PICO: Among the children population of asthmatic patients admitted in the Norton children hospital, what interventions will be developed to improve the comprehension of information in regard to continued treatment and care when being transitioned to Norton Adult hospital

Change in your question terms will most likely require an additional literature search.  

 Write out your PICO:   Among the children population of asthmatic patients admitted in the Norton children hospital, what interventions will be developed to improve the comprehension of information in regard to continued treatment and care when being transitioned to Norton Adult hospital? 

1.  Identify type of question/problem (Stillwell et al, 2010, pg. 60)

Intervention or therapy: Interventions are going to be related to the Pediatric unit manager transitioning patients from pediatric to adult medical care.  This will include any single and multi-facet interventions that look at the six main element related to healthcare transition like patient care documents, educational materials and processes.  Intervention will also look at the transition structure and process. 

Etiology: Asthma is a chronic condition that is characterized by obstruction of airflow leading to a tight chest, coughing, wheezing and shortness of breath.  In the United States asthma is among the leading chronic condition among children. Children admitted in the pediatric ward are bound to experience frequent spells of coughing that  are going to occur when the children is out playing, laughing  or when they are sleep and after they wake up (Forno & Saglani, 2019).  The coughing may only be symptomatic, however this will drain them off their energy. There will be cases of rapid breathing, the child will constantly complain of tightness in the chest. He or she will exhibit a whistling or wheezing sound especial when the child is breathing in or out.  There will be retractions in the chest due to difficulty in breathing including loss of breath, tightened chest and neck muscles and feelings of tiredness. 

Diagnosis or diagnostic test: Diagnosis of the condition and need to transition to adult care will look at the patient’s medical challenges like wheezing, shortness of breath, coughing and tightness of the chest.  It will also be important to collect patient data with allergies or eczema which usually increase the chances of the condition getting worse. Also the family history of a person with asthma can increase the chances of finding the condition worse.  Also in regard to physical exam, it will be important to look at the function of the eyes, ears, throat, nose, skin, lungs and chest.  Also a lung test can be done to pediatrics, though it is usually difficult since children suffer from many condition that exhibit asthma like symptom (Institute for Healthcare Improvement, 2020).  However since they are transitioning to adult care, then a lung test will be important in measure the patient’s breathing. Often lung tests will be done before and after taking a bronchodilator, which is meant to open the patient’s airways.  If the breathing improves after using a bronchodilator it means that they should continue with adult care. 

Prognosis or prediction: The severity of asthma is not usually that of a death risk. This is because, when the patient is educated and empowered more about asthma and management, it will be important that the nurse ensures they are able to stick to the management plan (Turner & Upham, 2020).  Also the nurse will be required to work closely with the patient and other care team to ensure that they are provided with the right attention and services even as they transition to adult care.  The patient will also be educated on how to use an inhaler, take mediation and changes of lifestyle. 

Meaning:  Transitioning the patient from pediatric to adult care, is about educating the patient to become self-independent when it comes to the treatment and management of the condition. 

1. Type of study (research type) to include in the search (Schmidt & Brown, 2019, pg. 8).  Check all that apply.

Meta-Analysis ___ Systematic Review ___ Randomized Controlled Trial ___

Quasi-experimental ___ Cohort/Case ___ Qualitative ___

Other ___ (specify) _______________________________________________ 

1.  PICOs reviewed with partner.  List the combined or chosen PICO.  Note what type of PICO – intervention, etiology, diagnosis, prognosis/prediction, meaning.

Among the population of asthmatic patients admitted in the pediatric ward, what interventions will be developed to improve the comprehensio