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Ashma

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Geriatric Condition:

Ashma

Asthma is a chronic respiratory condition where the airways become inflamed and narrowed, making it difficult to breathe. This condition can lead to episodes of wheezing, shortness of breath, chest tightness, and coughing, particularly at night or early in the morning.

Types
  • Allergic Asthma: Triggered by allergens such as pollen, pet dander, or dust mites.
  • Non-Allergic Asthma: Triggered by factors such as stress, exercise, cold air, or respiratory infections.
  • Occupational Asthma: Caused by inhaling fumes, gases, dust, or other potentially harmful substances while on the job.
  • Exercise-Induced Asthma: Triggered by physical activity, particularly in cold or dry air.
  • Late-Onset Asthma: Asthma that develops later in life, which can be more severe and persistent.
Symptoms
  • Wheezing or whistling sound when breathing
  • Shortness of breath
  • Chest tightness or pain
  • Chronic coughing, especially at night or early in the morning
  • Difficulty sleeping due to breathing problems
Causes
  • Genetics: Family history of asthma or other allergic conditions.
  • Environmental Factors: Exposure to pollutants, allergens, or respiratory infections.
  • Lifestyle Factors: Smoking or exposure to secondhand smoke.
  • Medical Conditions: Other respiratory conditions, such as chronic obstructive pulmonary disease (COPD), can contribute to asthma development or exacerbation.
Impact To Lifestyle
  • Physical Limitations: Difficulty engaging in physical activities or exercise due to breathlessness.
  • Sleep Disruptions: Nighttime symptoms can interfere with sleep, leading to fatigue and daytime drowsiness.
  • Social Limitations: Avoidance of social situations or activities that might trigger symptoms.
  • Emotional Health: Anxiety, stress, and frustration due to chronic symptoms and fear of asthma attacks.
  • Healthcare Needs: Frequent medical visits, medications, and monitoring to manage the condition effectively.
Management & Prevention

Management:

  • Medications:
    • Quick-Relief Inhalers: Bronchodilators to relieve acute symptoms and asthma attacks.
    • Long-Term Control Medications: Inhaled corticosteroids, long-acting bronchodilators, and leukotriene modifiers to manage and prevent symptoms.
  • Asthma Action Plan: A personalized plan developed with a healthcare provider to manage symptoms and handle asthma attacks.
  • Regular Monitoring: Using a peak flow meter to monitor lung function and detect early signs of an asthma flare-up.
  • Lifestyle Changes:
    • Avoiding known triggers (allergens, smoke, cold air, etc.)
    • Quitting smoking
    • Maintaining a healthy weight
    • Engaging in regular, moderate exercise to strengthen the respiratory system
  • Education and Support: Participating in asthma education programs to better understand the condition and management strategies.

Prevention:

  • Avoid Triggers: Minimize exposure to allergens, pollutants, and irritants.
  • Vaccinations: Stay up to date with flu and pneumonia vaccinations to prevent respiratory infections that can worsen asthma.
  • Healthy Lifestyle: Eat a balanced diet, exercise regularly, and maintain a healthy weight.
  • Smoke-Free Environment: Avoid smoking and exposure to secondhand smoke.
  • Regular Medical Check-Ups: Routine visits to the healthcare provider to monitor asthma control and adjust treatment as necessary.
  • Home Environment: Keep the home clean and free of dust, mold, and other allergens. Use air purifiers if necessary.
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