Tuesday, April 30, 2019

Management of a patient withan allergic rhinitis Essay

Management of a patient withan allergic coryza - Essay ExampleAllergic rhinitis is too known as hay fever and is supposititious to be mediated by type-I hypersensitivity which is an extreme response of immune system against foreign bodies by build-up of antibodies. everyday nursing process begins with assessment of patients health history which involves their personal and family history (Burns, 2007). Secondly, an allergy assessment is performed by examining obvious symptoms and state of patient before these symptoms became apparent. Thirdly, occurrence of these symptoms is examined with relation to seasonal changes and relate physical mental and physical problems. In the last stage of assessment, nature of antigen causing allergy is determine (Denise and Scandale, 2010). A patient is said to have this allergy when an ineffective breathing pattern and continuous sternutation is observed when encountered with triggers. Ineffective coping of chronic disorders is often followed b y need for changes in environment of the patient. practical problems encountered during management of the disorder include anaphylaxis, disturbed breathing pattern and failure to follow suggested therapy. The goal of interventions utilize for treating this patient were to restore normal breathing pattern, identify causes and control them, improve coping mechanism and overturn any complications. 2. History of the Patient A patients history must be countywide enough to provide information regarding onset and duration of the symptoms being experienced by the patient on with possible triggers. In addition to that, co-morbidity, family history of allergies, environmental exposure, and quality of life as well play an authorized role in diagnosis. After preliminary form filing, the patient complained about seasonal flu in last five years which showed persistence despite usage of OTC medication without prescription. This was the first sequent where patient entered into medical setti ngs. The patient complained of frequent episodes of sneezing with large production and exhalation of clear mucus. Since both(prenominal) of the symptoms mentioned later were similar to Sinusitis therefore discharge of mucus and drainage were observed to identify if the patient has Sinusitis or allergic rhinitis. Furthermore, localized itching also confirmed it. 2.1 Response to Allergens Patient complained of 10-15 paroxysms when experiencing sneezing along with cadaverous congestion ahead(p) to breathing through mouth. The symptoms grew severe in the springs and especially near plantation. Patient also mentioned having episodes of atopic eczema. It is important to note that patients with atopy are at risk of developing allergic rhinitis (Burns, 2007). Lara also complained of reduced energy level and fatigue especially in late winters and spring while experiencing this state. Lara besides complained of itchy nose which made her rub her nose repetitively and a crease was visible i n the middle of her nose (Lang, n.d Plaut and Valentine, 2005). Furthermore, she mentioned that the sneezing and itching is more aggressive right after waking up and in the morning. Out of symptoms defined by the patient, it was evident that she had experienced sneezing, pruritus, congestion and drainage which are close to of the common symptoms of allergic rhinitis (Spector et al., 2003 Harvey, 2012). The onset of pruritus was more evident in palate, nose and throat leading to aggressive coughing. In addition to these conditions, Lara also complained about sleep apnea, overbiting and episodes of asthma. She also mentioned that her mother

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