Explain the Management of Chronic Respiratory Conditions
Explain the Management of Chronic Respiratory Conditions
1st paragraph from introduction needs precise numbers and referencing from The National Review of Asthma Deaths in the UK; 1st paragraph form History part needs referencing too; Don’t think that history of Gillick competency needs mentioning, just a fact that child need to be assessed if competent; more info regarding other symptoms which can be related to asthma exacerbation; the sentence on page 3 re. environmental pollution sounds very confusing…; 1st sentence on page 4 very confusing ..the reduced rate of usually breathing???; there is nothing mention about Sue bringing up sputum and also there is nothing about severe chest pain . It says in case study that “she is complaining of increase shortness of breath and some increase chest tightness, but only when exercising which has been making her stop to catch her breath”, Hoover sign not relevant; In Diagnosis part it would be good to use article below: Is spirometry essential in diagnosing asthma? No Mark L Levy British Journal of General Practice 2016; 66 (650): 485. DOI: https://doi.org/10.3399/bjgp16X686965; what about saying about chest auscultation; A peak flow, not very clear, what about mentioning peak flow diary; Methacholine on page 5 not relevant, In management part: all information need be relevant to patient from case study, from case study we know she occasionally uses brown inhaler (ICS) but not regulary. Has used blue one (SABA) every 3 hours over last 24 hours. What about stepping up treatment , needs expanding on it , also when to review and what would be the next step. Too much irrelevant info in this part and a lot waffling; Re. non-pharmacological management needs mentioning about immunisations eg.flu, pneumococcal. Also breathing exercises as per pulmonary rehab (referencing needed). Quite confusing “Diagnostic challenges facing health practioners” , why Austarlia has been mentioned ? ? only UK referencing permitted; In the next part again mentioned American Nurses Association , only UK!! In conclusion, why Gillick competency has been mentioned again.
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