Professional Documents
Culture Documents
385929606 Lesson Plan on Rhinitis
385929606 Lesson Plan on Rhinitis
SINPMS, BADAL
Submitted to :
Mr. Satish Chand
Bansal
Assistant professor
Department of
Medical Surgical
Nursing
Submitted by :
Kiranbir Kaur
M.Sc. Nursing 1st
year
[
practice teaching
]
RHINITIS – ALLERGIC & NON- ALLERGIC
LESSON PLAN ON RHINITIS
Definition of Rhinitis
Classification of Rhinitis
Causes of Rhinitis
Allergic rhinitis
Non allergic rhinitis
Pathophysiology of Rhinitis
Diagnostic evaluation of Rhinitis
Management of Rhinitis
Nursing management of Rhinitis
Complications of Rhinitis
1
Sr. Objectives Time Content-matter Teaching and AV Aids Evaluation
no. Learning
Activities
1. To establish 1 min I am Kiranbir kaur, student of M.sc Student teacher
Rapport (Nsg) 1st year, standing before you introduced
with to present my topic. about herself.
the students
2. To 1min Today we will discuss about Student teacher
announce announced the
Infection control protocol
the topic to topic.
the group
3. To 2 Rhinitis is a group of disorders Student teacher Lecture What do you
introduce minute introduce the cum understand by
characterized by inflammation and
topic to the s topic discussion Rhinitis ?
students irritation of the mucous membranes
of the nose. The inflammation is
caused by viruses, bacteria, irritants
or allergens. Common symptoms
are a stuffy nose, runny nose,
sneezing, and post-nasal drip.
4. To explain 4-5 The causes of rhinitis include the Student teacher Lecture What do you
causes of minute following: explains causes cum understand by
Rhinitis s of Rhinitis discussion causes of
Irritation of nose by smoke, Rhinitis ?
strong smells, fumes, chemicals,
changes in temperature or
humidity.
2
These include beta-blocker
medicines, aspirin and other anti-
inflammatory medicines,
angiotensin-converting enzyme
(ACE) inhibitors, the contraceptive
pill and chlorpromazine.
3
histamine. When the mast cells are
stimulated by an allergen,
histamine (and other chemicals) are
released. This causes itching,
swelling, and mucus production.
6. To explain 5-6 Allergic rhinitis, or hay fever, The student Power What do you
allergic minute is an allergic response to teacher point know about
rhinitis s specific allergens. Pollen is the explains about presentatio allergic
most common allergen in allergic rhinitis n rhinitis ?
seasonal allergic rhinitis. These
are allergy symptoms that occur
with the change of seasons.
Symptoms of allergic
rhinitis
sneezing
a runny nose
a stuffy nose
an itchy nose
coughing
a sore or scratchy throat
itchy eyes
watery eyes
dark circles under the eyes
frequent headaches
eczema-type symptoms,
such as having extremely
dry, itchy skin that can
blister and weep
hives
excessive fatigue
4
What are the types of
allergic rhinitis ?
cigarette smoke
chemicals
cold temperatures
humidity
wind
air pollution
hairspray
perfumes
colognes
wood smoke
fumes
5
twice per week to minimize
dander.
8. Remove carpeting from
your bedroom if you’re
concerned about dust
mites.
Symptoms
Airborne pollutants or odors,
certain foods or beverages, some
medications, changes in the
weather or underlying chronic
health problems can all trigger
symptoms of non allergic
rhinitis. These symptoms can
come and go, or be constant.
Stuffy nose
Runny nose
Sneezing
Postnasal drip
6
relief by avoiding triggers, using
a saline rinse solution or by
taking over-the-counter or
prescription medications.
8. To explain 2-3 The pathophysiology of Rhinitis is Student teacher Power What do you
pathophysio minute as : Predisposing factors such explains point understand
logy of s as allergens , food, emotions, pathophysiolog Presentatio about
Rhinitis pollution , medications etc. y of Rhinitis n pathophysiolo
gy of
It leads to edematous conchae; Rhinitis ?
polyps may develop
9. To describe 3-4 The clinical features are Student teacher Power What do you
clinical minute explains point know about
features of s Rhinorrhea. This clinical features Presentatio clinical
Rhinitis condition is of Rhinitis n features of
commonly called Rhinitis ?
“runny nose”.
10. To describe 2-3 It includes following Student teacher Power What do you
7
diagnostic minute evaluations : describes point know about
evaluation s diagnosis of presentatio diagnosis of
of Rhinitis Skin-prick testing. This Rhinitis n Rhinitis ?
test is highly sensitive and
specific for aeroallergens;
however, a false positive
reaction can occur without
corresponding clinical
features, especially when
skin mast cells are easily
activated by pressure or
other physical stimuli.
Serum allergen-specific
IgE testing. The main
limitations are that patients
may be sensitive on a
molecular level before IgE
response is clinically seen
on standard skin testing;
this may lead to positive
results on laboratory tests
that are not triggering
clinical symptoms.
Nasal smear. Eosinophils
usually indicate allergy.
CBC count with
differential. A CBC count
may reveal an increased
number of eosinophils; an
eosinophil count within the
reference range does not
exclude AR; however, an
elevated eosinophil count
is suggestive of the
diagnosis.
11. To explain 3-4 The management of Rhinitis Student teacher Power What do you
management min includes describes point understand by
of Rhinitis utes management of presentatio management
Environment control. Use Rhinitis n of Rhinitis ?
of environmental controls
is not adequately explored
in most patients; for many
patients, the removal of the
trigger can have a dramatic
effect; difficulty arises
when the trigger needs to
be identified and
eliminated; eliminating the
trigger may be simple if
8
removal of a feather pillow
or blanket is involved;
however, it can be very
difficult if a family pet
needs to be removed.
Pharmacologic Management
2nd generation
antihistamines.
Antihistamines are
classified in several ways,
including sedating and
nonsedating, newer and
older, and first- and
second-generation
antihistamines (most
widely accepted
classification); first-
generation antihistamines
are primarily over-the-
counter OTC) and are
included in many
combination products for
cough, colds, and allergies.
Intranasal
antihistamines. These
agents are an alternative to
oral antihistamines to treat
allergic rhinitis; currently,
azelastine and olopatadine
are the only agents
available in the United
States.
Intranasal
corticosteroids. This class
of medications is most
effective; intranasal
corticosteroids are potent
anti-inflammatory agents
shown to decrease allergic
rhinitis symptoms in more
9
than 90% of patients.
Intranasal antihistamine
and corticosteroids.
Combination products are
emerging on the market for
patients who require an
intranasal antihistamine
and corticosteroids.
Intranasal decongestants.
Decongestants are effective
for short-term symptom
control; they decrease nasal
discharge and congestion
and are available without a
prescription.
Leukotriene receptor
agonists. Montelukast has
been approved as
monotherapy for allergic
rhinitis; it has been shown
to be most effective in
patients in whom
significant congestion is a
primary complaint.
Allergen immunotherapy.
Immunotherapy with daily
sublingual (SL) tablets may
be able to replace weekly
injections in some
individuals, depending on
the offending allergens;
depending on the particular
SL tablet, therapy must be
initiated at least 3-4 months
before the allergen season
that is being treated.
Intranasal mast cell
stabilizers. These are
effective therapy for AR in
approximately 70-80% of
patients; they produce mast
cell stabilization and
antiallergic effects by
inhibiting mast cell
degranulation.
12. To explain 4-5 Nursing management of the client The student Power What do you
nursing minute with allergic rhinitis includes: teacher point know about
management s explains presentatio nursing
of Rhinitis nursing n management
10
management of of Rhinitis?
Nursing Assessment Rhinitis
Nursing Diagnoses
Ineffective airway
clearance related to
obstruction or presence of
thickened secretions.
Disturbed sleep pattern
related to obstruction of the
nose.
Self-concept disturbance
related to the condition.
Anxiety related to lack of
knowledge about the
disease and medical action
procedure.
11
patterns.
client and parents will
know and understand about
the disease and treatment.
Nursing Interventions
Identification of the
allergen. Identification and
elimination is easiest for
dust mite allergens; pollen
is more difficult to avoid
because daily activities
must be altered to do so; an
easy intervention is to keep
the windows closed, which
is easily accomplished in
air-conditioned homes and
must be done throughout
the year.
Use of nasal sprays. Teach
the patient and parents on
how to use nasal sprays by
blowing the nose first then
administering the
medication.
Encourage thorough
cleaning of the house.
Encourage a routine
cleaning of the house,
furniture, and
equipment which may
house dust and other
pollens.
Encourage medication
compliance. Administer
pharmacologic treatment as
ordered by the physician.
Evaluation
12
client sleeps 6-8 hours a
day.
client and parents describe
the level of anxiety and
coping patterns.
client and parents know
and understand about the
disease and treatment.
13. To explain 2 The complications of Rhinitis are : The student Power What do you
complicatio minute Sinusitis: If allergic rhinitis is not teacher point know about its
ns of s treated or treated improperly, explains presentatio complications
Rhinitis infection from the nose can proceed complications n ?
into the sinuses surrounding the of Rhinitis
noses causing sinusitis.
13
Rhinitis ?
What is management of Rhinitis ?
What is complications of Rhinitis ?
References :
“Textbook of medical surgical nursing” ; Brunner & Suddarth ; lippinkot publishers ; 9th edition
www.google.com
www.slideshare.com
www.wikipedia.com
14