Asthma education/management

FIGURE 80-2. Home management of acute asthma exacerbation. Patients at risk of asthma-related death should receive immediate clinical attention after initial treatment. Additional therapy may be required. (MDI, metered-dose inhaler PEF, peak expiratory flow.) (Adapted from NHLBI, National Asthma Education and Prevention Program, Expert Panel Report 2. Guidelines for the Diagnosis and Management of Asthma. NIH Publication No. 97-4051. Bethesda, MD U.S. Department of Health and Human Services, 1997.)... 

National Asthma Education and Prevention Program. (1997) Expert panel report 2. Guidelines for the diagnosis and management of asthma. Bethesda, MD National Institutes of Health. NIH publication 97 051. 

National Asthma Education Program, National Institutes of Health. Guidelines for the Diagnosis and Management of Asthma. Publication No 91-3042 Bethesda United States Department of Health and Human Services . 1991. 

Some certification programs are available to professionals from many health disciplines, including pharmacists. Areas in which such certification programs are available include diabetes education, anticoagulation therapy, pain management, and asthma education. Some of these programs are still in the early stages of development. Several of these providers are listed in Appendix B however, the information is not intended to be exhaustive. 

National Asthma Education and Prevention Program Expert Panel Report 2 Guidelines for the Diagnosis and Management of Asthma, National Heart, Lung, and Blood Institute Bethesda, Maryland, 1997, NIH Publication No. 97-4051. 

Clark NM Asthma self-management education. Research and implications for clinical practice. Chest 1989 95 1110-1113. 

Liljas B, Lahdensuo A Is asthma self-management cost-effective (review) Patient Educ Couns 1997 32 S97-S104. (NC)... 

Cote J, Cartier A, Robichaud P, Boutin H, Malo JL, Rouleau M. Influence on asthma morbidity of asthma education programs based on self-management plans following treatment optimization. Am J Respir Crit Care Med 1997 155 1509-1514. 

Pogash RM, Haak T, Grella V, Zimmerman R, Doty L. Using the web for secnrely managing the asthma Clinical Research Network (ACRN) and the Childhood Asthma Research And Education (CARE) network. Controlled Clin Trials 2004 1.1.4 387-98(12). 

Provide education on self-management or parent education on asthma management and controlling environmental factors that make asthma worse (e.g., allergens and irritants). 

Once it is determined which service is to be implemented, it is important to put some thought into what the service will look like and how it will be delivered at the practice. As discussed previously, regardless of the type of service (i.e., diabetes, lipids, asthma, etc.), the medication management processes used by pharmacists remain relatively the same. Some component of the service will require the pharmacist to collect patient clinical information, including laboratory data. The pharmacist also needs to assess the patient information that has been collected and make a clinical decision regarding the appropriateness of the therapy. Patient education is a component of each type of service but may be emphasized more so with certain services (e.g.,... 

Patient education is vital for the management of asthma. Patients should be guided in their use of the asthma inhaler. It is important that you then observe the patient s use. Instructions given to the patient are as follows ... 

Pharmacists have a key role to play in education since inhalation therapy is a vital component of effective asthma management. 

---