Pathophysiology and Nursing Interventions for Asthma Management

This presentation discusses the pathophysiology of nursing interventions for asthma management and how nurses address nursing codes and ethics. It also highlights the role of nurses in educating patients about the usage of inhaler devices and use of spacer as a method of asthma management. The curriculum framework nursing ensures the quality of nursing care and social justice is an important element of this framework.

Social justice framework and asthma management nursing interventions
Introduction
Nursing is a critical profession and it requires skills and knowledge of different
elements associated with it. Nurses working in the clinical settings need to have
knowledge regarding pathophysiology which helps nurses to perform treatments
which are more effective for the patients and it also helps in achieving a better
health outcome. Pathophysiology is a medical discipline and it focuses on the
function of organs of patients’ body and studies all aspects of disease and thus
helps medical professionals and specifically, nurses (Katwa and Kabra 2018). The
fundamental concept of nursing helps a nurse to provide better healthcare and
nurses can work following all the ethics as well as codes of conduct relevant to
nursing profession. Nurses follow curriculum framework to provide a better care
experience to the patients. Here, the pathophysiology of nursing care
interventions of asthma will be discussed and also, its relation to the curriculum
framework of nursing will also be analysed.
Pathophysiological basis of intervention
My asthma guide is a handbook for managing asthma published by the National Asthma Council of Australia discusses
interventions and those are being discussed here (National Asthma Council Australia 2019). Managing and controlling
asthma requires proper medication which can be of quick-relief and long-term control medications. During emergencies,
a person requires some instant medicines to get relief immediately. Such medications are used to quickly open the
airways and make the breathing process easier. On the other hand, long term medications, such as inhalers are the key to
control the asthma and its effects on health. It is a small hand-held device used to manage asthma. The long-term
medications treat the airway inflammation that addresses the asthma symptoms and helps in managing them. Again, some
of the researchers argued that if any patient is using quick-relief medicines on a regular basis then his/her asthma is not
controlled (Aggarwal, Mulgirigama and Berend 2018) and as per the guideline, there are many side effects of inhaling
devices such as hoarseness of voice and throat infection. Apart from this, use of spacer has been advocated for managing
and treating asthma. It is an accessory used along with a puffer. It is claimed by the researchers that if spacers are used
along with the puffer then the inhaled medicines get deep inside the lung. If only puffers are used as the medication of
asthma, the medicine can cause throat infection as it directly goes into, and in order to avoid such issues, spacers are
used. According to the literatures, spacer is nothing but an empty container and it is attached to the puffer, the medicine
goes directly into the lungs, when the person breathes in the medicine from the container. Also, some of the researchers in
their studies indicated that attaching the spacer to the inhaler might be challenging for the patients as it requires guidance
or nursing interventions (White et al. 2018).
Nursing considerations
In order to address the management interventions as per the guideline used in this paper,
nurses play an important role. They are at the forefront of managing chronic diseases.
Caring for the patients with acute asthma is quite common. Nurses always monitor and
regularly assess patients to improve patients’ health response and minimize the adverse
reactions. Asthma patients need to use some specific devices as a part of treatment and
management. Inhalers are the cornerstones for asthma and the efficacy of treatment and
the therapeutic outcomes depends on the patients’ adherence to the drugs and dosing
regimen as well as their ability to use the devices (Arden-Close et al. 2019). In this regard,
patients require proper knowledge and education about the usage of inhaler devices.
Nurses play an essential role in educating the patients about the intake of proper
medications and using inhaler devices (Cashin et al. 2017). On the other hand, nurses take
the responsibility of educating patients with asthma regarding the use of spacer along with
the puffer (Qiu, Huang and Li 2017). Patients who are using spacer for the first time need
guidance from the nurses about the sitting positions and the proper usage of the device.
This not only helps the patients while admitted in hospital but also after getting discharged
(Scullion 2018).
Addressing nursing codes and ethics
The curriculum framework nursing ensures the quality of nursing care and social justice is an important element of this framework (Ingham-Broomfield 2017). It can be viewed broadly as a balancing tool of societal
burdens against benefits that ensures accessing equity and fairness. Nurses follow principles that advocate safeguarding and protecting the wellbeing of the patients. In the nursing interventions for asthma, nurses
follow the principles of self-determination, equity and participation. In this way, nurses can ensure patients’ safety irrespective of their social differences and cultures and also the active participation of the patients
increases healthcare satisfaction and improves the healthcare outcome. Active engagement of the patients is considered as one of the greatest components of nursing care. Apart from these, nurses in their working
practice strictly follow NMBA nursing codes of conduct in order to provide the best care to the patients. NMBA regulates the nurses and midwifes of Australia to protect people’s health. It has developed codes,
guidelines and standards to establish safe nursing practice. Nurses act with professional integrity while taking interventions to provide care to the asthma patients (Hanania et al. 2018). They showcase their
professional behaviour in teaching, supervising and assessing patients while educating them regarding the usage of inhaler devices and use of spacer as a method of asthma management as per the guideline. It also
addresses the domain of health and wellbeing of the NMBA codes of conducts. Nurses practise safety, effective and collaboratively while educating the patients which is another domain of NMBA codes of conduct.
According to the standard one of the RN standards, nurses think critically and the interventions discussed in the paper requires critical thinking of the nurses. Apart from this, nurses engage themselves in building
professional and therapeutic relationship with patients that addresses standard two of RN standards. Again, as per the standard six, nurses provides safe, appropriate and responsive quality nursing practice for the
asthma patients while educating them (Skolnik and Carnahan 2019).
Conclusion
Nursing profession is quite challenging and nurses need to follow all the ethics and codes of conduct developed by NMBA and other health policy laws in order to provide a holistic care to the patients with different
difficulties. In this paper, nursing interventions for asthma patients have been clearly described along with its pathophysiological basis. The nursing considerations in this regard have also been discussed. At the end, it
has been stated how the interventions addresses the nursing codes and conducts set by NMBA and other health laws. It is assumed that if the nurses are following ethical and legal standards while providing care then
patients’ health outcome is increased and the NMBA codes of conduct also helps the patients to receive a quality care from the nurses.

Works cited
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