What I Already Knew / What I Wanted to Know
“Well, Annie, it looks like you have asthma,” our family physician informed me. I
Hook your readers could not believe what I was hearing. I thought that I had been suffering from a very with an attentiongrabbing stubborn cold. Questions started going through my head as I listened to Dr. Davis explain statement. my condition. I’m in high school. Aren’t I too old to get asthma now? How can I stay on
the softball team? Will I still be able to go on camping and hiking trips with my family?
I already knew that asthma is a chronic disease which affects the lungs and that Explain what you certain medications help control the number and severity of asthma episodes. (That’s when already know about your topic. the coughing and wheezing start.) I didn’t know much more than that.
I needed to know more about what might trigger an asthma episode. Will I be able to keep up with other players on the softball team? Are there certain types of trees and
Tell what you want to know about your topic. plants that I should avoid? After much pleading and negotiating on my part, my parents had finally agreed that our family could have a dog. Will I be able to live with it?
I made a list of the things I needed to know. From that list, I was able to form my Form a research research question:
Can I effectively manage my asthma
? Later, I was able to form an question answer.
The Story of My Search Steps of the research
My search took about three weeks. I began my research by doing some background process reading in the Encarta online encyclopedia. That site provided a definition of the term
asthma
, information on how the lungs function, the causes of asthma attacks, and the
diagnosis and treatment of the disease. Statistics on the number of Americans with the
disease were included in the article. Most of the information, including the statistics was
supported by the information in the Merck Manual of Medical Information.
From there I did an online search combining the terms asthma and managing in the
Google search engine
.
Of the many sites that were available, I chose to use the American
Lung Association’s web site. There the information on asthma was current, well organized,
easy to understand, and it provided answers to all three aspects of my research question. A Whois search of lungusa.org confirmed that the web site was registered to the American
Lung Association. It gave me a street address at which I could contact the American Lung
Association, as well as the date the site was last updated. Again, I used the Merck Manual of Medical Information to confirm the accuracy of the information. This was the only resource I evaluated for accuracy, currency, authority and purpose.
Dr. Davis referred me to an allergy / asthma specialist named Dr. Emma Anders.
Since she was going to treat my asthma, I decided to interview her for my paper. I forgot to
take her busy schedule into account, and I did not know that she had planned a short
vacation during the time I was doing my research. She graciously agreed to meet with me
after her office hours one day. Dr. Anders was a great source of information on all aspects
of my disease, but the most unique feature of our interview included a demonstration of two instruments, a peak flow meter and a metereddose inhaler. She also sent home a video on
the appropriate use of both pieces of equipment.
During the next week I went to my school library. My school librarian directed me to the reference section where were many specialized medical encyclopedias. I chose to use
the Merck Manual of Medical Information because it was the most current publication on the shelf. The vocabulary was much more technical than what I had found in the other sources.
Included in the article were a table that showed the different medications used to treat
asthma and a graphic that illustrated the correct use of an inhaler. Using the library’s OPAC (Online Public Access Catalog) to search for books, I did a subject search using the term
asthma
. My school library didn’t have any titles that dealt with asthma. I realized that I
would have to go to the public library to find books.
Still at my school library, I talked to our school librarian about using Proquest, a
very comprehensive online magazine / newspaper database. Our librarian showed me how
to use the “Browse Topics” feature. This feature allowed me to find the search terms used
by Proquest and to narrow my search. I found asthm a listed as a search term with 111
subtopics. I narrowed my search by adding the subtopic athletes to one of my searches and
allergies to another.
At the public library I searched the OPAC (Online Public Access Catalog) using
asthma as the search term in a subject search. Surprisingly, many of the titles shown in the
catalog were checked out. I didn’t want to place any titles from other libraries on hold, so I
checked out 1 of the 2 titles on the shelf. The book,
Breathe Right Now: A Comprehensive
Guide to Understanding and Treating the Most common Breathing Disorders
, was much
longer that I had anticipated. Consequently, I read only some of the chapters.
By the end of the third week, I felt I had plenty of information. My original search Description of narrowing the research question remained the same:
Can I manage my asthma
? I was able to define exactly what it topic was that I wanted to manage. I ended up narrowing my topic to three areas I had to deal
with in order to manage my asthma: medications, sports/exercise, and environmental factors. The Search Results
According to the information in the Encarta encyclopedia, many Americans,
besides me, have asthma and that number has increased dramatically in the last 20 years. “ More than 17 million Americans suffer from asthma, with nearly 5 million cases occurring
in children under age 18. In the United States, asthma causes 5,500 deaths each year…
Among all Americans, the prevalence of asthma increased more than 60 percent between
1982 and 1994.” (1) The management of asthma is a health issue for many people besides
me.
As a result of my research I have found that I can manage my asthma and live a
Thesis statement full, active life by minimizing the effects of environmental factors that can trigger
asthma episodes,
following my physician’s instructions about medications and by sticking to an exercise
program
Support for thesis
Numerous substances can trigger an asthma attack of coughing, wheezing, and shortness of breath. Allergens constitute the largest category of triggers (Abramowicz). According to
Susan Berg, “Allergens are substances that produce an allergic reaction in people who are
sensitive to them.” Common allergens are pollens from plants, animal dander, dust mites,
mold and mildew (23). Dr. Anders said we would do a series of skin tests for allergies right away. If I am allergic to certain triggers, allergy shots will help by desensitizing me to them, making them less likely to trigger an episode (Anders). Support for thesis
If I am allergic to certain pollens, I can reduce the chances of an asthma episode by staying indoors when those pollens are in the air. Indoors, I can reduce the risk of an
episode by using the air conditioner to circulate air while keeping windows and doors closed to keep pollens out. Cleaning the air with an air cleaning device can reduce dust mites, mold sporse, and other indoor allergens (“85 % of Americans”).
Two instruments are commonly used in the treatment of asthma. The first is called Support for thesis a peak flow meter. This is a tube about six inches long; its purpose is to measure your
ability to push air out of your lungs. When you exhale into it, you can determine if your
lungs are working at their capacity. If they are not, you know it is time to take some
medication, often with a metereddose inhaler (Peak Flow Meters). A metereddose inhaler, a handheld pump, delivers medication directly to the airways and helps patients get their
breath back very quickly (Anders).
There are many different medications that doctors may use to help people with
Support for thesis asthma. Medications can be injected, taken orally or inhaled. Inhaled medications are
usually a first line of defense because they work very quickly, usually in less than 5
minutes. This is because they go right into the lungs and not into other parts of the body.
Certain antiinflammatory drugs are used to keep air passages open and prevent asthma
episodes. One type of these is called corticosteroids. I was relieved to find that these are not
the same kind of steroids that cause serious side effects in athletes . The risk of side effects with corticosteroids is very small. (Asthma Medicines).
Twenty or thirty years ago doctors believed that physical exercise made an asthmatic patient’s condition worse. At that time doctors believed a quiet, restful life was best. Now new research is showing that “people with breathing disorders who can maintain a regular program of exercise and activity are able to experience maximum cardiovascular fitness along with greater symptom control, or an increased ability to exercise and do the activities of daily living. Exercise trains the respiratory muscles to work more efficiently”
(Smolley and Bruce,127128). I had been worried that I would have to drop off the softball team or miss our next family camping trip. These facts, however, made me confident that I would be able to continue to do both.
Nancy Hogshead, a former Olympic athlete, demonstrates some exercises for asthmatics on a video called
Aerobics For Athletes
. I tried some of the exercises, and they are great. Nancy serves as a wonderful role model. She and other Olympic athletes including Rob Muzzio, Jim Ryun, Jackie JoynerKersee, and Amy VanDyken have had to deal with asthma, and many of these athletes still compete (Smolley and Bruce, 128). In fact, a recent study of Olympic athletes revealed that “more than 20 percent of the American athletes who participated in the 1996 Summer Olympic games may have had asthma”
(Olympians”). I am very encouraged by this fact.
After doing the research, I concluded that if I developed a plan for myself, I would be able to manage my asthma. My plan addresses the areas of medical treatment, environment, pets and sports. If I find that I have allergies, I’ll take the allergy shots. I’ll take my medications and monitor the peak flow levels every day as well as go in for checkups every three months. Prior to outdoor activities such as hiking and camping I’ll have to check the pollen counts that are published in our local newspaper. If the counts are high, I won’t be able to participate. As for getting a dog, our family will have to postpone
Support for thesis
Answer to the research question that decision until I’ve found if I’m allergic to them. Finally, I can continue to participate in my sports and physical acitivities. I’ll use the peak flow meter before and after softball games, do warmup breathing exercises, and keep an inhaler handy for emergency use.
My Growth As A Researcher
I actually learned a lot about doing research as a result of this project. For one thing, doing the research took a lot more time than I thought it would. Consequently, I have learned to plan my time more efficiently. I’ll schedule an appointment well ahead the next time I want to interview someone. My writing skills also improved. I learned to use an outline to organize my thoughts before I begin to write. I’m also better able to write a welldeveloped paragraph that focuses on one topic. Proquest and the OPAC at the public library are both tools that I hadn’t used before but, will use with my next research project. I also learned how to evaluate information from web sites. In addition to these academic benefits, I got a lot of information that will help me lead a full and active life, in spite of my asthma. Adapted from:
O’Dell, Lee, Richard Vacca and Renee Hobbs. “Living With Asthma.”
Elements of rd Language
. 3 course. New York: Holt, Rinehart and Winston, 2004 :
223227. Works Cited
Abramowicz, Mark. “Asthma, Bronchial.”
Microsoft Encarta 98 Encyclopedia
. CDROM.
Microsoftpor., 199397.
Aerobics for Asthmatics
. Videocassette. Allergy and Asthma Network / Mothers of
Significance of the research experience
Asthmatics, Inc., 1993.
Anders, Emma R., M.C. Personal interview. 12 Apr. 1999.
“Asthma.”
The Merck Manual of Medical Information
. Whitehouse Station: N.J. Merck
Research Laboratories, 2003.
“Asthma Medicines
.” American Lung Association Web site
. American Lung Assocition. 15
Apr. 1999. <http://www.lungusa.org / asathma / astasmeds2.html>.
Berg, Susan. “Recently Diagnosed with Asthma?”
Asthma
Mar.Apr. 1999: 2224.
“85% of Americans Don’t Know the Air in Their Homes May Be Hazardous to Their
Health.”
American Lung Association Web site
. 24 Mar. 1999. American Lung
Association. 15 Apr. 1999.
<http://www.lungusa.org/press/association/85percent.html>.
“Olympians Don’t Let Asthma Hold Them Back.”
Asthma
Mar.Apr. 1999: 15.
“Peak Flow Meters.”
American Lung Association Web site
. American Lung Association.
15 Apr. 1999. <http://www.lungusa.org/asthma/astpeakflow.html>.
Smolley, Laurence A. and Debra Fulghum Bruce.
Breathe Right Now: A comprehensive
Guide to Undertand and Treating the Most common Breathing Dosorders
. New
York: Norton, 19981
Cited: . CDROM. Microsoftpor., 199397. Asthmatics, Inc., 1993. Anders, Emma R., M.C. Personal interview. 12 Apr. 1999. “Asthma.” Research Laboratories, 2003. “Asthma Medicines Apr. 1999. <http://www.lungusa.org / asathma / astasmeds2.html>. Berg, Susan. “Recently Diagnosed with Asthma?” Asthma Mar.Apr. 1999: 2224. American Lung Association Web site . 24 Mar. 1999. American Lung Association. 15 Apr. 1999. <http://www.lungusa.org/press/association/85percent.html>. Mar.Apr. 1999: 15. “Peak Flow Meters.” 15 Apr. 1999. <http://www.lungusa.org/asthma/astpeakflow.html>. Smolley, Laurence A. and Debra Fulghum Bruce. . New York: Norton, 19981
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