Chapter 5

Conclusions
In the course of making this clinical paper, thorough nursing

responsibilities and analysis were implemented in order to
obtain such information and solutions. Successful nursing
responsibilities were carried out, as well as the required
nursing measures. Even though we had minimal resources and time,
we were still able to collect the necessary data, which assisted
us in completing the case and fully comprehending what is
required to fully care for the patient in accordance with the
physician's orders. In relation with the objectives of the
study, the nursing student was able to apply the nursing skills
learned from the discussion and was able to create improved
knowledge towards disease process and nursing management with
the desired case which is bronchial asthma. In continuation, the
students nurse was able to understand the hypothesis on the given
managements to the patient and has Recognized importance of
appropriate care modalities in the patient’s case. The student
nurse was able to Analyze and discuss the information gathered
from the patient for the purpose of self-evaluation towards
skills and capacity to construct a clinical paper.
On the case of the patient, Patient is diagnosed with bronchial

asthma and is experiencing SOB, wheezing, chest tightness and
coughing with secretion. Nursing process was rendered and a
complete assessment and management was done. Outcome of patient
care has improved and symptoms were relieved.
In conclusion, being able to witness this case and present it as

my case study has expanded my knowledge on bronchial asthma, its
disease process and the whole nursing action and management
implied.
Recommendations
In This portion the student nurse would discuss the
recommendations for specific persons/groups.
Patient:
The patient should obey all of the doctor's orders, including taking
drugs and following the discharge instructions, and keeping track of
his or her condition.
Significant people of the patient:
Important people in the patient's life should always help the patient
recover quickly, offer guidance and hope, constantly track the
patient, and respond to the patient's needs.
Nursing students:
Nursing students should always consider the patient's condition and
look for other aggravating factors that could lead to complications,
correctly prescribe drugs, and provide adequate nursing intervention.
College of nursing:
That the college of nursing will continue to help students and
encourage them to learn more and gain more clinical experience.
Clinical instructors:
That clinical instructors will continue to advise and help students
in all of their endeavors, as well as understand their lapses, as they
improve their knowledge and expertise, and that they will never stop
sharing their knowledge and expertise with us.
Abstract
A 19-year-old female patient named V.R arrived at the emergency

department with complains of shortness of breath and chest tightness
with audible wheezing and coughing with secretions, “Gahuot ako dughan
sir ug kutas kayo”. Midnight prior to admission, the patient had
asthma attacks, as evidenced by shortness of breath and wheezing. The
patient tried using a Ventolin inhaler to help, but the problem
persisted. Hours went by, and patient’s symptoms worsened, disrupting
the patient’s sleep. Signs of pallor, cold, clammy skin, coughing with
phlegm, nasal flaring, fatigue, chest tightness, and use of accessory
muscles in breathing. Patient had multiple admission over the past
years due to asthma attacks. Patient had no other diseases
encountered. The patient is admitted to the medical ward and is
diagnosed with bronchial Asthma. The doctor ordered oxygen therapy (2
liters per minute), IV therapy (Plain NSS 500cc x 10 cc/hr), Bedrest
with toilet privileges, Ventolin inhaler (1-2 inhalations every 8
hours), Codeine (oral 15-30mg, 3-4 times daily) and Laboratory tests
(ABG, CBC, O2 sat., Spirometry, Chest x-ray). Nursing interventions
were rendered including, monitoring of vital signs, proper
positioning, administration of medications, reviewing of diagnostic
results, maintaining a clean and calm environment, encouraging
breathing exercises and further patient assessment.
Acknowledgements
This clinical paper turns into a reality with the full and kind
support of these individuals. I would like to extend my sincere
gratitude and appreciation to them.
Above all, I would offer this venture to our God Almighty for the
guidance and wisdom he has granted upon me, the strength, peace of
mind and good health in order to comply and finish this clinical
paper.
I would like to express my credit and appreciation to our Clinical
instructor assigned, Mr. Leemuel Steve Rodriguez, RN, for the
encouragement and support in pursuing a successful clinical paper
along with making suggestions or comments that we have nurtured and
brought in our journey which has helped us a lot in constructing this
clinical paper.
To my parents and siblings, who have continued to physically,
mentally, and financially support me. Who has never failed to remind
me to do my best and keep going no matter what obstacles I face, and
has been a constant source of support during the process of making
this clinical paper.
I'd like to express my gratitude and appreciation to my rotation
groupmates for being so accommodating and respectful of each of the
members' queries and clarifications. For putting in their best effort
in assisting each member of the party.

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Conclusions

In the course of making this clinical paper, thorough nursing

On the case of the patient, Patient is diagnosed with bronchial

In conclusion, being able to witness this case and present it as

A 19-year-old female patient named V.R arrived at the emergency

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