Healthcare: Clinical Management Matrix for Asthma Patients

This report presents a clinical management matrix for asthma, outlining a comprehensive approach to managing the chronic condition across various life stages, from in-utero to palliative care. The matrix details the roles and responsibilities of different stakeholders, including the client, primary caregivers, family members, the community, registered nurses, general practitioners, dietitians, pharmacists, occupational therapists, and exercise physiologists. It covers assessments, treatments, and interventions specific to each stage, such as recognizing symptoms, providing medication, developing asthma action plans, and offering support. The report emphasizes the importance of a multidisciplinary approach, including preventive measures, environmental controls, and patient education. References to supporting literature and online resources are also provided to enhance understanding and guide best practices in asthma management.

Clinical management matrix
Chronic
Condition
:
ASTHMA
In uterus Birth Child-hood Adolescence Diagnosed with chronic
condition
Acute hosp-
italisation
Rehab facility At home A&E for flare-up Palliative Care
Client Asthma is
considered genetic
that has an impact
on the child
growing inside
them.
Labored
breathing, face
& lips turn blue
(Arabkhazaeli
, Vijverberg &
Maitland‐van
der Zee,
2017).
Frequent coughing,
shortness of breath.
Feeling tired, easily upset, weak
when exercising
Lung function and allergy
test
Maintenance
treatment with asthma
Proper use of medication
in client's lifestyle
Treatment at home will be
given
If symptoms get worse. Approach that improves quality
of life of patient
Primary CaregiverAssessment of
maternal & fetal
statusb
Recognize
characteristic
pattern
Medicines, diet preventive treatment with
low dose inhaled steroids is
instituted
Peak expiratory flow rate
test
Regular prevent-er
therapy
Doses of inhaled
corticosteroids can be
increased.
Additional prevention
medicine (Shrimanker,
Thulborn & Bafadhel,
2017).
Continuous use of oral
steroids
Exercise induced asthma with
beta2- agonist
Family Help caregiver
understand
uncertainty
Address concern
of the child &
carer
Identify child's asthma
triggers and reduce
them
Develop asthma action plan Utilize non toxic products at
home
Assess impact of
asthma on daily basis
Explore practical solutions
(Gaston, Myers &
Castro, 2016).
Engage child in learning
about asthma
Discuss allergy testing
(Asthma treatment : 3
steps to better asthma
control, 2018)
Prepare them to prevent
asthma attacks
Community Support to mother
will be provided.
Understand and
accept their
condition
Improve environment
for playing
Assure guidelines based medical
management
Community based
interventions
Home visits by
community health
workers
Outdoor air pollution
control
School based programs

Registered
Nurse
Treatment to
mother
Assess child Measure disease Statistical analysis RNAO nursing practice will
be undertaken
Nurses work with
multidisciplinary health
care team
Communicate with general
practitioners
Describe clinical guidelines
to families
Facilitate on going
treatment (Tajiri,
Matsumoto & Ito,
2016).
Regular review
GP NA Diagnose of
asthma
Provide medication Update asthma action plan Exercises to reduce stress Annual asthma review
will be done
Identify when to adjust
medicines
Maintain low humidity at
home
Teach breathing and
relaxation techniques.
Coping and supporting
Dietitian Train mother
regarding food
Provide
guidance related
to food allergies
Provide advice Monitor client's weight daily Work with child to maintain
a healthier weight
Advice more healthy
food
NA NA NA NA
Pharmacist NA Make client's
family aware
about their
child's
condition.
Will educate patient's
family regarding
proper use of inhaler
device
Advice to take inhaled
corticosteroids
Create a written
asthma plan of
action to provide
guidance to patient.
Environmental
measures will be
applied to
prevent allergies.
Stress the
importance of client
support to the
chosen plan.
Routinely monitor of
therapy.
Accordingly adjust
therapy when
needed (Guo,
Kothari & Raby,
2018)..
NA
OT NA NA To integrate
energy
preservation, OT
will develop
strategies.
OT will modify techniques
in daily life activities to
cope with physical
demands (Green, . Y.,
Leigh & Dennis, 2016).
Teach those
techniques to
improve stress and
manage difficult
symptoms.
Na Na Coping strategies will
be developed to
support psychological
health (Rutherford,
2017).
Na na
Exercise
Physiologi
st
Na Na Will advise
useful exercises
to improve
Measure the effects of
supervised exercise
participation
Exercise
Physiologist will
assist client to
achieve positive
health through
exercise
Regular exercise
will be ensured to
reduce risk of
heart disease.
Encourage client to
participate in any of
the sport activity.
Make sure that client
have asthma reliever
medicine if still have
symptoms after
exercise.
Na Na

(Robinson,
Katkin &
Rama, 2015).
REFERENCES
Books & Journals
Arabkhazaeli, A., Vijverberg, S. J. & Maitland‐van der Zee, A. H. (2017). Asthma treatment patterns in Dutch children using medication dispensing data. Pediatric Allergy and Immunology. 28(6). 606-608.
Gaston, B., Myers, R. E. & Castro, M. (2016). A64 TRANSLATIONAL RESEARCH IN PEDIATRIC ASTHMA: Pubertal Changes Associated With Estrogen And Not Androgens Are More Strongly Associated With Lower Lung
Function And Fixed Airflow Obstruction: A Cross-Sectional Analysis Of Children And Adolescents In Sarp Iii. American Journal of Respiratory and Critical Care Medicine. 193. 1.
Green, F. H. Y., Leigh, R. & Dennis, J. (2016). D21 ASTHMA TREATMENT: GLUCOCORTICOIDS, BIOLOGICALS AND BEYOND: A Novel And Safe Inhaled Asthma Drug: A Phase I/ii Randomised Placebo Controlled
Trial. American Journal of Respiratory and Critical Care Medicine. 193. 1.
Guo, F., Kothari, P. & Raby, B. A. (2018). The Asthma Susceptibility Gene ORMDL3 Regulates Autophagy in Human Bronchial Epithelial Cells. In A28. ADVANCES IN COPD AND ASTHMA (pp. A1204-A1204). American Thoracic
Society.
Robinson, C. C., Katkin, J. P. & Rama, J. (2015). A13 MEDICAL EDUCATION STRATEGIES TO IMPROVE PATIENT CARE DELIVERY: Interprofessional Asthma Education: Development Of A Comprehensive Asthma Curriculum
In Pediatric Residency. American Journal of Respiratory and Critical Care Medicine. 191. 1.
Rutherford, C. (2017). The Role of Sex in Lung Physiology and Asthma Development Over Time. Microreviews in Cell and Molecular Biology. 1(1).
Shrimanker, R., Thulborn, S. J. & Bafadhel, M. (2017). The Peripheral Blood Eosinophil Count As A Biomarker Of Eosinophilic Airway Inflammation In Patients With Asthma And COPD. Experience From A Single Centre. In A33.
CLINICAL STUDIES IN OBSTRUCTIVE LUNG DISEASE (pp. A1343-A1343). American Thoracic Society.
Tajiri, T., Matsumoto, H. & Ito, I. (2016). D21 ASTHMA TREATMENT: GLUCOCORTICOIDS, BIOLOGICALS AND BEYOND: Utility Of Serum Periostin And Free Ige Levels In Evaluating Responsiveness To Omalizumab In
Patients With Severe Asthma. American Journal of Respiratory and Critical Care Medicine. 193, 1.
Online
Asthma treatment : 3 steps to better asthma control. 2018. [Online]. Available on: <https://www.mayoclinic.org/diseases-conditions/asthma/in-depth/asthma-treatment/art-20044284>