Nursing Care Plan Common Diseases

Question: Discuss about theNursing Care Plan for Common Diseases. Answer: Secondary Prevention: Asthma is one of the common diseases of the childhood. This can happen due to the gene environment interplay. As per the case scenario, Stuart has asthma form the early childhood but he stooped to visit the doctor after leaving his home at the age 19. In such condition, the nurse should arrange the oxygen cylinder for him at first and anti allergic injection should be pushed. Matricardi (2014) mentioned that patients should avoid ventolin puffer without asking the GP form a discount chemist. However, Stuart did the same thing and lied to the chemist to buy the product. The nurse can provide the patient H1 antihistamine cetirizine and antihistamine H1 ketotifen, which will give relief to Stuart. The nurse should check the heart beat of the patient and oxygen mask should be put on (Pechter 2014). The nurse should advise Stuart to quit smoking if he has the habit of smoking and should avoid the dust. Primary Prevention: Avoid the smoking and dusts in the workplace Stay in well ventilated house and avoid the dump house. Use proper doses of puffs and should not change the doses without asking the doctors and nurses (Beasley, Semprini and Mitchell 2015) Provide subcutaneous immunotherapy and sublingual immunotherapy. Avoid the allergic foods and substances. The nurse needs to give anti allergic injection to Stuart after he has been admitted to the hospital (Tartibian, Yaghoobnezhad and Abdollahzadeh 2014) The necessary tests like ECG, nitric oxide test, allergy test and sputum eosinophils test. The nurse should teach Stuart after his recovery about the use of inhaler. The chest x-ray is necessary to check the position of the lungs and computerized tomography scan is necessary to check the nasal condition. Health Condition of Pathophysiology: Bronchoconstriction: this is a clinical symptom of asthma. The airflow rate is decreased and the air path became narrow for which the patient feels difficulty in inspiration and expiration (Jackson 2014). Airway edema: the inflammation increases with time and mucus plugs is formed that includes the hypertrophy and hyperplasia. Airway hyperresponiseness: airway hyperresponsiveness is the exaggerated bronchoconstrictor that has a major impact on the patient. The dysfunctional neurogulation happens. Airway remodelling: the airflow became limited and partially reversible. The lung function can be reduced. The cell structure became changed. Goals of Care: The care plan gives the direction to the particular care to a particular patient. A care plan should be unique for the individual patients. The care plan includes the proper communication and consult with the other nursing staffs (Jackson et al. 2014). For the asthma patient, the nurse should be very careful before confirming his diet or medication. The nurse should know the patient history first that in which food, the patient allergy or problem. The nursing plan should have proper goals, treatment plan and proper outcomes. The nursing plan should be documented properly and presented to the patient and his family to teach them about the treatment. References Beasley, R., Semprini, A. and Mitchell, E.A., 2015. Risk factors for asthma: is prevention possible?.The Lancet,386(9998), pp.1075-1085. Jackson, D.J., 2014. Early Life Viral Infections and the Development of AsthmaA Target for Asthma Prevention?.Current opinion in allergy and clinical immunology,14(2), p.131. Jackson, D.J., Hartert, T.V., Martinez, F.D., Weiss, S.T. and Fahy, J.V., 2014. Asthma: NHLBI workshop on the primary prevention of chronic lung diseases.Annals of the American Thoracic Society,11(Supplement 3), pp.S139-S145. Matricardi, P.M., 2014. Allergen?specific immunoprophylaxis: Toward secondary prevention of allergic rhinitis?.Pediatric Allergy and Immunology,25(1), pp.15-18. Pechter, E., 2014, June. Primary Prevention of Asthmathe Role of Occupational Asthma in Pushing the Agenda. In2014 CSTE Annual Conference. Cste. Tartibian, B., Yaghoobnezhad, F. and Abdollahzadeh, N., 2014. Effects of Physical Activity and Sleep Quality in Prevention of Asthma.Journal of Physiology and Pharmacology Advances,1(4), pp.356-359.