Chronic Care: Treatment Modalities
Chronic diseases need particular care to preserve the life quality of a patient. With timely diagnosis and relevant support therapy, people may lead a normal life. However, the patient’s participation is important since chronic illnesses usually have co-morbid conditions to consider. The patients from the case studies suffer from chronic diseases. A young girl has had asthma for 15 years. In addition, she has ADHD together with a generalized anxiety disorder. An old man has been recently diagnosed with COPD. Besides, he has CNF and hearing loss. Asthma and COPD are two illnesses affecting the respiratory tract, thus these two cases can be compared.
Common Treatment Modalities and Models
Both asthma and COPD have various treatment modalities (Page & Barnes, 2017). They are inflammatory diseases influencing human airwaves. At present, these conditions are considered heterogeneous and often overlapping (Postma & Rabe, 2015). Thus, treatment approaches may be similar. For example, for both asthma and COPD patients with “easy” cases, a stepwise approach is recommended (Postma & Rabe, 2015). In the case of asthma, among major medications are inhaled glucocorticoids combined with bronchodilator drugs (mainly short-acting beta-agonists and long-acting beta-agonists (LABAs) (Postma & Rabe, 2015).
The cases of severe allergic asthma with corresponding IgE levels, anti-IgE treatment is an approved option; “long-acting muscarinic antagonists (LAMAs) have been shown to work in controlled trials and are now included in the treatment of severe asthma but are not approved by the Food and Drug Administration for this use” (Postma & Rabe, 2015, 1247). The main steps to take in treating “easy” COPD include abandoning smoking together with the application of LABAs and LAMAs. As for inhaled glucocorticoids in COPD treatment, there is still no unanimous opinion and it is usually left for more severe cases (Postma & Rabe, 2015).
In the case of chronic diseases accompanied by co-morbid conditions, particular attention should be given to the side effects of medication and the interaction of drugs. The side effects of glucocorticoids may include the growth of blood sugar level (increasing the risk of diabetes), poor calcium absorption (can cause osteoporosis), an increase in cholesterol and gastritis risk, and negatively influence the immune system (Page & Barnes, 2017).
Beta2 antagonists which are used in the treatment of both asthma and COPD may cause growing anxiety, frequent headaches, nausea, unusual nervousness, palpitations, and tremor (Page & Barnes, 2017). In the case of Tracy, it is crucial to study the possible side effects of her ADHD medications and how they interact with asthma treatment to prevent complications. As for Mr. Bale, it is important to monitor the side effects of COPD treatment since they can affect his condition of congestive heart failure. Moreover, attention should be given to geriatric syndromes if they are detected. At present, Mr. Bale does not observe any of them.
Chronic diseases with co-morbid conditions demand consideration of risk factors. For Tracy, the risk factors include the medicine that she takes for ADHD and anxiety disorder since in combination with asthma therapy they can cause addiction and lack of ability to cope with some conditions. The first sign of the problem is the fact that she has been requesting refills for her ADHD medication prior to the due date. In case of Mr. Bale one of the dangerous factors is smoking which he was supposed to stop since he needs oxygen therapy. In addition, his inclination to cultural “home remedies” can be a risk because the interactions of traditional medicine and folk treatments are not studied.
There is a variety of technical solutions to help patients cope with chronic diseases. For example , The Journal of Allergy and Clinical Immunology: In Practice (as cited in American Academy of Allergy and Immunology, 2016, para. 2) states that patients who apply the Propeller Health Asthma Management Platform use less SABA. This platform has special “sensors, mobile applications, and analytics to provide self-management and physician directed care to improve asthma symptoms and asthma control” (American Academy of Allergy and Immunology, 2016, para. 2).
This platform can be useful for Tracy because of her co-morbid conditions and the irregular use of medicine. Health information technologies (HIT) also include “symptom diaries and instructions on medication usage, are really associated with much better disease control, improved quality of lifestyle and fewer medical center visits (Himes & Weitzman, 2016, l. 2). Those Visits can be applied by both sufferers from cases beneath analysis. Tracy could be keen on mobile phone health apps, although Mr. Bale may possibly need some the help of his family to make use of the applications.
Moral issues are standard aspects of health proper care cases. Regarding Tracy, one of the particular concerns includes the woman requests for the woman ADHD medication re-fill sooner than it had been supposed. There are really two obvious remedies. You are to make contact with her parents in addition to inform them in the problem. The additional solution is to check with a lady on the particular possible consequences regarding drug addiction. The particular second solution appearances more appropriate since the patient is usually not a youngster and may understand the particular results of the woman actions. In situation of Mr. Bale, the ethical issue appears for your loved ones of the affected person. These are aware that will the man will not follow the doctor’s directions to end smoking and makes use of “home medicine” which often may negatively effect the treatment procedure. The solutions contain informing or not necessarily informing the medical doctor of the infringement of prescriptions. The correct choice is in order to inform because the hiding of such details may have in a negative way influence the sufferer.
About the whole, the particular chronic diseases usually are challenging both regarding doctors and sufferers. Because there is no possibility in order to cure the condition, the particular focus should get made on the particular reduction in the distressing symptoms. It might be achievable only in co-operation of a medical care service, a patient, wonderful family.
American Academy regarding Allergy and Immunology. (2016). Improving breathing difficulties with smart technologies .
Himes, M. E., & Weitzman, E. R. (2016). Innovations in information about health technologies for long-term pulmonary diseases. Respiratory Analysis, 1-7. doi: 10. 1186/s12931-016-0354-3
Webpage, C. P., & Barnes, P. L. (Eds. ). (2017). Pharmacology and therapeutics regarding asthma. Cham, Switzerland: Springer.
Postma, D. S., & Rabe, K. Farreneheit. (2015). The breathing difficulties – COPD terme conseillé syndrome. The New Britain Journal of Treatments