Understanding Allergies: Allergic Rhinitis
Allergies
Instructions:
It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format.
Classroom Participation
Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.
All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.
Discussion Prompt
Scenario:
A 31-year-old white male comes in for an evaluation of his allergic rhinitis.
He is known to your practice for the last decade.
Presently he is on Flonase nasal spray and Zyrtec daily for his allergic rhinitis.
He owns his own business ‘Dr. Vinyl’ where he specializes in repair of vinyl in automobiles, boats, recreational vehicles, etc.
Exposure to the smell of several of the products he works with has resulted in dissatisfactory management of his typical allergic rhinitis.
On numerous occasions over the last decade he has requested and been given an ‘allergy shot’.
A review of his medical record reveals to you this ‘shot’ has been a steroid injection.
BP 122/74, P 76, R 18
Please develop a discussion that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion.
Initial post
Utilize the information provided in the scenario to create your discussion post.
Construct your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE: if any of the 3 categories is not applicable to your plan please use the ‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or revisions to existing; include considerations for OTC agents (pharmacologic and non-pharmacologic/alternative); [optional - any other therapies in lieu of pharmacologic intervention]
Educational: health information clients need to address their presenting problem(s); health information in support of any of the ‘therapeutics’ identified above; information about follow-up care where appropriate; provision of anticipatory guidance and counseling during the context of the office visit
Consultation/Collaboration: if appropriate - collaborative ‘Advanced Care Planning’ with the patient/patient’s care giver; if appropriate -placing the patient in a Transitional Care Model for appropriate pharmacologic and non-pharmacologic care; if appropriate – consult with or referral to another provider while the patient is still in the office; Identification of any future referral you would consider making
Support the interventions outlined in your ‘P’ with scholarly resources.
Please be sure to validate your opinions and ideas with citations and references in APA format.
The post and responses are valued at 40 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.
Estimated time to complete: 2 hours
Allergies: Allergic Rhinitis
Student’s Name
Institutional Affiliation
Date
Allergies: Allergic Rhinitis
Patient: a 31 one-year-old white male with allergic rhinitis
Subjective Data
He works in Dr.Vinyl which repairs vinyl in automobile
Exposure to smell from vinyl products worsen his allergic rhinitis
He has been requesting an “allergy shot.”
Objective Data
Has been on steroid injection as per medical records
BP 122/74mmhg, respiratory rate 18, pulse 76
Assessment
When assessing a patient with allergic rhinitis, there are specific elements that must be considered and evaluated. The areas include the patient’s history, such as the history of exposures, rhinorrhea, nasal obstruction, and eye symptoms, among others! Allergic rhinitis, as inflammation of the nasal mucosa, is a prevalent disorder associated with asthma and conjunctivitis. The typical manifestation of allergic rhinitis includes nasal congestion, rhinorrhea, nasal itch, and sneezing (Small, Keith & Kim, 2018). Therefore, a thorough assessment of history, physical examination, and allergen skin testing are crucial in diagnosing allergic rhinitis. Since the patient attributes worsening symptoms to a smell of vinyl products, occupation or work-related type of allergic rhinitis can be diagnosed where such allergy features restricted airflow, sneezing, pruritus, and hypersecretions that often appear in a specific work environment, but not beyond the workplace. Occupational rhinitis is either allergic or non-allergic. It defines the nasal mucosa anomaly mediated by airborne substances in the work environment. It should be distinguished from work-exacerbated rhinitis, which implies existing rhinitis exacerbated by exposures or conditions in the workplace (Scadding et al.,2017). The allergic rhinitis spectrum that could confirm the diagnosis includes skin prick test, serum total, and specific IgE, full blood count, thyroid function tests, Nasal secretions-asialotransferrin for CSF identification, urine toxico...