QUESTION
Research Topic:: STUDY ON THE RISK FACTORS OF ASTHMA AND ITS PREVENTION PROGRAMMES
Words:: 1500
ANSWER
STUDY ON THE RISK FACTORS OF ASTHMA AND ITS PREVENTION PROGRAMMES
Gifford, H., Cvitanovic, L., Boulton, A., & Batten, L. (2017). Constructing prevention programmes with a Māori health service provider view. Kōtuitui: New Zealand Journal of Social Sciences Online, 12(2), 165-178. Retrieved on 17 March 2019. Retrieved from https://www.tandfonline.com/doi/full/10.1080/1177083X.2017.1352521
The research conducted on Maori community reflects that asthma risk prevention programmes applied by the Maori health service provider are subjected to backlogs and barrier in the delivery process. Upon surveying the needs and requirements of Maori people, it has been evaluated that prevention programme for asthma are deliver through National Public Health Partnership in New Zealand. However, a semi-structured interview session is being conducted with 25 managers that have relevant experience in MHSP sites. The results garnered from 90 minute interview session that the primary strategic focus of MHSP is to record the chronic history of whanau community so that a wider service platform for prevention of asthma can be provided.
The operational environment of MHSP is particularly being surrounded by episodic care as well as specialised health related services for individuals. In order to treat the whanau community of Maori people, trained nurses have to be incorporated in hospitals and care. The interview session also resulted that most of the medical practitioner are young and holds not such experience in handling the prevention method for asthma. It has also been observed that Whanau Ora public policy is being drafted for treating the chronic respiratory condition of Maori and other less fortunate communities of New Zealand. It cannot be denied that there exists a contradictory environment regarding the negotiation in public funding and agencies of health policy. This particular issue does not only barr the relevant authority in accommodating the services but also removes flexibility in treating the chronic condition of affected individual.
Beasley, R., Hancox, R. J., Harwood, M., Perrin, K., Poot, B., Pilcher, J., … & Thayabaran, D. (2016). Asthma and Respiratory Foundation NZ adult asthma guidelines: a quick reference guide. Retrieved on 16 March 2019. Retrieved from https://researchspace.auckland.ac.nz/handle/2292/32347
The research conducted by authors suggests that asthma control test is being performed by relevant authorities of New Health that seeks prevention for asthma in Maori community and other individuals. Some of the symptoms that can be considered as initial condition for asthma are wheezing, coughing and chest tightness. The persistence of these issues needs to be addressed by relevant medical practitioner so that proper care plan can be structured. However, it has also been stressed by the author that asthma history of families and past habit of smoking also needs to be accounted while preparation of care plan. In order to provide relief, SABA also known as Short Acting Beta 2 Agonist has to be given to provide quick relief from asthma.
However, serious asthma condition needs to be diagnosed and treated by processing one into eight weeks trial in ICS. It does not only help in treating mild asthma but also allows the exposure to medical professionals of respiratory diseases. They are also need to be exposed to LABA therapy that requires the use of single inhaler in constricting the spread of asthma for prolong period of time. Five steps that should be followed to treat asthma are firstly to provide SABA therapy. Secondly is to maintain the dose provided by ICS and SABA. Thirdly is to endorse SMART regimen (Single Maintenance Reliever Therapy). Fourth is to increase the dose and last step is to add specialist advice in the risk prevention programme for asthma
Donovan, G. H., Gatziolis, D., Longley, I., & Douwes, J. (2018). Vegetation diversity protects against childhood asthma: results from a large New Zealand birth cohort. Nature plants, 4(6), 358. Retrieved on 18 March 2018. Retrieved from https://www.researchgate.net/profile/Geoffrey_Donovan/publication/324991608_Vegetation_diversity_protects_against_childhood_asthma_results_from_a_large_New_Zealand_birth_cohort/links/5b316ce94585150d23d446f2/Vegetation-diversity-protects-against-childhood-asthma-results-from-a-large-New-Zealand-birth-cohort.pdf
Asthma occurs because of many reasons in New Zealand. Vegetation has a huge impact on the asthma risk factors for the people of the country. For the study population of asthma risk causes, the study population included children with asthma using pharmacy and hospital discharge records. Pine pollens, as well as several genuses of Pinus are a very important reason of the occurrences of respiratory problems in case of people of New Zealand. Protective effect of some of the landscapes is unusually low causing initiation of potent allergens which causes respiratory problems including Asthma.
Two external data sources were used to describe the linkage between exposure of natural environment and occurrence of asthma. Exotic trees including conifers in some areas are found to be responsible for the initiation of asthma in people. However, the results of the study also have some limitations. The probable link between greenness and asthma initiation cannot be found. A longitudinal study between the natural environment and asthma also revealed that in densely populated areas where there is low environment protection, the tendency of occurrences of asthma is quite high.
Levack, W. M., Jones, B., Grainger, R., Boland, P., Brown, M., & Ingham, T. R. (2016). Whakawhanaungatanga: the importance of culturally meaningful connections to improve uptake of pulmonary rehabilitation by Māori with COPD–a qualitative study. International journal of chronic obstructive pulmonary disease, 11, 489. Retrieved on 18 March 2018. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4790504/pdf/copd-11-489.pdf
Many factors are responsible for the occurrence of Asthma. This study describes the pulmonary rehabilitation program in the country. The study explores the concept of ethnicity and its relation with the uptake of pulmonary rehabilitation program for chronic obstructive pulmonary disease (COPD). Pulmonary rehabilitation is a problematic issue to many people who don’t have the appropriate means to attend or proper approach towards recovery of COPD including Asthma.
The pulmonary rehabilitation program is affected due to many a reasons including the ethnicity, attitude and expectation of different people from the program. For the cases of Maori, several other factors are responsible for the occurrence and uptake of pulmonary rehabilitation program. Maori population believes in the concept of cultural communication. Absence of such cultural bonding and communication program strongly discourages the Maoris regarding the pulmonary rehabilitation program. Indigenous led healthcare or health care program that can remove the cultural barriers can definitely increase the uptake of pulmonary rehabilitation program in the country.
Voge, G. A., Carey, W. A., Ryu, E., King, K. S., Wi, C. I., & Juhn, Y. J. (2017, March). What accounts for the association between late preterm births and risk of asthma?. In Allergy and Asthma Proceedings (Vol. 38, No. 2, p. 152). OceanSide Publications. Retrieved on 18 March 2018. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5332548/pdf/zsn152.pdf
The study is concerned about the occurrences of Asthma and late preterm births in people. One of the major risk factors of Asthma in cases of Late preterm births can be attributed to the increased smoking rates in women during pregnancy. It has been found out that chronic respiratory condition of affected individual needs to be recorded so that probable solution can be implemented. Increased exposure to smoking is one of the crucial reasons for the increase of asthma in children. The study is done by minimizing the probable errors that can be caused by the gestational ages’ of the subject by using birth records and standards of Late Preterm births. During the study it was found that inhibition of maternal smoking during pregnancy can reduce the risk of asthma in cases of late preterm births a lot. In cases of high school children with maternal smoking possess high risk of occurrence of Asthma.
Reference List
Beasley, R., Hancox, R. J., Harwood, M., Perrin, K., Poot, B., Pilcher, J., … & Thayabaran, D. (2016). Asthma and Respiratory Foundation NZ adult asthma guidelines: a quick reference guide. Retrieved on 16 March 2019. Retrieved from https://researchspace.auckland.ac.nz/handle/2292/32347
Donovan, G. H., Gatziolis, D., Longley, I., & Douwes, J. (2018). Vegetation diversity protects against childhood asthma: results from a large New Zealand birth cohort. Nature plants, 4(6), 358. Retrieved on 18 March 2018. Retrieved from https://www.researchgate.net/profile/Geoffrey_Donovan/publication/324991608_Vegetation_diversity_protects_against_childhood_asthma_results_from_a_large_New_Zealand_birth_cohort/links/5b316ce94585150d23d446f2/Vegetation-diversity-protects-against-childhood-asthma-results-from-a-large-New-Zealand-birth-cohort.pdf
Gifford, H., Cvitanovic, L., Boulton, A., & Batten, L. (2017). Constructing prevention programmes with a Māori health service provider view. Kōtuitui: New Zealand Journal of Social Sciences Online, 12(2), 165-178. Retrieved on 17 March 2019. Retrieved from https://www.tandfonline.com/doi/full/10.1080/1177083X.2017.1352521
Levack, W. M., Jones, B., Grainger, R., Boland, P., Brown, M., & Ingham, T. R. (2016). Whakawhanaungatanga: the importance of culturally meaningful connections to improve uptake of pulmonary rehabilitation by Māori with COPD–a qualitative study. International journal of chronic obstructive pulmonary disease, 11, 489. Retrieved on 18 March 2018. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4790504/pdf/copd-11-489.pdf
Voge, G. A., Carey, W. A., Ryu, E., King, K. S., Wi, C. I., & Juhn, Y. J. (2017, March). What accounts for the association between late preterm births and risk of asthma?. In Allergy and Asthma Proceedings (Vol. 38, No. 2, p. 152). OceanSide Publications. Retrieved on 18 March 2018. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5332548/pdf/zsn152.pdf
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