Asthma

Paper Summary:

This paper discusses whether the incidents of asthma outbreaks increase in children who live in an inner city environment with a higher level of environmental pollutants, as compared to those of children who live in suburbs of the same city. It then discusses if a nursing plan tailored to the environmental triggers of the inner city environment along with the education of asthma patients and their parents will reduce the frequency of rescue inhaler use in children.

Table of Contents:
Abstract
Introduction
Problem Statement
Literature Review
Methodology
Evaluation
Ethical Considerations
Budget
Human Subjects
Conclusion

From the Paper:

"It has been identified that children who have asthma have almost 90% more health care costs and require twice as many hospital days (Lozano, Fishman, VonKorff M, et al. 1997). The sum of the research reviewed shows a 180 degree change in the results of the early 1980s which seemed to indicate that patients did not improve symptomatology after education programs were in place. Now it is firmly identified that providers who treat patients with asthma must not only provide the medication, with clear instructions on its use but also give verbal and even written instructions on disease management. It now appears that patients need to have more education so they may identify all elements of the lifestyle which may effect disease management (Mansour , Lanphear , DeWitt, 2000; Finkelstein, Lozano, Farber, et al, 2002)."

Sample of Sources Used:

• Bratton SL, Roberts JS, Watson RS, et al. Acute severe asthma: outcome and Medicaid insurance. Pediatr Crit Care Med 2002; 3:234-238
• Clark NM, Gong M, Schork MA, ct al. Long-term effects of asthma education for physicians on patient satisfaction and use of health services. Eur Respir J 2000; 16:15-21
• Finkelstein JA, Lozano P, Farber HT, et al. Underuse of controller medications among Medicaid insured children with asthma. Arch Pediatr Adolesc Med 2002; 156:562-567
• Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ 2003; 326:1308-1312
• Lozano P, Fishman P, VonKorff M, et al. Health care utilization and costs among children with asthma who were enrolled in a health maintenance organization. Pediatrics 1997; 99:757-764

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