We can work on Clinical judgment

Patient scenarioK.H is a 16 year old female that presented to the clinical for a cough and shortness of
breath for 3 weeks. She reports shortness of breath while walking. She has an increase
respirations of 22 rate per minute and wheezing noted on physical examination. A chest
xray was done and it showed Pulmonary hyperinflatin. I diagnosed her with acute asthma
and prescribed her an aluterol inhaler to use every 4-6 hours as needed for bronchospasm.
And provided education on how to use the inhaler and when to use the inhaler.

  1. Instructions- Address the following questions:
    a. Which resources would you recommend if the client requested
    complimentary alternative medicine (CAM) as part of her treatment strategy
    based on what I provided above?
    b. How would these resources change the education provided to the client?
  2. Include the following components:
    a. write 250-350 words in a Microsoft Word document
    b. demonstrate clinical judgment appropriate to the patient scenario
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Sample Answer

 

 

 

 

. CAM Resources for Asthma

Given K.H.’s diagnosis of acute asthma and her request for complementary and alternative medicine (CAM) options, here are some resources I would recommend:

  • Mind-Body Techniques:

    • Deep Breathing Exercises: These can help to relax the body and slow down rapid breathing, a common symptom of asthma attacks.
    • Yoga and Tai Chi: These practices can improve lung function, reduce stress, and enhance overall well-being, which can be beneficial for individuals with asthma.
    • Mindfulness Meditation: This can help reduce stress and anxiety, which can trigger asthma symptoms.

  • Dietary Approaches:

    • Whole Foods Diet: Encourage a diet rich in fruits, vegetables, and whole grains, while limiting processed foods, sugar, and unhealthy fats.
    • Elimination Diet: If suspected food allergies or sensitivities are contributing to asthma symptoms, an elimination diet may be considered.

  • Herbal Remedies:

    • Disclaimer: It’s crucial to emphasize that herbal remedies should be used with caution and under the guidance of a qualified healthcare professional.
    • Some herbs traditionally used to support respiratory health (but require further research and may interact with medications) include: ginger, licorice root, and turmeric.

b. Education Modifications

  • Incorporate CAM into the Asthma Action Plan: If K.H. decides to explore CAM therapies, her asthma action plan should be updated to include these approaches. This will help ensure that all aspects of her asthma management are integrated and coordinated.

Full Answer Section

 

 

 

 

 

  • Discuss potential interactions: Emphasize the importance of informing her doctor about any CAM therapies she is using, as some may interact with prescribed medications.
  • Provide resources: Share reputable resources on CAM therapies for asthma, such as the National Center for Complementary and Integrative Health (NCCIH) website.
  • Emphasize the importance of conventional treatment: Reiterate the importance of adhering to her prescribed medical treatment plan, including the use of her albuterol inhaler as directed.

Clinical Judgment:

  • Thorough Assessment: The initial assessment was appropriate, including history, physical examination, and chest X-ray.
  • Accurate Diagnosis: The diagnosis of acute asthma based on the presented symptoms is consistent with the clinical findings.
  • Appropriate Treatment: Prescribing an albuterol inhaler is an appropriate initial treatment for acute asthma symptoms.
  • Patient Education: Providing clear and concise instructions on inhaler use is crucial for effective asthma management.
  • Addressing Patient Concerns: Acknowledging and addressing K.H.’s interest in CAM therapies demonstrates a patient-centered approach to care.

Disclaimer: This information is for educational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional 1 for any health concerns.  

1. www.pacificneuroscienceinstitute.org

www.pacificneuroscienceinstitute.org

This response demonstrates clinical judgment by:

  • Recognizing patient preferences: The response acknowledges K.H.’s interest in CAM therapies and addresses this concern.
  • Providing appropriate resources: The response provides specific examples of CAM therapies that may be beneficial for asthma and directs the patient to a reliable source of information.
  • Prioritizing evidence-based medicine: While acknowledging CAM therapies, the response emphasizes the importance of adhering to the prescribed medical treatment plan.

This scenario highlights the importance of patient-centered care, which involves considering the patient’s individual n

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