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INOVACIJE I IZAZOVI U OBRAZOVANJU I SESTRINSKOJ SKRBI - KNJIGA SAŽETAKA



               Nurse Interventions in Paediatric Patient Assessment

               Suffering from Asthma – Case Report



               Asthma  is  a  heterogeneous  disease,  characterized  by  chronic  airway  inflammation.  It  is
               characterized by airway hyperreactivity by various stimuli, which results in airway obstruction,
               airway edema and airway hypersecretion. Hyperreactivity is reversible,  spontaneous and can
               be a sign of uncontrolled asthma . Asthma often occurs in children with a family history of
               atopy. Symptoms and exacerbations are caused by various triggers (viral infections, tobacco
               smoke, allergens, air pollution). Diagnosis in childhood is sometimes difficult. When a disease
               is suspected by anamnestic data it needs to be confirmed by various diagnostic procedures.
               Importance of asthma treatment in childhood is achieving good/complete control of the asthma
               symptoms, minimize the risk of exacerbation and prevent progressive lung function loss.
               Patient P.D. (age 9) has been treated in Childrens Hospital Srebrnjak for asthma, allergic rhinitis
               and  recurrent  respiratory  infections  with  complications.  In  patient  is  suspected  poorly
               controlled  asthma  (by  frequent  hospitalizations  due  to  exacerbation  of  asthma  and  acute
               respiratory  infections).  With  each  hospitalization,  the  patient  is  admitted  in  a  bad  general
               condition, with dyspnea, and requires oxygen support and further therapeutic and diagnostic
               treatments. Nurse interventions are aimed at health care, education, treatment, prevention of
               complications and, most importantly, improvement of quality of life with good asthma control.
               Parental  education  includes:  methods  and  importamce  of  applying  proper  and  regularly
               prescribed  therapy,  recognition  and  avoidance  of  risk  factors  through  asthma  school,
               environmental control. Hospitalisation includes planned patient discharge.

               Accent the need to educate nurses about procedures, interventions and possible therapeutic
               methods in the care of children and adolescents with asthma, all for the purpose of providing
               and achieving good control of the disease, and thus the optimal quality of life of the patients.

               The  purpose  of  health  care  and  nursing  care  in  the  treatment  of  asthma  is  based  on  the
               implementation  of diagnostic and therapeutic methods with  the aim  of maintaining  a good
               general condition of the patient, avoiding exacerbations and hospitalizations, and is achieved
               through good education of children and parents, and a partnership between the patient and
               parents with health professionals who carry out education.


               Key words: asthma, education, nursing, exacerbation, child


























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