NRSG353 IBL E-POSTER by Jou-jung Huang https://padlet.com/a8015221/lr839hppfw56 JAROZ FELIPE S00191646 MONIQUE SPENCER S00164599 SAFAL THAPA S00159278 GI LOW S00168703 JOU-JUNG,HUANG S00177975 en-us 2016-03-23 23:29:06 UTC 2025-10-28 05:11:46 UTC hello@padlet.com https://padletuploads.blob.core.windows.net/aws/106116620/086aa0bbd0a1baa154d792a32e11ce48c7c41bf5/d9182c98a0a7423476d9c5af0ee75181.jpg a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102516935 Source: http://www.beyondanxietyanddepression.com/panic-attacks]]> 2016-03-23 23:44:17 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102516935 Asthma (Current Statitics) a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102517580 -1 in 10 Australian are affected by asthma = over 2million people.
-37,700 hospitalizations in 2013-2014 are due to asthma 
-389 deaths are recorded in 2013 due to asthma
(Australia Institute of Health and Welfare, 2016)]]> 2016-03-23 23:55:33 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102517580 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102520393 2016-03-24 00:39:16 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102520393 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102520492 2016-03-24 00:40:30 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102520492 Nursing implications a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102521052 In conclusion, there is insufficient and limited data to support this argument. Whilst some correlations have been reported between asthma and diet, the nature of these correlations are unclear as of now due to the complexities involved in uncovering such effects. Factors such as, monetary status,  timing and stages of life all play a contributing part to such outcomes. From what has been observed, it is possible that these correlations  results are from inconsistent and confounding social/ behavioural factors. Available intervention studies point out that by supplementing vitamin C, E, selenium, PUFA- rich fish oils, has no significant or any clinical benefit in relieving asthma. Unless further studies of ongoing planned trials are continued,  the practicality of diets effect on asthma are not notable, therefore drawing from available evidence, it is not suggested that people with asthma; including pregnant women, elderly, infants; need to supplement or change their diet dramatically to reduce further risks of asthma. It is recommended that a balance diet is consumed. 

Below are some useful nursing interventions to assist with the care of a patient suffering from asthma:

  1. Nurses should encourage asthma patients to eat healthy diet which may help in improvement of asthma condition. 
  2. Nurse should let the asthma patients know that there are very weak evidences to support any claims that specific vitamins such as A, C, D or E or any specific dietary supplement such as fish oil will be of particular help in asthma. 
  3. Asthma patients should focus on Australian recommended dietary requirement of 5 servings of vegetables and 2 servings of fruits a day with high fibre and antioxidant contents.
  4.  Healthy dietary habit will also help to reduce obesity in asthma patients which will ultimately help in reduction of asthma exacerbation.
  5. Any dietary restriction such as dairy products, wheat or low salt diet should not be recommended to any asthma patients.Thus nurse should encourage to avoid of any such dietary restrictions. 
  6. Mediterranean diet with limited ethanol is evident of reduced risk of asthma.
  7. Consumption of fast food is linked to increase in asthma in developed world.
  8. As a Nurse, relay evidence of possible food allergies to patients GP. This can confirm if there are any allergies or intolerances.
  9.  Educate and promote the understanding of dietary triggers. It is a health professionals duty to reassure the patient that research is ongoing and still be conducted, to update specific dietary guidelines and their relation to the reduction of asthma exacerbations

Besides educating asthma patients on healthy diet, nurses should also encourage patients to continue their pharmaceutical interventions and avoidance of environmental pollutants that may trigger their asthma and also comply with Asthma Action Plan.
]]> 2016-03-24 00:45:00 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102521052 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102521193 Source: https://getbunnybox.com/wp-content/uploads/2016/01/fruits.jpg]]> 2016-03-24 00:47:11 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102521193 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102523752 2016-03-24 01:15:18 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102523752 Epidemiological studies suggest reason that asthma triggers include food (Kohlstadt, 2009). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102528234 2016-03-24 02:03:39 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102528234 Evidence shows that high dietary salt intake enhances asthma severity through greater bronchoconstriction in exercise induced asthmatic patients (Mickleborough, Head & Lindley, 2011). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102528358 2016-03-24 02:05:24 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102528358 Barros et al. (2008) suggests that Mediterranean diet has a beneficial link to asthma. Inclusion of fresh fruits, vegetables, whole grains and nuts may reduce asthma severity.  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102529122 2016-03-24 02:18:12 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102529122 Mediterranean diet also includes high intake of ethanol which may potentially induce adverse effects of asthma control (Barros et al., 2008). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102529202 2016-03-24 02:19:18 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102529202 Avoid highly processed food that are high-fat/high-energy as they'll increases airway inflammation, resulting in an increased proportion of sputum. The extent of lung suppression is correlating to the increase in fatty acid concentrations. (Wood et al., 2011). Similarly this argument is supported by Julia, Macia & Dombrowicz (2015) as they highlight bronchodilation recovery is impaired by high fat meals.  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102529334 2016-03-24 02:21:39 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102529334 Fatty acids  are considered as major players in modification of inflammatory pathways that is directly linked to pathophysiology of asthma (Wendell, Baffi & Holguin, 2014). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102529983 2016-03-24 02:34:21 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102529983 Increasing incidence of asthma is suggested to be a result of western diet such as rich in meat, high sodium and refined carbohydrate. Such diet is also linked with increased risk of frequent wheezing (Julia, Macia & Dombrowicz, 2015).  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102539749 2016-03-24 05:32:35 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102539749 Also some studies show an increased risk of asthma in individuals with BMI of greater than 30 Kg/m2. Imbalances in diet that lead to obesity and micro-nutrient deficiency can promote inflammation increasing susceptibility to asthma.  (Julia, Macia & Dombrowicz, 2015). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102539795 2016-03-24 05:33:31 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102539795 Refrences a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102539983                                                             References 

Australia Institute of Health and Welfare.(2016). Asthma [Online image]. Retrieved March 24, 2016 from http://www.aihw.gov.au/asthma

Aubum Rose Ltd (2016). Questions to ask in a job interview: the do’s and don’ts[Online image]. Retrieved March 24, 2016 from http://goo.gl/ENGhm5. Shutterstock(2016). Agree Stock Photos [Online image]. Retrieved March 24, 2016 from https://goo.gl/6mkpPb

Barros, R., Moreira, A., Fonseca, J., Ferraz de Oliveira, J., Delgado, L., Castel-Branco, M.G., . . . 

    Moreira, P. (2008). Adherence to the Mediterranean diet and fresh fruit intake are associated with improved asthma control. Allergy, 63(7), 917-923. doi: 10.1111/j. 1398-9995.2008.01665.x

Eneli, U., Skybo, T., & Camargo Jr, C.A. (2007). Weight loss and asthma: a systematic review. 

            Thorax, 63(8), 671-676. doi: 10.1136/thx.2007.086470

FoodPyramid.com (2015). Dietary Guidelines [Guideline]. Retrieved from:
 
            http://www.foodpyramid.com
Gibson, P.G. (2011). A high-fat challenge increases airway inflammation and impairs 

    bronchodilator recovery in asthma. Journal of Allergy and Clinical Immunology, 127(5), 1133-1140. Doi: 10.1016/j.jaci.2011.01.036

Han, Y. Y., Blatter, J., Brehm, J. M., Forno, E., Litonjua, A. A., & Celedón, J. C. (2013). 

    Diet and asthma: vitamins and methyl donors. The Lancet Respiratory Medicine, 1(10), 813-822. Doi:  http://dx.doi.org/10.1016/S2213-2600(13)70126-7

Iikura, M., Yi, S., Ichimura, Y., Hori, A., Izumi, S., Sugiyama, H. & Kobayashi, N. (2013). Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet. PloS one,8(7), e68290. Retrieved from: https://web-b-ebscohost-com.ezproxy2.acu.edu.au

Jensen, M. E., Gibson, P. G., Collins, C. E., Hilton, J. M., & Wood, L. G. (2013). Diet‐induced weight loss in obese children with asthma: a randomized controlled trial. Clinical & Experimental Allergy, 43(7), 775-784. Retrieved from: https://web-b-ebscohost-com.ezproxy2.acu.edu.au 
 

Julia, V., Macia, L., & Dombrowicz, D. (2015). The impact of diet on asthma and allergic diseases. Nature Reviews Immunology, 15(5), 308-322. Doi:  10.1038/nri3830

Kim, J-H., Ellwood, P.E., & Asher, M.I. (2009). Diet and asthma: looking back, moving forward. Respiratory Research, 10(1), 49. doi: 10.1186/1465-9921-10-49

Kohlstadt, I. (2009). Food and Nutrients in Disease Management. Boca Raton, FL: CRC Press McKeever, T. M., & Britton, J. (2004). Diet and asthma. American Journal of Respiratory and Critical Care Medicine, 170(7), 725-9. Retrieved from http://search.proquest.com/docview/199615263?accountid=8194

Mickleborough, T. D., Head, S. K. & Lindley, M. R. (2011). Exercise-induced asthma: Nutritional management. Current Sports Medicine Reports, 10(4), 197-202. doi: 10.1249/JSR.0b013e318223cdb5

National Asthma Council Australia (2015). Australian asthma handbook: quick reference guide [Handbook]    Retrieved from http://www.asthmahandbook.org.au/uploads/555143d72c3e3.pdf

National Asthma Council Australia (2013). My asthma guide. Retrieved from http://www.nationalasthma.org.au/uploads/content/742-20150602_MyAsthmaGuide_web.pdf

National Asthma Council Australia (2012). Asthma and allergy: a guide to the management of allergy for those living with asthma for patients and carers,  2-23. Retrieved from http://www.nationalasthma.org.au/uploads/content/647-Asthma-Allergy-Patient-brochure.pdf

Oates, L. (2011). Complementary Medicines for Asthma. Australian Pharmacist, 30(6), 488-490, 492-493. Retrieved from:  http://search.informit.com.au/documentSummary;res=IELAPA;dn=058223330605761

Philpott, L. (2014). Fruit and vegetables might protect against asthma. The Australian Journal of Pharmacy, 95(1152), 48-50, 52. Retrieved from: http://search.informit.com.au/documentSummary;res=IELAPA;dn=305255151757698

Rance, K. S. (2011). Helping patients attain and maintain asthma control: reviewing the role of the nurse practitioner. Journal of Multidisciplinary Healthcare, 4, 299–309. Retrieved from: http://doi.org/10.2147/JMDH.S22966

Rea, P. (2013). Breathe easy. managing asthma [Blog]. Retrieved from: http://www.ifeeldandi.com/carbo-counting/

Shutterstock (2016). Disagree Stock Photos [Online image]. Retrieved March 24, 2016 from https://goo.gl/6mkpPb

Tanaka, T., & Takahashi, R. (2013). Flavonoids and Asthma. Nutrients, 5(6), 2128-2143.

Thien F. C. K., De Luca, S., Woods, R. K. & Abramson, M. J. Dietary marine fatty acids (fish oil) for asthma in adults and children. Cochrane Database Systmatic Reviews, 2 Retrived from:http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001283/full

WellBeing Natural Health & Living News (2016). Special Report [Online image]. Retrieved March 24, 2016 from https://goo.gl/5YG4WE

Wendell, S. G., Baffi, C., & Holguin, F. (2014). Fatty acids, inflammation, and asthma. 

    Journal of Allergy and Clinical Immunology, 133(5), 1255-1264. Doi: 10.1016/j.jaci.2013.12.1087

Wood, L. G., Garg, M. L., Smart, J. M., Scott, H. A., Barker, D. & Gibson, P. G. (2012). 

    Manipulating antioxidant intake in asthma: A randomized controlled trial. American Journal of Clinical Nutrition, 96(3), 534.   

]]> 2016-03-24 05:38:39 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102539983 Diet can regulate factors which highly affect the etiology of asthma. But the direct correlation between diet and asthma is difficult to justify because of the many small studies leaving unexplained contradictions in the literatures (Kim, Ellwood & Asher, 2009). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102540016 2016-03-24 05:40:02 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102540016 National asthma council of Australia denies food as asthma trigger, but more act as part of severe food allergy. The asthma council recommend not to eliminate any food such as diary or wheat from the diet to deal with asthma unless food allergy confirmed by the doctor (National Asthma Council Australia, 2012.  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102540168 2016-03-24 05:44:09 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102540168 Fish oil  contains omega-3 polyunsaturated fatty acids such as eicosapentaenoic acid (EPA) and dicisagexenoic acid (DHA). They help in suppression of inflammatory mediators such as leukotrienes and prostaglandins and are linked to have an anti-inflammatory effects on EIA patients (Mickleborough, Head, & Lindley, 2011). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102540445 2016-03-24 05:52:00 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102540445 Junk food need to be blamed for sudden spike in asthma cases in many developed nations. It suggests including more fruits and vegetables high in fiber.  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102540473 2016-03-24 05:52:52 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102540473 National Asthma Council Australia (2013) denies having any substantial evidence to suggest of any positive effects of low sodium diet on routine asthma control, but confirms having a weak evidence of improvement in patients’ condition relating to exercise induced Asthma.  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102540801 2016-03-24 05:59:38 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102540801 While reviewing of 9 RCTs in patients with asthma, there is no strong evidences that suggest that fish oil has any strong therapeutic effect on asthma patients, despite claim from epidemiological studies of beneficial effects of fish oils on asthma (National Asthma Council Australia, 2015). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102540987 2016-03-24 06:02:43 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102540987 Antioxidants have different mechanisms through which they protect lung tissue against oxidative damage. For example Vitamin E contains defense properties with reviews suggesting that low vitamin E intake was significantly associated with increased asthma severity (Han, Blatter, Brehm, Forno, Litonjua & Celedon, 2013). Additionally, Vitamin C has immune-modulatory, antioxidant and anti-inflammatory properties; reported by systematic reviews, low vitamin C intake is associated with wheezing (Han et al., 2013). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102541654 2016-03-24 06:23:12 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102541654 A randomized controlled trail in 2012 pointed out the inconsistency of the effect of individual antioxidant supplementation on Asthma patient. It suggested manipulation of dietary pattern (intake of antioxidant rich food with five serving of vegetables and two servings of fruits) is more effective in improving asthma condition than individual antioxidant supplement intake (Wood, Garg, Smart, Scott, Baker & Gibson, 2012).  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102541967 2016-03-24 06:29:03 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102541967 Similar finding on antioxidants has been noticed on systematic review of eleven trials in 2013, where vitamin C is identified as dietary antioxidants that play a role in reduction of severity of inflamed airways in asthma; however the study denies any claim of substantial therapeutic impact in reduction of asthma exacerbation (Milan, Hart & Wilkinson, 2013).  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102542112 2016-03-24 06:31:16 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102542112 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102542704 Source: https://www.gingersport.com.au/six-vegetables-to-try-with-your-kids/]]> 2016-03-24 06:40:20 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102542704 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102542800 Source: http://www.caloriesecrets.net/wp-content/uploads/2013/07/why-we-need-antioxidans.jpg]]> 2016-03-24 06:43:35 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102542800 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102543053 Source: https://www.dogsnaturallymagazine.com/wp-content/uploads/2014/05/fish-oil-dog-food.jpg]]> 2016-03-24 06:47:32 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102543053 Reviewed studies suggest that there is causality with obesity as its risk factor. However due to small sample sizes and inconsistent methods, interpretations are challenging thus no valid conclusion stands (Uneli, Skybo, & Camargo Jr, 2007). a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102543531 2016-03-24 06:55:11 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102543531 Study from 2013 find that fruit and vegetables are particularly helpful in the anti-inflammatory process as they house inhibitory chemical mediators that play a key role in asthma inflammation (Tanaka & Takahashi, 2013).  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102691167 2016-03-25 00:05:21 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102691167 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102695382 Source: http://www.foodpyramid.com/]]> 2016-03-25 01:35:49 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102695382 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102695815 Source: http://www.ifeeldandi.com/carbo-counting/]]> 2016-03-25 01:46:15 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102695815 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102696112 2016-03-25 01:52:38 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102696112 VISIT  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102696147 Source: http://www.asthmaaustralia.org.au/vic/home]]> 2016-03-25 01:53:17 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102696147   IF YOU’RE INTERESTED CHECK OUT THESE STUDIES AND ASK YOURSELF THE QUESTION; IS DIET BENEFICIAL FOR ASTHMA MANAGEMENT?  a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102696290 2016-03-25 01:55:52 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102696290 a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102696571 2016-03-25 02:03:19 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102696571 Diet-induced weight loss in obese children with asthma: a randomized controlled trial. Results demonstrated that dietary-induced weight loss was associated with improved lung function.                                                                                                                                                                                                                                                                                                                                             Jensen, M. E., Gibson, P. G., Collins, C. E., Hilton, J. M., & Wood, L. G. (2013). Diet‐induced weight loss in obese children with asthma: a randomized controlled trial. Clinical & Experimental Allergy, 43(7), 775-784. a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102696681 2016-03-25 02:06:13 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102696681 Effect of Lifestyle on Asthma Control in Japanese Patients: Importance of Periodical Exercise and Raw Vegetable Diet. Conclusively Japanese patients experienced better asthma control with raw vegetable intake and periodical exercise.                                                                                                                                                                                                                                            Iikura, M., Yi, S., Ichimura, Y., Hori, A., Izumi, S., Sugiyama, H. & Kobayashi, N. (2013). Effect of lifestyle on asthma control in Japanese patients: importance of periodical exercise and raw vegetable diet. PloS one,8(7), e68290. a8015221 https://padlet.com/a8015221/lr839hppfw56/wish/102696802 2016-03-25 02:09:55 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102696802 + safal_2035 https://padlet.com/a8015221/lr839hppfw56/wish/102702896 2016-03-25 04:47:44 UTC https://padlet.com/a8015221/lr839hppfw56/wish/102702896