Discharge Planning ASTHMA

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The key takeaways from the discharge plan are medications to control asthma symptoms, exercise recommendations, health teachings for the patient, and dietary recommendations.

The recommendations for exercise and physical activity are to start with a warm-up, use a rescue inhaler before exercise if needed, always have a rescue inhaler during exercise, and engage in physical activity for at least 30 minutes most days of the week such as brisk walking, dancing, swimming, and volleyball.

The health teachings provided to the patient include monitoring asthma regularly, seeking medical advice for complications, strict compliance with medications, learning about triggers, avoiding secondhand smoke, avoiding certain chemicals, observing proper inhaler technique, and providing support during treatments.

DISCHARGE PLANNING

Medications  Give adequate instruction about the importance of  So that the patient’s condition
following medication and dietary regimens. can remain stable as long as
possible.
Medications for Maintenance:
1. Salbutamol 4 mg, TID, Inhalation
2. Prednisone 40 mg, OD, PO - To relieve and relax the
3. Ciclesonide 160 mcg, BID, PO muscles that tighten around the
airways
- Used to treat severe airway
inflammation (swelling) and
mucus
- Control asthma symptoms and
prevent asthma from flaring.
Treat airway inflammation and
mucus
Exercise
Exercise as your provider recommends. Some people  To reduce inflammation
have coughing or wheezing only during or after physical  Effective deep breathing and
activity. This is called exercise-induced asthma. Even coughing will help clear and
though exercise may trigger an asthma attack, exercise is maintain a patent airway and
still important. Some ways to prevent an asthma attack prevent airway collapse
during exercise include:  Decrease asthma symptoms by
 Start with a long, slow warm-up to the activity. improving lung endurance
 It may be necessary to use a rescue inhaler before  To improve lung capacity
you start exercise.  Improves conditioning of the
heart, improving blood flow and
 Always have a rescue inhaler with you during the delivery of oxygen.
exercise.
 Promote rest and pursed lip breathing exercise.
 Do active range of motion with slow progressions in
frequency and provide assistance if needed.
 Physical activity on most days of the week for at
least 30 minutes such as: brisk walking, dancing,
swimming, and volleyball.
Health Teachings 1. Provide patient and relative written and
verbal information regarding the following:
2. Monitor Asthma regularly - To check for symptoms
3. Seek medical advice from health care - For immediate treatment.
provider in case of complication.
4. Encourage strict medication compliance and - To attain therapeutic effects.
to take medications as directed.
5. Compliance to follow-up examinations. - For monitoring and avoidance of
6. Learn what things trigger your symptoms and complications.
how to stay away from them. Triggers may - To prevent serious complications
be perfumes, smoke, pollen, or other things. wherein the length of time that
Preventing contact with triggers can help these treatments are necessary.
prevent asthma attacks. - To improve cardiac activity.
7. Avoid secondhand smoke. Smoke can
worsen asthma symptoms.
8. Avoid exposure to chemicals, such as the - To have enough rest
chemicals used in the manufacturing
industry, farming, and hairdressing.

9. Observe inhaler and spacer technique


10. Providing support. The patient and family
needs assistance, explanation, and support
every time patient requires treatment.
11. Indicate enough bed rest.
12. Advise patient to get at least 7 hours of sleep
each night and take 20 to 30 minutes rest
periods twice per day.

Outpatient  Follow-up 2 weeks after discharge for the doctor to  For health status monitoring
Follow-up know
 Advise parents to seek further medical attention
(preferably from their GP) should the child's
condition deteriorate or if there is no significant
improvement within 48 hours
Diet If acid indigestion is making asthma symptoms  To avoid increased airway
worse: irritation
 Acid reflux that causes heartburn
 Lose weight if you need to may damage lung airways and
 Maintain a healthy weight. worsen asthma symptoms.

 Sleep with the head of your bed raised at least 4


inches, if you have symptoms at night.

 Control heartburn and gastroesophageal reflux


disease (GERD).
Spiritual Care  Encourage patient to have faith and pray to God.  To reduce patients anxiety
 Encourage the patent to spend a time of silence in
a day for a moment of prayer.
 Strengthen faith and communicate with God.

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