Mr Adonis is a 29-year-old Greek tourist who presents to the Emergency Department with acute shortness of breath. He has no personal history of respiratory illness, and no known family history of any respiratory condition. He states he does get eczema intermittently, particularly in Spring. Mr Adonis states he has associated symptoms of chest tightness, cough, and wheeze. When questioned about his social history, he states he smokes cigarettes (15 per day), and does very little exercise.

Mr Adonis is in moderate respiratory distress, speaking in short phrases. He is afebrile, with a blood pressure of 106/62 mmHg, a regular pulse of 128pm, a respiratory rate of 32 breaths/min, and an oxygen saturation of 92% while breathing room air. The plan for Mr Adonis is to admit him to the medical ward for observation and medication management.

Mr Adonis is anxious and says he feels guilty about his lifestyle, which he considers has contributed to his admission today.

1. Risk Factors and Health Promotion

What are the factors that may have contributed to Mr Adonis’s asthma attack? Outline how you would approach Mr Adonis regarding these and what health promotion information and referral you would provide to him.               (500 words)

2. Pathophysiology

Briefly describe in your own words (in the way you would explain it to a family member) the pathophysiology behind an acute asthma attack.      (400 words)

3. Homeostatic Mechanisms

Outline the homeostatic mechanisms that result in the following symptoms Mr Adonis is displaying on your nursing assessment:

*Wheeze

*Chest tightness

*Allergic rhinitis                (500 words)

4. Nursing Care

Outline and justify the nursing care required for Mr Adonis with his initial presenting symptoms, placing this nursing care in order of clinical priority.                (500 words)

5. Activities of Daily Living

Consider the twelve (12) activities of living outlined in the Roper Logan & Tierney Model of Nursing and specifically discuss which of these activities of living may be influenced or altered for Mr Adonis during his admission. Outline how the registered nurse could assist the patient to manage them.

                (600 words)

You should incorporate current research to support your discussion(less than 10 years old), texts/journal articles and/or other resources. Your assessment should be presented in academic format as per the Assessment Handbook.

This assignment can be presented in the numbered format using the headings provided in the case study.  You should type out each heading and provide your answer to that question immediately underneath in essay format.

Read less