CASE STUDY Mary is a 51 year

CASE STUDY Mary is a 51 year old book keeper. As a child, she had a ‘weak chest’, but as an adult, the symptoms became less troublesome, except in the weeks following the occasional cold. She would probably have become wheezy with exercise, but she had a sedentary lifestyle so was not troubled by her asthma. However, over the last 5 years, Mary’s symptoms had gradually increased, becoming more of a problem despite the regular use of inhaled steroids. She has symptoms most days and is woken at least one night a week. Problems arising from dog walking. The dog enjoys its exercise – but Mary dreads the morning walk as even gentle walking in the early morning is triggering wheeze that is making her uncomfortable for the rest of the morning QUESTION What assessment findings would you expect with this type of patient? What patient education would be important? Give an example a SOAP about the following case study

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