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Amy Parsons Case Study Asthma

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Amy Parsons’, a 16-year-old female competitive swimmer, chief complaint is periods of severe coughing during the recent summer months. Her cough is described as dry, hacking, and non-productive. It occurs when swimming in the community pool and is accompanied with shortness of breath and wheezing. It was significantly worse last summer after swimming in the lake at her grandmother’s rural house. The cough seems better when in the pool but worse when out. Amy had three episodes of otitis media before she was eighteen months old, four upper respiratory infections between ages two and ten, and currently gets four to five colds per year. Amy had eczema as a child. Her vital signs are within defined limits and her peak expiratory flow rates are …show more content…

Asthma is diagnosed with a history, physical exam, laboratory findings, and pulmonary function studies. The strongest risk factor for developing asthma is a genetic predisposition to immunoglobulin E-mediated response to common allergens. Damage to bronchial epithelium and airway inflammation contributes to the pathogenesis. T2 helper cells respond to allergens by stimulating B cells to differentiate into immunoglobulin E producing plasma cells. T2 helper cells also stimulate growth factors for mast cells and activate eosinophils. Cytokines have a big role in chronic inflammation and the associated complications. Tumor necrosis factor alpha, an inflammatory cytokine stored and released from mast cells, increases movement and stimulation of inflammatory cells leading to airway remodeling and mucous cell hyperplasia. The stimulation of neutrophils, eosinophils, lymphocytes, and mast cells cause epithelium injury increasing airway inflammation and decreasing airflow. The inflammatory process causes airway obstruction leading to wheezing, breathlessness, chest tightness, and cough (Grossman,

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This started to affect my athletics since I had difficulty breathing every time I played. By this time, even playing in the yard seemed to appear daunting. My academics started to suffer as well. Going into high school, I started to cough every 10 seconds. As it

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The first important information about the article, Sustaining School-Based Asthma Interventions through Policy and Practice Change, is related to the role of school in asthma management programs due to the amount of time children spend in the school setting, the facility to create an educational program, and the opportunity to reach a diversity of children with cultural and economic background. Moreover, school can assist strengthen behavior change essential to make long-lasting positive effects on health outcomes, and results in improvement in asthma care management. Furthermore, school-based intervention may be sustained by collaboration between parents, schools, health care providers, and other entities. The second important information

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There is considerable variability in TCM patterns regarding Allergic Rhinitis, and the relationships between the patterns are potential for an in-depth source ofreflcction. In a relevant study of 23 individual trials assessed for pattern differentiation in Allergic Rhinitis. Out of a total of 2,589 patients with Allergic Rhinitis, a total of only 15 patterns were found. As stated, and confirming the above statement, the most common sites of the disease were Lung, Spleen and Kidney and the most common nature of the disease was Qi deficiency. In fact, more than 58 percent of all pattern combinations in the study were related to Lung or Spleen qi deficiency.

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The Stages of Emphysema According to the World Health Organization (Who), “more than three million people died of [Chronic Obstructive Pulmonary Disease]COPD in 2012, which is equal to 6% of all deaths globally that year. ”[1] Emphysema is one of the common type of COPD, additionally, according to the Centers for Disease Control and Prevention,”number of adults who have ever been diagnosed with emphysema ]is about] 3.4 million. ”[2] Emphysema develops slowly over the years, as a result, the doctors describe the progression of emphysema by using staging systems ,or the Chronic Obstructive Lung Disease (Gold) which created by group called the Global Initiative.

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Good job with the soap noted. Having an asthma action plan is very important in the management of asthma. Asthma accounts for more hospitalization and more absences from school than any other chronic illnesses (Sharma, 2015). An asthma action plan teaches patients and parents how to recognize worsening asthma and provide guidelines on how and when to self-initiate therapeutic management and when to access the medical system. With an action asthma plan, health outcome is improved, decrease missed days from school and increase quality of life ((Tidy,

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My intentions in fulfilling the role of being a research assistant for IMPACT are to further expand the knowledge of treatment, prevention and intervention for inner city pediatric patients with asthma across urban areas in efforts to improve the quality of life for generations to come and to bring an underlining understanding of the scare of asthma. I hope to join the team of professionals who strive to decrease the dependency of emergency room care and to further promote home care. Thank you for your

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allergic asthma is the greatest common type, affecting around 60% of people with asthma. Both allergic and non-allergic asthma have the same symptoms, such as shortness of breath and wheezing." Albeit, if you relish, or like to be around

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Asthma is a chronic illness that is widespread over the United States with 24 million people affected; and 7 million alone are children (Morris, 2015). With this disease, the airways are constantly inflamed; and when a trigger is inhaled or presented, inflammation increases causing distress in the airways. The airways then constrict and breathing becomes a challenge. Asthma occurs in “attacks” and common symptoms include wheezing, coughing, and dyspnea (Asthma: Overview, 2014).

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