org/10.1016/j.jaip.2020.02.011