Janice, age 32, works in an old school and recently developed asthma that is getting worse

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In clients with adult-onset asthma or in clients with asthma that worsens in adulthood, it’s important to consider several factors, but one of the primary considerations is:

a. Occupational asthma

Asthma that develops or worsens in adulthood can sometimes be triggered or exacerbated by workplace exposures to allergens or irritants. This is known as occupational asthma. It’s crucial to evaluate if Janice’s symptoms could be related to her work environment, especially since she works in an old school, which may have environmental factors that contribute to her asthma.

Other factors that should also be considered include:

b. A suppressed immune system: A compromised immune system can increase the risk of respiratory infections and may contribute to asthma exacerbations.

c. Another immunological disease: Some autoimmune or immunological diseases may be associated with asthma or asthma-like symptoms, so it’s important to consider these as well.

d. Concurrent COPD: Chronic Obstructive Pulmonary Disease (COPD) and asthma can coexist in some individuals, and it’s essential to differentiate between the two conditions, as their management and treatment approaches can be different.

In Janice’s case, it’s advisable to consult with a healthcare provider to perform a thorough evaluation, including a detailed medical history, physical examination, and possibly pulmonary function tests to determine the underlying cause of her worsening asthma. Identifying the specific triggers or contributing factors to her asthma symptoms is crucial for effective management and treatment.