Clinical Scenario Assignment for Asthma Patient - Desklib

Running head: CLINICAL SCENARIO ASSIGNMENT
Clinical scenario assignment
Name of the student:
Name of the university:
Author note:

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CLINICAL SCENARIO ASSIGNMENT
Table of Contents
Part I:...............................................................................................................................................2
Part II:..............................................................................................................................................3
Strategies for therapeutic engagement:........................................................................................4
Care plan:.....................................................................................................................................6
References:......................................................................................................................................9

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CLINICAL SCENARIO ASSIGNMENT
Part I:
The case scenario selected for the assignment focuses on Jamir, an eight year old
ethnically diverse patient living in the rural suburban neighbourhood of Australia. The case was
reported by a teacher who came to the clinic to share her concerns about the deteriorating asthma
that Jamir had been suffering from ever since his diagnosis of asthma 12 months ago. The
teacher has mentioned that the patient has had three asthma attacks within the last two months
and all of which had been occurring during the physical exercise education classes. The teacher
has also mentioned that she had spoken to Jamir’s mother regarding the asthma complications
that he experiencing, signs of his deteriorating condition and his absenteeism and affected
educational progress due to the deterioration. The teacher mentioned that they immigrated to
Australia from Afghanistan two years ago and ever since his mother has developed depression
and it being a family of five with only his father being an earning member, his father has to work
long hours to sustain the family. The teacher explained that even though Jamir’s mother has been
notified about the deteriorating condition, nothing changed for Jamir.
As per the information provided by the case study, there are various care needs that are
present for the patient. First and foremost, it has to be acknowledged that exercise induced
bronchospasms are prevalent in the patient groups with lack of properly medically managed
asthma. Hence, one of the most important physical health need of the patient is proper
management of asthma. The fact that he had been feeling considerably low and non-participative
in class and had been absent for long period of times from the school, it indicates at deteriorating
health due to asthma. Along with that he had been falling behind in the studies due to his
deteriorating health he had been suffering from lack of proper growth and development is also
affected due to the his deteriorating health. It was discovered from the case study that he

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CLINICAL SCENARIO ASSIGNMENT
belonged to a culturally and ethnically diverse immigrant family with four children and parents
and only one earning member. Hence, his nutritional requirements must also be restricted due to
the fiscal constraint on the family and hence proper nutrition and development is also a very
important need (Murray et al. 2017). It seemed that Jamir only knew how to use the salbutamol
puffer and he did not have enough understanding of the asthma self-management either, hence it
is also a very important need. Considering the psychosocial needs of the patient, it has to be
mentioned that this culturally diverse family as living in a fiscal constraint with the father
working long hours to sustain the family and the mother being depressed for two years. Hence,
the familial bonding and residential environment of the family must be compromised due to
these complicated factors, hence proper familial support and parenting is also a considerable
need for Jamir. Although, from the array of needs of the patient, proper medical management of
asthma, affected growth and development of the child, and lack to familial or parental support
are three most pressing needs that need to be addressed immediately (Keeney et al. 2014).
Part II:
It has to be mentioned in this context that asthma is a chronic lung disorder which is
associated with many health related restrictions and lifestyle modifications. The physical
exercise is one of these restrictions that an asthma patient has to undergo in order to be able to
avoid the risk of asthma attack or exacerbations. As discussed by Jayasinghe, Kopsaftis and
Carson (2015), vigorous exercise or physical activity is associated with exercise induced
bronchospasms in the asthma patients, and hence, students with asthma should not be allowed to
take part in regular vigorous physical activity to avoid risk of exacerbations. The information
provided on the patient includes Jamir using salbutamol in school only when he experiences
asthma attacks and yet his health had been deteriorating and he had been absent from the school