Response – Case of a 15-year-old Male with a History of Asthma

Response – Case of a 15-year-old Male with a History of Asthma

Thank you for your comprehensive presentation on the case of a 15-year-old male with a history of asthma. You provided a detailed history and physical examination, which is crucial in managing a chronic condition like asthma. I would like to add a few points that might enhance the management of this patient.

Firstly, although you have listed chronic asthma as the primary and have reflected on the environmental cues that lead to the exacerbation of the condition, you also need to factor in exercise-induced bronchoconstriction (EIB). EIB is normal in asthmatics, especially in individuals with active lifestyles, like your patient, a school athlete. Also, when children with allergic diseases engage in physical activities, they may develop symptoms of bronchoconstriction, such as wheezing, shortness of breath, and chest tightness, even when they have had no contact with allergens that they are sensitive to (Ora et al., 2024).

To better evaluate this, you could consider recommending a bronchoprovocation test, such as exercise challenge testing or euxinic voluntary hyperventilation (EVH), which can help confirm EIB​. This would provide a clearer picture of the patient’s asthma control and the extent to which physical activity is contributing to his symptoms (Goossens et al., 2023).

Furthermore, when developing the management plan where you change the client’s prescription from oral steroids to inhalers and teach the correct way of using the inhaler, it is also appropriate to introduce the client and his family to an Asthma management plan where there is early recognition of features of worsening asthma. It should also provide details in relation to alteration in the use of the medication depending on some of the symptoms and signs that indicate one should consult their doctor (Zhang et al., 2023).

In conclusion, according to your management plan, it would be advisable to incorporate exercise-induced bronchoconstriction tests and an asthma management plan, which may also enhance the patient’s care and future prevention of such episodes.

References

Goossens, J., Anne-Charlotte Jonckheere, Seys, S., Dilissen, E., Tatjana Decaesteker, Goossens, C., Peers, K., Vanbelle, V., Jeroen Stappers, Sven Aertgeerts, Barbara De Wilde, Leus, J., Verelst, S., Raes, M., Dupont, L., & Bullens, D. (2023). Activation of epithelial and inflammatory pathways in adolescent elite athletes exposed to intense exercise and air pollution. Thorax, 78(8), 775–783. https://doi.org/10.1136/thorax-2022-219651

Ora, J., Patrizia De Marco, Gabriele, M., Cazzola, M., & Rogliani, P. (2024). Exercise-Induced Asthma: Managing Respiratory Issues in Athletes. Journal of Functional Morphology and Kinesiology, 9(1), 15–15. https://doi.org/10.3390/jfmk9010015

Zhang, X., Ding, R., Zhang, Z., Chen, M., Yin, Y., & Quint, J. K. (2023). Medication Adherence in People with Asthma: A Qualitative Systematic Review of Patient and Health Professional Perspectives. Medication Adherence in People with Asthma: A Qualitative Systematic Review of Patient and Health Professional Perspectives, pp. 16, 515–527. https://doi.org/10.2147/jaa.s407552

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Response – Case of a 15-year-old Male with a History of Asthma

Please respond to the video of classmates:
• Number: A Minimum of 2 to Peer Posts, at least one on a different day than the main post
• Length: A minimum of 250 words per post, not including references
• Citations: At least two high-level scholarly reference in APA per post from within the last 5 years

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