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Asthma and chronic obstructive pulmonary disease (COPD) are significant public health burdens. Currently, more than 25 million people in the United States have asthma (HealthyPeople.gov, 2019). As an advanced practice nurse, you will likely encounter patients who will present with respiratory disorders, including asthma or COPD. Understanding specific treatment protocols as well as the types of pharmacotherapeutics used to treat respiratory disorders is important to ensure the effective and safe delivery of advanced nursing practice.

This week, you will evaluate drug therapy plans for patients who present with asthma and analyze the stepwise approach to asthma treatment and management from a patient in your professional practice.

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Reference: HealthyPeople.gov. (2019). Respiratory diseases. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/respiratory-diseases

Learning Objectives

Students will:

  • Evaluate drug therapy plans for asthma
  • Assess the impact of asthma treatments on patients
  • Analyze the stepwise approach to asthma treatment and management

Learning Resources

Required Readings (click to expand/reduce) 

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
Chapter 62, “Drugs for Asthma and Chronic Obstructive Pulmonary Disease” (pp. 557–579)
Chapter 63, “Drugs for Allergic Rhinitis, Cough, and Colds” (pp. 580–588)

Document: APA Presentation Template

Required Media (click to expand/reduce) 

Speed Pharmacology. (2020). Drugs for asthma and COPD (Made Easy) [Video]. https://www.youtube.com/watch?v=-DVZ9pl0rGY
Note: This media program is approximately 14 minutes.

Speed Pharmacology. (2017). Antihistamines (Made Easy) [Video]. https://www.youtube.com/watch?v=D5PHANcdA_E&t=25s
Note: This media program is approximately 10 minutes.

Optional Resources (click to expand/reduce) 

National Heart Lung and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

This web resource presents guidelines for diagnosing and managing asthma and outlines treatment recommendations for specific age groups.

Assignment: Asthma and Stepwise Management

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.  

Photo Credit: Photo Library / Getty Images

One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare
  • Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children.
  • Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.
  • Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.
By Day 7 of Week 3

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

  • Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
  • Explain the stepwise approach to asthma treatment and management for your patient.
  • Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

Rubric Detail Select Grid View or List View to change the rubric’s layout.

Excellent Good Fair Poor

Describe the long-term control and quick relief treatment options for the asthma patient from your practice, as well as the impact these drugs might have on your patient.

27 (27%) – 30 (30%)

The presentation clearly and accurately describes in detail the long-term control and quick relief treatment options for the asthma patient from their practice.

The presentation clearly and accurately describes in detail the impact these drugs might have on their patient.

24 (24%) – 26 (26%)

The presentation accurately describes the long- term control and quick relief options for the asthma patient from their practice.

The presentation accurately describes the impact these drugs might have on their patient.

21 (21%) – 23 (23%)

The presentation inaccurately or vaguely describes the long- term control and quick relief options for the asthma patient from their practice.

The presentation inaccurately or vaguely describes the impact these drugs might have on their patient.

0 (0%) – 20 (20%)

The presentation inaccurately and vaguely describes the long-term and quick relief options for the asthma patient from their practice, or is missing.

The presentation inaccurately and vaguely describes the impact these drugs might have on their patient, or is missing.

Name: NURS_6521_Week3_Assignment_Rubric EXIT

Grid View List View

3/19/21, 11:40 PM Page 1 of 4

Explain the stepwise approach to asthma treatment and management for your patient.

27 (27%) – 30 (30%)

The presentation clearly and accurately explains in detail the stepwise approach to asthma treatment and management for their patient.

24 (24%) – 26 (26%)

The presentation accurately explains the stepwise approach to asthma treatment and management for their patient.

21 (21%) – 23 (23%)

The presentation inaccurately or vaguely explains the stepwise approach to asthma treatment and management for their patient.

0 (0%) – 20 (20%)

The presentation inaccurately and vaguely explains the stepwise approach to asthma treatment and management for their patient.

Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be speci!c.

27 (27%) – 30 (30%)

The presentation clearly and accurately explains in detail how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

The presentation provides accurate and detailed examples to support the

24 (24%) – 26 (26%)

The presentation accurately explains how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

The presentation provides accurate examples to support the explanation provided.

21 (21%) – 23 (23%)

The presentation inaccurately or vaguely explains how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

The presentation provides inaccurate or vague examples to support the explanation

0 (0%) – 20 (20%)

The presentation inaccurately and vaguely explains how stepwise management assists health care providers and patients in gaining and maintaining control of the disease, or is missing.

The presentation provides inaccurate and vague examples to support the explanation provided, or is

3/19/21, 11:40 PM Page 2 of 4

explanation provided.

provided. missing.

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, “ow logically, and demonstrate continuity of ideas. Sentences are carefully focused– neither long and rambling nor short and lacking substance.

5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for !ow, continuity, and clarity.

4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for !ow, continuity, and clarity 80% of the time.

3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for !ow, continuity, and clarity 60%–79% of the time.

0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for !ow, continuity, and clarity less than 60% of the time.

Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors

4 (4%) – 4 (4%) Contains a few (1–2) grammar, spelling, and punctuation errors

3.5 (3.5%) – 3.5 (3.5%) Contains several (3–4) grammar, spelling, and punctuation errors

0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding

Total Points: 100

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Name: NURS_6521_Week3_Assignment_Rubric

EXIT

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