Asthma management plans

The object of an asthma management plan is to ensure the patient ... 

Help patients discharged from the hospital after an asthma exacerbation to understand their asthma management plan. 

Woolcock A, Rubinfield AR, Seale JP, et al Thoracic Society of Australia and New Zealand. Asthma management plan, 1989. Med J Aust 1989 151 650-653. 

Responding to changes in asthma severity (daily self-management plan and action plan)... 

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. 

Emotion-focused copers represent a major problem for asthma management. They tend to deny that they have asthma (e.g., I don t have asthma, I just sometimes have asthma attacks ) and appear to accept what the clinician recommends but do something else. An authoritarian approach with such patients is unlikely to be successful. Instead, the clinician should try to develop a positive and understanding relationship with the patient, where the patient may be cajoled into a different course of action. Sometimes a more conservative management plan may be advisable, in which the patient is advised to seek medical assistance at an earlier stage than normal. 

The diagnosis of type of noncompliance when it is expected requires skill and experience. hi setting the scene for a positive therapeutic relationship with a patient, a useful first question is In what way would you like me to help you with asthma Such a question emphasizes the cooperative, helping role of the physician in which patients are encouraged to talk about their aims so that the management plan is concordant with the patient, rather than reflecting only the objectives of the clinician. The philosophy of concordance requires a different approach to managing the patient to the philosophy of the passive compliant patient. 

Osman LM. How do patients views about medication affect their self-management plans in asthma Patient Educ Counsel 1997 32 S43-S49. 

Pharmacist In our Med Check Program, our pharmacist will consider all your medications while evaluating ways to improve control of your asthma. She will talk to you about it, as well as your doctor. She ll develop a plan that can work for you to safely manage your asthma better. Also, we can set up a payment plan that will allow you to pay for the program in several payments. 

Action plans Routine asthma diary to record peak flows. Advise on management of acute exacerbations. Lifestyle advice. 

Does the plan have programs in place to assist patients in managing chronic conditions such as asthma ... 

The scene was managed by a planned response. Patients were directed to a safe area upwind, and EMS personnel in Level C PPE performed initial evaluation and found signs and symptoms of a chemical attack. They initially decontaminated the patients by having them go to a safe area and disrobe. The patients were then wet decontaminated by being sprayed with a fire hose. Public safety personnel who were not attired in protective suits received the same chemical injuries as the football fans. All victims eventually required irrigation of their eyes to remove the caustic anhydrous ammonia. Treatment varied depending on injuries that ran the gamut from chemical exposure to asthma attack to cardiac arrest, as well as head and extremity injuries. 

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