Nursing: Asthma Discussion Board Post - Primary Clinical Care

This discussion board post, authored by a nursing student, focuses on asthma management within primary care settings. The post begins with a personal reflection on the significance of asthma, stemming from the author's clinical experience. It then delves into the importance of the topic to nursing, citing relevant literature on asthma care models, and the significance of primary care in managing the condition. The student references the journal article "Models of care for severe asthma" by Chung, Johnson & Summers (2018) and discusses the role of primary care, barriers in different healthcare settings, and the importance of specialist recommendations. The student highlights key findings from the article, including the necessity of appropriate inhaler therapy, early intervention strategies, and the impact of poorly controlled asthma. The post concludes with a comprehensive list of references, supporting the claims made throughout the discussion.

Running head: NURSING 1
Nursing
Student’s Name
Institutional Affiliation

NURSING 2
Nursing
Response to the post
I am Nathaniel John, a nurse. My most nursing practice has been narrowed to majorly on
Asthmatic problems. In most cases, I do handle asthmatic patients. Your post, therefore, is of
great significance to me because it discusses on my topic of interest, asthma. Your post presents
an excellent personal reflection on this pandemic and how it can be dealt with a personal level.
This can, in turn, enable me to do proper research and conclusions on asthma by combining the
ideas I have and the ones you present on your post.
Reasons for choosing the article
The Journal article "Models of care for severe asthma" by Chung, Johnson & Summers,
(2018) which you cited in your post drew my attention. People with asthma require good primary
care. The article provides various remedies suitable for control of asthma. Therefore, this journal
article is interesting since it gives multiple models of care for severe asthma.
About the Article
The journal article talks about the role of primary care as a model of care for severe
asthma. The journal further outlines the barriers in primary, secondary and tertiary settings which
takes responsibility for severe asthmatic crisis. The article has a level one evidence, with a meta-
analysis research study design which involves compiling data from different studies (Clark et,
al., 2017). In the journal, primary health care practitioners are urged to remain focused on
managing patients with severe asthma. Lastly, the article talks about how the specialists should
provide clear recommendations regarding ongoing management for patients who are being
discharged back to primary care.

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Findings
The first finding from the article is that appropriate use of inhaler therapy is essential in
treating asthma (Van der Meer et, al., 2016). There should be an adherence to this if the patients
are to survive the conditions. Prevention of further deterioration due to asthma can be done
through appropriate intervention strategies (Chung, Johnson & Summers, 2018). By educating
patients, they can identify early signs of asthma. This action plan is highly recommended. Tay et,
al., 2017 found that patients who have severe asthma and are referred to a specialist are more
likely to be free of chronic abstractive pulmonary diseases brought about by severe asthma.
According to Foster et, al., 2016, poorly controlled asthma results in a high prevalence of
comorbidities which in turn affect the quality of life and increase the risk of exacerbations.
Bardin & Rangaswamy (2018) confirmed that majority of the patients are managed in primary
care and GPs play a vital role in the diagnosis and management of the disease.

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References
Bardin, P. G., Rangaswamy, J., & Yo, S. W. (2018). Managing comorbid conditions in severe
asthma. Medical Journal of Australia, 209(S2), S11-S17.
Clark, V. L., Gibson, P. G., Genn, G., Hiles, S. A., Pavord, I. D., & McDonald, V. M. (2017).
Multidimensional assessment of severe asthma: a systematic review and meta‐
analysis. Respirology, 22(7), 1262-1275.
Chung, L. P., Johnson, P., & Summers, Q. (2018). Models of care for severe asthma: the role of
primary care. Medical Journal of Australia, 209(S2), S34-S40.
Foster, J. M., Smith, L., Usherwood, T., Sawyer, S. M., & Reddel, H. K. (2016). General
practitioner-delivered adherence counseling in asthma: feasibility and usefulness of
skills, training and support tools. Journal of Asthma, 53(3), 311-320.
Tay, T. R., Lee, J., Radhakrishna, N., Hore-Lacy, F., Stirling, R., Hoy, R., ... & Hew, M. (2017).
A structured approach to specialist-referred difficult asthma patients improves control of
comorbidities and enhances asthma outcomes. The Journal of Allergy and Clinical
Immunology: In Practice, 5(4), 956-964.
Van der Meer, A. N., Pasma, H., Kempenaar-Okkema, W., Pelinck, J. A., Schutten, M., Storm,
H., & ten Brinke, A. (2016). A 1-day visit in a severe asthma center: effect on asthma
control, quality of life and healthcare use. European Respiratory Journal, 48(3), 726-
733.