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Are we so desperate to improve #adherence that we need this? Ingestible Sensor for Measuring Med Adherence. bit.ly/1k9HuCm
But he considered asthma more of a nuisance than anything else. What he and parents didn't know was that asthma could kill someone who seemed just fine. Jovante suffered an asthma attack in August 2010 so severe that it killed him.
Schools in England to store spare #asthma inhalers for children. Should we do same in US? Or already doing? 1.usa.gov/1yWulDA
One confounding factor in getting it right is that there’s no gold standard for diagnosing asthma, says Dr. Elizabeth Matsui, a professor of pediatrics at the Johns Hopkins University School of Medicine, who chairs the American Academy of Pediatric’s Section on Allergy and Immunology. “There’s no blood test that tells you, this is asthma,” adds Dr. Erwin Gelfand, chair of pediatrics at National Jewish Health in Denver.
John M. Kelso, MD, Scripps Clinic (San Diego, CA), states that an asthma action plan is essentially the same for all children--use albuterol for symptoms and call if it is not helping--and can be conveyed orally to parents and caregivers in the home and school settings.
Providers who used the low-literacy plan were more likely to use times of day (eg, Flovent morning and night, 96.7% vs 51.7%, P < .001; odds ratio [OR] = 27.5; 95% confidence interval [CI], 6.1–123.4), recommend spacer use (eg, Albuterol, 83.6% vs 43.1%, P < .001; OR = 6.7; 95% CI, 2.9–15.8), address need for daily medications when sick (93.4% vs 34.5%, P < .001; OR = 27.1; 95% CI, 8.6–85.4), use explicit symptoms (eg, “ribs show when breathing,” 54.1% vs 3.4%, P < .001; OR = 33.0; 95% CI, 7.4–147.5).
Professionals infrequently review/update PAAPs with patients; patients with out-dated PAAPs do not value or use these; professionals observing patients’ lack of interest in PAAPs do not discuss these. Patients observing this do not refer to their plans and perceive them to be of little value in asthma self-management.
Breaking this vicious cycle to create a healthcare context more conducive to PAAP implementation requires a whole systems approach with multi-faceted interventions addressing patient, professional and organisational barriers.
All people with asthma should have an asthma action plan. An asthma action plan (also called a management plan) is a written plan that you develop with your doctor to help control your asthma.
For people with asthma, having an asthma management plan is the best way to prevent symptoms. An asthma management plan is something developed by you and your doctor to help you control your asthma, instead of your asthma controlling you.
Love this study/approach! Telephone coaches improve children's #asthma treatment medx.cc/335179665 Many parents need ongoing support
A novel program at Washington University School of Medicine suggests that peer trainers who coach parents over the phone on managing their children's asthma can sharply reduce the number of days the kids experience symptoms.
“From a public health standpoint, this means that controller medications should not be assumed to be sufficient as a preventative measure on days with high pollution levels. Better policy for pollution control is necessary and children who have asthma should continue avoiding outdoor activities on days of high pollution levels,” co-author Paul V. Williams, MD, FAAAAI and a director of ASTHMA, Inc. Clinical Research Center said.