Help! Need asthma dg. For psych pts.

[Shell5]

Our hospital is going to be monitored soon by joint commission. From what i understand they are looking at at our care plans. We are pretty good at our psych diagnosis but we reportedly need to brush up on our adding medical diagnosis for our patients with conditions. The main one i see is patients with a history of asthma, but most of them only have excercise induced asthma and only have a prn albuterol inhaler and usually don't even use the inhaler while they are in the hospital.

I need help with what type of dg. Would this be. I've been thinking high risk for ineffective airway secondary to asthma but what would i use for aeb since it is just hx.

Or something else. Most of them don't have symptoms.

The other issues is someone by have a sore throat ever once in a blue moon. Do i just add pain to the care plan and/or use knowledge deficit?

It's been a while since i did these medical plans.

Thanks.

[Whispera, MSN, RN]

How about AEB history..

Also, if there is no medical diagnosis, there isn't one! If you put one on the diagnosis sheet, you have to do something about it! What can you do about something that is just historical other than teach meds?

To stretch it with things that fit in with psych diagnoses, how about something to do with sleep or nutrition?

[Shell5]

thanks

[rachelgeorgina]

Risk for ineffective breathing pattern related to exacerbation of exercise induced asthma as evidenced by ---> pt's reported symptoms: audible wheeze, SOB, cough, chest tightness, INCREASE IN ANXIETY etc

Care planning?

- Medication education (i.e. regular preventer medication + pt able to state understanding of this)

- Pre-empting need for relieving medication (i.e. exercise therapy, therapeutic walks, passes out ---> have relief medication on hand for symptom onset)

- Avoiding triggers, such as dust mites, pollens etc (what are the pt's triggers? are they avoidable? how can they be managed in the hospital environment?)

- Managing anxiety during exacerbation (pt education re: deep breathing etc)