medical report for asthma patient

Diagnosing asthma generally includes a medical history, physical exam and lung tests. By Mayo Clinic Staff An asthma diagnosis is based on several factors, including a detailed medical history, a physical exam, your symptoms, and overall health and test results. Medical history

Full Answer

How to assess a patient with asthma in a hospital?

Assessment of a patient with asthma includes the following: 1 Assess the patient’s respiratory status by monitoring the severity of the symptoms. 2 Assess for breath sounds. 3 Assess the patient’s peak flow. 4 Assess the level of oxygen saturation through the pulse oximeter. 5 Monitor the patient’s vital signs.

What are supportive measures for the treatment of asthma?

Supportive measures include seeking medicalattention, avoiding Asthma triggers, taking medication, and check peak flow meter for a measure of infection.

What are the criteria for the diagnosis of severe asthma?

This is recommended for patients who meet one or more of the following criteria: have moderate or severe persistent asthma, have poor perception of changes in airflow or worsening symptoms, have unexplained response to environmental or occupational exposures, or at the discretion of the clinician or patient. Function.

How is asthma diagnosed in children?

Instead, diagnosis is generally based on a child's signs and symptoms, medical history, and physical examination. It can be especially difficult to diagnose asthma in young children because there are many conditions that cause asthma-like symptoms in this age group. If your child's doctor suspects asthma,...

What is the medical diagnosis for asthma?

Spirometry. This is the main test doctors generally use to diagnose asthma in people 5 years or older. To help determine how well your lungs are working (pulmonary function), you take a deep breath and forcefully breathe out (exhale) into a tube connected to a spirometer.

Why is medical history important for asthma?

This also includes all previous medical conditions. A history of allergies or eczema increases your chance of asthma. A family history of asthma, allergies or eczema increases your chance of having asthma, too. Tell your doctor about any home or work exposure to environmental factors that can worsen asthma.

What should an asthma patient monitor?

There are four key symptoms that you should monitor to help you keep your asthma under control:Daytime Symptoms. How often do you have asthma symptoms during the day, such as coughing, wheezing, chest tightness or shortness of breath?Nighttime Symptoms. ... Quick-Relief or Rescue Inhaler Use. ... Activity Level.

What are the 4 categories of asthma?

Ideally, asthma severity is determined before initiating therapy. The EPR-3 guideline classification divides asthma severity into four groups: intermittent, persistent-mild, persistent-moderate, and persistent-severe.

Can CBC detect asthma?

A simple calculation using routine blood test results can identify eosinophilic asthma patients. Complete blood count (CBC) with differential, a standard test that enumerates different types of white cells in peripheral blood, is often performed during routine patient visits in clinics and hospitals.

What questions should I ask a patient with asthma?

Seven questions to ask your patients about asthmaDo you understand what asthma is? ... Do you know what triggers your asthma? ... Do you know when to come to the ED? ... Do you understand the difference between your medications? ... Will you seek follow-up care? ... Do you know how to use your inhaler? ... Do you monitor symptoms at home?

What is the management of asthma?

The four parts of managing asthma are: Identify and minimize contact with asthma triggers. Understand and take medications as prescribed. Monitor asthma to recognize signs when it is getting worse.

What tests are needed for asthma?

If your doctor suspects that you have a condition in addition to or other than asthma, you may need tests such as: X-ray or computerized tomography (CT) imaging of your chest. CT scans of your sinuses. Blood tests. Gastroesophageal reflux assessment.

How to diagnose asthma in 5 years?

Spirometry. This is the main test doctors generally use to diagnose asthma in people 5 years or older. To help determine how well your lungs are working (pulmonary function), you take a deep breath and forcefully breathe out (exhale) into a tube connected to a spirometer. This records both the amount (volume) of air you exhale ...

Why is it so hard to diagnose asthma in children?

It can be especially difficult to diagnose asthma in young children because there are many conditions that cause asthma-like symptoms in this age group. If your child's doctor suspects asthma, the doctor may prescribe a bronchodilator — a drug that opens the airways.

What are the symptoms of asthma in children?

These may include: Louder or faster than normal breathing. Frequent coughing or coughing that worsens after active play. Coughing, clear mucus and a runny nose caused by hay fever. Frequent missed school days.

What are the steps to diagnosing asthma?

Asthma: Steps in testing and diagnosis. Diagnosing asthma generally includes a medical history, physical exam and lung tests. An asthma diagnosis is based on several factors, including a detailed medical history, a physical exam, your symptoms, and overall health and test results.

What does it mean when your lung test is below normal?

If certain measurements are below normal for a person your age, it may indicate that asthma has narrowed your airways. After taking lung test measurements, your doctor may ask you to inhale an asthma drug to open air passages and then do the test again.

What is the name of the device that measures the amount of air you breathe in and out?

Spirometer. Spirometer. A spirometer is a diagnostic device that measures the amount of air you're able to breathe in and out and its rate of flow. Your doctor may use several tests to determine how well your lungs are working.

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How old was S.A. when she had pneumonia?

S.A. had pneumonia when she was 24. As a young child, she often had a cold and a sore throat, which led to bronchitis. She also had influenza four times (at the age of 15, 18, 19, and 23). The patient claims to have never experienced any difficulties breathing before, though. Get your.

Why are the airways narrowing in a patient?

According to the physical assessment results, the patient’s airways narrow as a result of being exposed to certain factors such as the presence of pollen in the air.

What are some examples of allergies?

Allergies. The patient is allergic to pollen, dust, cold air, smoke, fumes, animals, and mold. Furthermore, the instances of allergy can be caused by strong scents, in general. For example, S. A. stated that she had a breathing problem after scenting strong perfume.

Is S. A.'s mental health impaired?

Thus, the patient’s mental health status can be regarded as positive. S. A.’s mental health is not impaired. She can thin coherently and properly. However, the presence of anxiety needs to be addressed (Bruzzese et al., 2016).

Is hair healthy for asthma?

S. A.’s hair can be defined as relatively healthy, although it is not thick and is prone to falling out. The observed phenomenon can be attributed to the increase in the stressful experiences associated with asthma, as well as improper dieting (particularly, the lack of protein) (Grond, 2017).

Does family history include allergies?

Specifically, there has been no known history of allergies or asthma.

Is the external portion of the patient's nose symmetrical?

The external portion of the patient’s nose is symmetrical and placed appropriately. S. A.’s nostrils are currently occluded, which can be viewed as a partial reason for the observed difficulty breathing.

What causes asthma in the office?

Allergy-induced asthma, caused by airborne contaminants such as pollen, mold spores, cockroach or skin debris, and pet-shredded, dried saliva.

What are the symptoms of respiratory problems?

Respiratory: increased breathing, chest pains, shortness of breath, wheeze, heavy cough, speaking difficulty, and chest tightness. The case study patient for this paper presented with episodic shortness of breath, and chest tightness.

How often does chest tightness occur?

The patient presented herself to the healthcare office with complaints over chest tightness and episodic shortness of breath that occurs twice or thrice a month.

What are the symptoms of a smoker's disease?

Also, the disease presents dizziness, fatigue, and abdominal pains. The disease was considered based on the patient’s wheezing, smoking, congestive lungs, breath shortness, and abdominal pains, characteristics that appear in patients with smoking habits. This disease was considered based on the patient physical symptoms.

Can atopic dermatitis cause asthma?

Several results indicate that children with atopic dermatitis can suffer more serious and chronic adult asthma. Differential Diagnoses. 1. Chronic obstructive pulmonary disease (COPD) This disease was considered because the patient is an adult aged 25 years, which is the age group of the case study.

Can asthma patients use inhalers?

Besides, those with critical Asthma are advised to keep their inhalers nearby for use in case of panic attacks or allergic reactions (“Asthma – Diagnosis and treatment – Mayo Clinic,” 2018). Moreover, Asthmatic patients avoid Asthma trigger s such as smoking, perfumes, unprescribed drugs, and irritative pets.

How does insurance affect asthma?

Insurance coverage affected caregivers’ , patients’, and health care providers’ decisions about treatment. Most patients and caregivers would forego uncovered treatment, though caregivers were more willing than patients to pay for uncovered medications. Other factors that may affect decision-making about asthma treatment include safety, side effects, benefits, success rates, and asthma severity . A few adult patients were concerned about developing a drug dependency or addiction (especially to pills). Patients with comorbidities also were concerned about drug interactions and contraindications, especially for oral medications.

What are the best websites for asthma?

Preferred sources for asthma information included websites such as UpToDate, AAP SmartBrief, NHLBI, WebMD, and Mayo Clinic, or apps such as Lexicomp, AAP, PDR, and Medscape.

Is inhaled medication better than liquid?

Patients and caregivers discussed various aspects of taking asthma medications. They preferred inhaled medications over pills or liquids. They said inhaled medication is easier to take or administer, faster acting, and more effective (because it is delivered directly to where it is needed).

What are the symptoms of asthma?

The signs and symptoms of asthma can include coughing (especially at night), wheezing, shortness of breath, and chest tightness, pain, or pressure6. Understanding the experiences or exposures that make the asthma flare-up is a key step to better managing the disease.

How to treat asthma?

Asthma can be treated with inhalers, oral medications, and drugs delivered in a nebulizer or a breathing machine. Making a plan to avoid or limit the environmental exposure to asthma triggers can eliminate asthma symptoms and help control the disease1. The use of action plans can assist with treatment and identify symptoms to quickly get breathing under control. There are three basic zones: green (stable for time- no coughing), yellow (coughs, wheezing, chest tightness), and red (danger and should seek medical care immediately) that are followed and should be kept up-to-date6. Providers can utilize the template from Asthma and Allergy Foundation of America to assist with controlling asthma2. There are also apps, such as Asthma Tracker, that can be downloaded to Android or I Phones to assist members with their asthma action plan.

What is asthma action plan?

Each member with a diagnosis of asthma should have an asthma action plan in writing. An asthma action plan is considered a documentation tool that assists with continuity of care for the member, including schools, nurses, teachers, and other care givers. Note all disclaimers on the website

What is asthma wave?

The asthma WAVES program is specific to Home State Health. It is a case management initiative program that provides telephonic outreach, education and support services to promote adherence to asthma treatment, prevent exacerbations and optimize functional status for members who have asthma. Refer a member…

Is asthma a chronic disease?

Asthma, sometimes called bronchial asthma or reactive airway disease, is a chronic lung disease that makes it harder to move air in and out of the lungs1,6. It can be serious, life threatening, and start at any age. With asthma, swollen airways become extra sensitive to things that one is exposed to in the environment every day-asthma “triggers”. When a trigger is breathed in, the airways create extra mucus and swell even more, making it harder to breath6.

What are the symptoms of asthma?

Most common symptoms of asthma are cough (with or without mucus production), dyspnea, and wheezing (first on expiration, then possibly during inspiration as well). Cough.

How long does asthma last?

Patients with asthma may experience symptom-free periods alternating with acute exacerbations that last from minutes to hours or days. Asthma, the most common chronic disease of childhood, can begin at any age.

What is asthma in life?

What is Asthma? Asthma affects people in their different stages in life, yet it can be avoided and treated. Asthma is a chronic inflammatory disease of the airways that causes airway hyperresponsiveness, mucosal edema, and mucus production. Inflammation ultimately leads to recurrent episodes of asthma symptoms.

What is the role of patient teaching in asthma?

Health education. Patient teaching is a critical component of care for patients with asthma.

What is the strongest predisposing factor for asthma?

Allergy. Allergy is the strongest predisposing factor for asthma. Chronic exposure to airway irritants. Irritants can be seasonal (grass, tree, and weed pollens) or perennial (mold, dust, roaches, animal dander). Exercise.

What is the best medication for asthma?

Short-acting beta2 –adrenergic agonists. These are the medications of choice for relief of acute symptoms and prevention of exercise-induced asthma. Anticholinergics. Anticholinergics inhibit muscarinic cholinergic receptors and reduce intrinsic vagal tone of the airway.

What are the symptoms of exercise induced asthma?

Exercise-induced asthma: maximal symptoms during exercise, absence of nocturnal symptoms, and sometimes only a description of a “choking” sensation during exercise. A severe, continuous reaction, status asthmaticus, may occur.

What are the different types of medical reports?

Types of Medical Report Templates 1 Patient Medical Report Example – This is what you need if you’re looking for a generic medical report template. This medical report targets any patient with certain illnesses, ideal for clinic or hospital use. This contains needed information such as patient’s complete name, address, contact details, questions about medical status/history, and other related medical questions. 2 Hospital Medical Report Template – This type of medical report is designed for hospital use. Information includes patient’s name, ward, hospital name, medical consultant, discharge summary, the reason for admission and medical diagnosis, and past medical history. 3 Medical Examination Report Example – If you’re making medical reports intended for medical examinations, perhaps you might want to download this template for more convenience. This is a complete template that targets examination reports in a medical setting. 4 Medical Incident Report Template – This type of medical report focuses on any incident or accident that may happen within a medical setting. This is filled so that recording of details about incidents that occur at the medical facility will be tracked down and certain measures or sanctions will be implemented. 5 Medical Fitness Report Template – Making medical reports for fitness progress? This template is what you need. This aims at providing a thorough and complete report for medical fitness. The template contains information such as applicant’s name, address, license number, name of the hospital/clinic who conducted the report, and questions related to medical fitness.

Why is it important to update medical reports?

In every patient’s life, change always comes, may it be a changed name, address, medical progress, or a new health diagnosis and prescription.

What should be written down in a medical history?

Effects of alcohol, intellectual, emotional, psychiatric, and other drugs taken should be written down. Regardless if there are negative findings, it should also be included. Medical History. When writing a patient’s medical history, relevant medical conditions should be considered.