Abstract
Globally, asthma morbidity remains unacceptably high. If outcomes are to be improved, it is crucial that routine review consultations in primary care are performed to a high standard. Key components of a review include:
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Assessment of control using specific morbidity questions to elucidate the presence of symptoms, in conjunction with the frequency of use of short-acting bronchodilators and any recent history of acute attacks
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After consideration of the diagnosis, and an assessment of compliance, inhaler technique, smoking status, triggers, and rhinitis, identification of poor control should result in a step-up of treatment in accordance with evidence-based guideline recommendations
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Discussion should address understanding of the condition, patient-centred management goals and attitudes to regular treatment, and should include personalised self-management education
Regular review of people with asthma coupled with provision of self-management education improves outcomes. Underpinned by a theoretical framework integrating professional reviews and patient self-care we discuss the practical barriers to implementing guided self-management in routine clinical practice.
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Pinnock, H., Fletcher, M., Holmes, S. et al. Setting the standard for routine asthma consultations: a discussion of the aims, process and outcomes of reviewing people with asthma in primary care. Prim Care Respir J 19, 75–83 (2010). https://doi.org/10.4104/pcrj.2010.00006
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DOI: https://doi.org/10.4104/pcrj.2010.00006
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