Peer response DB-sr

150 words and 1 reference (nursing journal)-this is a Response to peer

Summarize the Levels of System for the Hierarchy of Evidence in Implementing Supported Self-Management for Asthma

  There are many resources and tools to make lifestyle changes to control asthma and enjoy a full and active life. Research of Pinnock et al., (2015) included 18 studies of 6 randomized controlled trials (RTCs), 2 quasi-experimental studies, 8 with historical controls, and 3 with retrospective comparators from primary, secondary community and managed care settings serving a total estimated asthma population of 800,000 people in six countries. Most people with asthma should be able to control asthma with proper care. According to Pinnock et al., (2015), most evidence supporting complex interventions, such as self-management education, is derived from RCTs.  Critical components of asthma supervision include treatment appropriate to the severity of the asthma and the level of control achieved. Evidence from a systematic review of Pinnock et al., (2015) implementation studies of self-management support interventions for asthma control.  

 How the Advanced Practice Nurse Evaluate Qualitative Methodology

       Most people with asthma should be able to control their disease with proper care. Qualitative and mixed-method case studies can draw out rich explanations of how and why events unfolded in a particular setting although they are a weak design for evaluating effectiveness (Pinnock et al., 2015). The advanced practice nurse (APN) should treat symptoms quickly and advice the patient to monitor asthma daily. Patient should be aware of the early warning signs of an asthma episode. Reflecting from the studies of Pinnock et al., (2015) showed keeping track of the symptoms such as wheezing, short of breath, feeling tired, and activity limitation will help stays in control. Identifying the asthma triggers and learning simple ways to limit the exposure or avoiding the warning signs will help to manage the control of asthma. 

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