NRSG353 IBL Team e-Poster by nrsg353 https://padlet.com/usanlee93/nrsg353 Team Members: Susan Leem S00148774, Sam Hargreaves S00165935, Thuy-Duong (Vivian) Tran S00155382, Clarisse Anne Arucan S00178104, Stella Carroll S00168140 en-us 2016-03-08 00:15:34 UTC 2024-10-27 23:13:25 UTC hello@padlet.com http://www.therecord.com.au/wp-content/uploads/2015/02/ACU_logo_new.jpg AGREE usanlee93 https://padlet.com/usanlee93/nrsg353/wish/99541473 2016-03-08 00:24:11 UTC https://padlet.com/usanlee93/nrsg353/wish/99541473 Asthma [disagree] usanlee93 https://padlet.com/usanlee93/nrsg353/wish/99541542 According to Arshad, S. on the current reviews of allergy and clinical immunology, the primary prevention of asthma exacerbation is the identification of risk factors, such as allergen exposure. 

Based on the study of Professor Beasley R,  Semprini,A.,  Mitchell, E. In the interim, public health efforts should remain focused on measures with the potential to improve lung and general health, such as: reducing tobacco smoking and environmental tobacco smoke exposure; reducing indoor and outdoor air pollution and occupational exposures; improving feto-maternal health; encouraging breastfeeding; promoting childhood vaccinations; and reducing social inequalities.

Bousquet, J. Bousquet, P., Godard, P. & Daures, J. emphasizes that the successful management of asthma is to reduce Several barriers of optimal asthma therapies, this includes: 
  • Economic and generic barriers. 
  • Cultural barriers
  • Environmental barriers
  • Traditional medicine
  • Large differences in health care systems. 
  • Gaps, relevance and the integration of different guidelines in developing countries. 
  • The lack of symptom-based guidelines.
Geronguide. Asthma triggers. [Photograph]. Retrieved from: http://www.geronguide.com/gallery/var/albums/Asthma/asthma-triggers-01.jpg?m=1292119007
]]> 2016-03-08 00:24:52 UTC https://padlet.com/usanlee93/nrsg353/wish/99541542 Reference usanlee93 https://padlet.com/usanlee93/nrsg353/wish/99544355 Hiusstede, A. V., & Braunstahl, G. J. (2010). Obesity and Asthma: Co-morbidity or Causal Relationship. Departments of Pulmonology, 73(3), 116-123. Retrieved from Leiden University website: http://www.monaldi-archives.org/index.php/macd/article/view/295/283

National Asthma Council Australia. (n.d). Effects of dietary strategies in asthma management. [Table] Retrieved from: http://www.asthmahandbook.org.au/table/show/56

National Asthma Council Austrlia. (2012). Asthma and allergy. Retrieved from the National Asthma Council Australia website: http://www.nationalasthma.org.au/uploads/publication/asthma-allergy-hp.pdf


]]> 2016-03-08 00:50:32 UTC https://padlet.com/usanlee93/nrsg353/wish/99544355 Diet is a key factor in asthma management, and needs to be modified to reduce the risk of asthma exacerbations usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102170192 2016-03-22 10:24:45 UTC https://padlet.com/usanlee93/nrsg353/wish/102170192 Asthma (disagree) usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102323739 Diet is not a key factor in asthma management, as there are many different factors in asthma management. Asthma management according to asthma Australia involves 'controlling the symptoms in order to live a normal active life' (Your asthma medicine- An Asthma Australia site'). It involves the individual having an awareness of their asthma and how to self manage their asthma.  This includes using the correct medication,  to reduce the risk of asthma exacerbations in a patient. ]]> 2016-03-22 23:18:11 UTC https://padlet.com/usanlee93/nrsg353/wish/102323739 What is asthma? Why does it need to be managed? usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102323992 FACTS
Asthma is a chronic inflammatory disorder characterized by airway obstruction and hyperresponsiveness. (Calhoun, K. 2015). Approximately 235 million people have been diagnosed with asthma worldwide according to World Health Organisation (WHO). Specifically in Australia, high prevalence of asthma has been recorded with 1 in 8 children and 1 in 10 adults diagnosed with asthma (Bullock, & Hales, 2013). Asthma is a chronic disease with intermittent acute exacerbations that needs to manage. (Bullock, & Hales, 2013).

National Heart, Lung, and Blood Institute. What is asthma. [Photograph]. Retrieved from http://www.nhlbi.nih.gov/sites/www.nhlbi.nih.gov/files/images_234

]]> 2016-03-22 23:21:32 UTC https://padlet.com/usanlee93/nrsg353/wish/102323992 usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102327483 Bateman. Goals of asthma management. [Photograph]. Retrieved from https://padlet-uploads.s3.amazonaws.com/prod/103222265/28f1d078955c9f2f830fbe150a11a9b913f7e91f/5e159f1c1734c1563e259467e793baf9.jpg]]> 2016-03-23 00:00:53 UTC https://padlet.com/usanlee93/nrsg353/wish/102327483 NURSING IMPLICATIONS usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102327585
  • As a nurse, health education regarding the avoidance of triggering factors should be emphasise in our patients.
  • As a nurse we need to encourage individuals to take their medication as this is vital for their quality of life. Need to educate the patient  about the critical components of asthma and medication. 
  • As nurses we can devise a medication action plan for controlling chronic asthma symptoms and relieving acute asthma episodes with their medications.(National Institutes of Health: National Heart, Lung, and Blood Institute, 1995)
    • ]]>     2016-03-23 00:02:50 UTC https://padlet.com/usanlee93/nrsg353/wish/102327585     SUMMATION usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102327819 In summation, the evidence supports that the exacerbation of asthma can be attributed to dietary factors. Most notably,  the intake of preservatives and/or additives including immunoglobin E which is a common hidden ingredient in food, known to trigger asthma, as well as high fat diets which can hinder the amount of airflow to the lungs due to the increased production of sputum eosinophilia. In addition, the diet of a pregnant woman has also shown links with childhood wheezing and asthma related symptoms in newborns, hence it is important for nurses to educate women throughout their pregnancy to take adequate vitamins, such as vitamins E, D and Zinc. Lastly, people with asthma should aim to modify their diet to include more whole foods, fruit and vegetables to avoid high fat consumption and hidden preservatives in food. Nurses should inform patients with asthma about the action plans in place to assist them in daily life. This research places diet as a key factor in the management of asthma, and requires diet modification to mitigate the risk of asthma exacerbations.]]> 2016-03-23 00:06:57 UTC https://padlet.com/usanlee93/nrsg353/wish/102327819 Medication usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102329034 Medication can play a pivotal role in asthma management as well as decreasing the risk of asthma exacerbation. Asthma medication is usually given through an inhaler and includes relievers such as  inhaled short- acting beta 2 agonists  are 'effective in the management of asthma exacerbations (Farrell & Dempsey, 2014, p.501).  Preventers  which include 'inhaled corticosteroid' ( Your asthma medicine- An Asthma Australia site'). Symptom controllers  include 'long- acting beta2- agonists' (Farrell & Dempsey, 2014, pg501) are also used in the management of asthma which  reduce the risk of an individual having a asthma attack.  
    According to asthma Australia, preventer such as seretide is used to make the ‘airway less sensitive and reduce the redness and swelling and to help dry up mucus’ ("Your asthma medicine - An Asthma Australia site). A reliever is for a quick relief of asthma symptom it is used to ‘relax the muscle around the outside of the airway to open it up’ ("Your asthma medicine - An Asthma Australia site,"). All these medications play a pivotal role in asthma management and reduce the risk of asthma exacerbation.  Through researching,  Diet is not a key factor in asthma management.

    HealthyWA. Asthma reliver blue.  [Photograph]. Retrieved from http://acsh.org/wp-content/uploads/2015/10/inhaler-1464334-640x640.jpg]]>     2016-03-23 00:21:43 UTC https://padlet.com/usanlee93/nrsg353/wish/102329034     usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102331070 2016-03-23 00:45:49 UTC https://padlet.com/usanlee93/nrsg353/wish/102331070 usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102331165 2016-03-23 00:47:01 UTC https://padlet.com/usanlee93/nrsg353/wish/102331165 DISAGREE usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102331186 2016-03-23 00:47:23 UTC https://padlet.com/usanlee93/nrsg353/wish/102331186 usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102364048 (Farrell & Dempsey, 2014, p. 487)]]> 2016-03-23 08:57:09 UTC https://padlet.com/usanlee93/nrsg353/wish/102364048 Asthma [agree] usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102558931 In Australia, the role of diet and asthma exacerbation is a critical factor, as adequate education, prevention and interventions should be recognised to promote a positive outcome.]]> 2016-03-24 10:17:16 UTC https://padlet.com/usanlee93/nrsg353/wish/102558931 Allergy Triggering Foods usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102558971
  • National Asthma Council Australia (2012) highlights that incidence of food allergen among children during infancy or early childhood, which is often followed by the development of asthma and allergic symptoms in later years (p. 13).
  • Food choices play a significant role in relation to asthma exacerbations and higher risk of developing asthma attacks – such as asthma exacerbation are often caused by “hidden” ingredients in food,  as immunoglobin E (IgE) may provoke sensitisation in the digestive system and responds to hyperactivity in the smooth muscles of airway eg. Peanuts and nuts (Gupta & Verma, 2007, p. 106).
  • Food additives or preserved food have been proven to compromise lung function due to inadequate low antioxidant diet.
    • ]]>     2016-03-24 10:17:48 UTC https://padlet.com/usanlee93/nrsg353/wish/102558971     Maternal Diet Management To Prevent Risk of Early-life Asthma usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102559064
  • Research studies have highlighted the connection between maternal intake during pregnancy and the impact on their child. As data suggests that low maternal dietary intakes (such as vitamin E, vitamin D and zinc) during pregnancy is associated with an increased likelihood of childhood wheezing and asthma.
  • Additionally, the control of Polyunsaturated Fatty Acid (PUFA) intake is highly suggested among women who are pregnant to prevent the risk of childhood asthma (Allan & Devereux, 2011, p. 265).

    • National Asthma Council Australia. Pregnancy. [Photograph]. Retrieved from http://www.nationalasthma.org.au/uploads/publication/pregnancy.pdf
    ]]>     2016-03-24 10:19:06 UTC https://padlet.com/usanlee93/nrsg353/wish/102559064     Low Intake of Antioxidant Dietary usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102559243
  • High antioxidant rich diet involves  protection against oxidative stress -increased secretion of mucous, airway inflammation and reduced efficacy of bronchodilator (Sahiner et al., 2011, p. 151).
  • To support this, study conducted by Scott (2011) examined the relationship between co-morbidities and asthma risk among Australian communities (p. 42). Research shows strong evidence that high fat consumption contributes increase production of sputum eosinophilia that results airflow limitation (p. 32).
  • Chronic hypoventilation and obesity, such as Pickwickian Syndrome, may contribute in asthma exacerbation, as patients who are severely overweight may develop poor gas exchange, resulting in low blood oxygen levels and higher carbon dioxide levels (Estes et al., 2013, p. 415).
  • Therefore, patient with higher Body Mass Index (BMI) have low intake of antioxidant diet and higher prevalence of asthma exacerbations and asthma-related quality of life (Huisstede & Bruanstahl, 2010, p. 116).
  • Strategies in asthma diet  involves consumption of high antioxidant rich diet: five servings of vegetables and two servings of fruit daily – Improvements were evident to improve lung function and prevent the risk of asthma exacerbations (National Asthma Council Australia, n.d).
    • Gofor2and5. Logo. [Photograph]. Retrieved from: http://www.gofor2and5.com.au/Portals/0/Skins/homeTemplate//images/logo.jpg
    ]]>     2016-03-24 10:20:13 UTC https://padlet.com/usanlee93/nrsg353/wish/102559243     NURSING IMPLICATIONS usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102559536
  • Knowledge and patient participation in care are vital to asthma care. It is essential that healthcare professionals use this knowledge to educate patients about the importance of modified diet to improve their quality of life.
  • Provide and encourage patients the use of asthma action plans or self-management plans decreases absence from work hospital admissions, emergency presentations to general practice, short-acting bronchodilator use and therefore improve lung function. (Farrell & Dempsey, 2014, p. 489).
  • It is important that nurses support and attain optimal level of coping – as ineffective coping may reduce socialisation, anxiety, depression, lower activity level and inability to work. Therefore, effective nursing goals, such as referral to Pulmonary Rehabilitation Program (PRP) may promote improvement in patient’s status and self-esteem, hence, increase patient’s motivation for a healthier lifestyle (Farrell & Dempsey, 2014, p 454).
    • ]]>     2016-03-24 10:23:25 UTC https://padlet.com/usanlee93/nrsg353/wish/102559536     Reference usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102560149 Allan, K., & Devereux, G. (2011). Diet and Asthma: Nutrition Implications from Prevention to Treatment. Journal of The American Dietetic Association, 111(2), 258-268. doi: 10.1016/j.jada.2010.10.048

    Bullock, S., & Hales.M. (2013). Principles of pathophysiology. French Forest, NSW: Pearson Australia.

    Estes, M., Calleja, P., Theobald, K., & Harvey, T. (2013). Health assessment & physical examination. South Melbourne, Vic.: Cengage Learning Australia.

    Farrell, M., & Dempsey, J. (2014). Management of patients with chronic pulmonary disease. In Smeltzer & Bare's Textbook of Medical- Surgical Nursing (p. 501). Sydney: Lippincott Williams & Wilkins.

    Gupta, K., & Verma, M. (2007). Nutrition and Asthma. Lung India, 24(3), 105-114. Retrieved from: http://medind.nic.in/laa/t07/i3/laat07i3p105.pdf

    ]]>     2016-03-24 10:29:09 UTC https://padlet.com/usanlee93/nrsg353/wish/102560149     Reference usanlee93 https://padlet.com/usanlee93/nrsg353/wish/102560205 National Institutes of Health: National Heart, Lung, and Blood Institute. (1995). Nurses: Partners in Asthma Care. Retrieved from: https://www.nhlbi.nih.gov/files/docs/resources/lung/nurs_gde.pdf

    Scott, H. A. (2011). Exploring the Link Between Obesity and Asthma. University of Newcastle Research Higher Degree. Retrieved from: 
     http://hdl.handle.net/1959.13/927988

    Sahiner, U., Birben, E., Erzurum, S., Sackesen, C., & Kalayci, O. (2011). Oxidative Stress in Asthma. World Allergy Organization Journal, 4(10), 151-158. doi: 10.1097/WOX.0b013e318232389e

    Your asthma medicine - An Asthma Australia site. (n.d.). Retrieved from http://www.asthmaaustralia.org.au/nsw/about-asthma/manage-your-asthma/your-asthma-medicine]]>     2016-03-24 10:29:37 UTC https://padlet.com/usanlee93/nrsg353/wish/102560205