When caring for children and adults who have been diagnosed with asthma, it is essential to understand how to safely manage this disease, control progression, maintain a healthy lifestyle, and prevent complications. Work by Waddell (2015), found that as many as two-thirds of asthma-related deaths could have been prevented. Therefore, by developing an understanding of the standards of practice and guidelines of pharmacotherapy, clinicians can move forward to optimize asthma management. This paper will review the long-term control, quick-relief treatment strategies, and the impact on the lives of these individuals. Moreover, a review of the application and benefits of using the stepwise approach to manage asthma will be discussed. …show more content…
After an evaluation is completed, the provider can determine which level the patient 's severity matches. The initial level beings with symptom management as needed (level 1) and progresses to an inhaled steroid (level 2) (Arcangelo & Peterson, 2013). According to Arcangelo and Peterson (2013), "inhaled steroids are the most effective therapy" for treatment and long-term maintenance (p. 349). Measures that include inhaled corticosteroids can help to minimize airway inflammation and permanent damage (Bhargava, Prakash, Rehan, & Gupta, 2015). Moreover, the stepwise guide includes recommendations for consultation (Level 3 or 4) (Arcangelo & Peterson, 2013). All of these steps serve as a tool for asthma …show more content…
This layered plan of care allows primary care providers the autonomy to manage levels one through three. The goals are to control symptoms and maintain lung function within these levels to minimize long-term consequences (National Heart Lung and Blood Institute, 2007). Achieving asthma control is a key factor to minimize permanent remodeling of the alveoli. The stepwise approach can help draw attention to the urgency of addressing all factors and symptoms breakthroughs along the course of the disease. Many of the contributing factors that need to be explored and modified. For example, a young asthmatic adolescent who is classified in level one who is having challenges controlling symptoms. He may be using his inhaler more often. However, his parents smoke. Without the steps that progress to a higher level of care, patients and families may not recognize the consequences of their continual contributory actions. As a result, this tool offers guidance for providers and offers a visual representation of the care team to help identify both their positive and negative