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Journal articles on the topic 'Asthma Patient education Nurse and patient'

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Published: 4 June 2021

Last updated: 1 February 2022

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1

Scullion, Jane. "The Nurse Practitioners’ Perspective on Inhaler Education in Asthma and Chronic Obstructive Pulmonary Disease." Canadian Respiratory Journal 2018 (August 5, 2018): 1–9. http://dx.doi.org/10.1155/2018/2525319.

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Asthma and chronic obstructive pulmonary disease (COPD) can be debilitating conditions adversely affecting a person’s quality of life. Effective treatments are available, but common errors in the use of inhalers compound the issue of disease control. The beliefs and concerns of a patient can also have an impact on treatment adherence, the consequences of which are diminished disease control and the occurrence of exacerbations. Once a treatment has been prescribed, it is often nurses who manage the patient long-term, and they may even be the main care provider. This puts nurses in a key position to monitor inhaler technique, communicate with the patient to improve adherence, and even suggest alternative treatments if the patient and therapy are incompatible. This review examines the central role that nurses play in disease management and emphasizes how effective inhaler education can make a difference to disease control. Good communication between the nurse and patient is vital if this is to be achieved. Recent updates to asthma and COPD guidelines are reviewed, and key resources available to help manage patients are highlighted. Finally, with regard to inhaler education, we reconsider the nursing keystones of “Know it,” “Show it,” “Teach it,” and “Review it.”

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Zhao, Yongmei, Min Liu, Zhihong Fan, Jinjing Li, Ling Shi, Yixin Zhang, Yuerui Gong, and Wei Yang. "Application of Audio Education in Respiratory Medicine Wards." Clinical Nursing Research 29, no. 6 (February 17, 2019): 392–97. http://dx.doi.org/10.1177/1054773819829622.

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Improving the efficiency of patient education can help improve patient’s satisfaction and alleviate the pressure of nurse shortage. This study aimed to develop and pilot an educational audio to improve the effectiveness of inpatient education. A primary literature review was conducted and educational materials were written and recorded by MP3. A pilot study was conducted in 713 adult patients in the department of respiratory medicine at a large urban Shanghai teaching hospital. Patients in the experimental group showed greater satisfaction with their health education. For the education to be effective during the admission, the asthma patients in the experimental group spent less time in face-to-face communication. The feedback rate for disease education among asthma patients in the experimental group was significantly higher. Wider applications of audio in patient education may be valuable to better adjust to nurse reduction and to improve nursing service quality.

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Henry, Heather. "Understanding personal asthma action plans." Practice Nursing 32, no. 3 (March 2, 2021): 96–100. http://dx.doi.org/10.12968/pnur.2021.32.3.96.

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Personal asthma action plans are an essential tool to keep people with asthma as well as possible. Heather Henry explains the role of the practice nurse in developing them Personal asthma action plans (PAAPs) are written plans that help people with asthma to self-care and keep themselves as well as possible. PAAPs are usually developed in partnership with the patient or carer in primary care. PAAPs aim to ensure that people with asthma know how to manage their asthma and when to seek help if their condition deteriorates. To manage their asthma adequately at home, patients will need regular education about what asthma is, an understanding of their triggers, how their medications work and managing their devices. The practice nurse can play a key role in developing the PAAP, monitoring asthma control, and subsequently modifying the PAAP if necessary to maintain control of the condition.

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Cowie, Robert L., Lisa Cicutto, and Louis-Philippe Boulet. "Asthma Education and Management Programs in Canada." Canadian Respiratory Journal 8, no. 6 (2001): 416–20. http://dx.doi.org/10.1155/2001/163629.

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OBJECTIVE: To establish the number and type of asthma patient education programs throughout Canada.DESIGN: National survey.SETTING: Canada.METHODS: Over a three-year period, contact was made with individuals and groups offering educational services for patients with asthma. Education given as part of a physician's consultation or a pharmacist's dispensing of medications for asthma was not considered a patient education program for the purposes of the survey. Contact was initially established by asking staff from well known asthma programs to provide lists of other such programs in their provinces or regions. Asthma programs were also identified from notices presented at Canada's Third and Fourth National Conferences on Asthma and Education. Lung associations, lay organizations and industry representatives affiliated with the Canadian Network for Asthma Care helped to supplement the list. Once identified, each patient education program was contacted by telephone and by mail to complete a 26-item questionnaire about their program. The province of Quebec was not included in the survey because it already had a province-wide, structured asthma education program and register.RESULTS: Seventy-four asthma education and management programs were identified outside Quebec. Staff in these programs were registered nurses (n=46), respiratory therapists (n=48) and other health professionals (n=21). Forty-one programs stated that at least one member of their staff had been trained as an asthma educator. In 71 programs, the initial patient encounter was of at least one hour's duration. Physician referral was required by 41 programs. The province of Quebec has a joint asthma education program provided by 114 asthma education centres throughout the province under the umbrella of the Quebec Asthma Education Network (QAEN). This comprehensive program is provided in hospitals and community centres by specialized educators - nurses, pharmacists or respiratory therapists - to patients referred by their physicians.CONCLUSIONS: A three-year search for asthma education programs in Canada identified 74 patient education programs (outside Quebec) for an asthma population estimated to exceed 1.2 million. For the province of Quebec, an integrated asthma education program is provided through a network of 114 education centres - the QAEN. The present survey shows that there has been progress in establishing asthma education programs in Canada, although there are significant regional differences in the availability of such programs.

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Henry, Heather. "Understanding personal asthma action plans." Journal of Prescribing Practice 3, no. 9 (September 2, 2021): 370–74. http://dx.doi.org/10.12968/jprp.2021.3.9.370.

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Personal asthma action plans (PAAPs) are written plans that help people with asthma to self-care and keep themselves as well as possible. PAAPs are usually developed in partnership with the patient or carer in primary care. PAAPs aim to ensure that people with asthma know how to manage their asthma and when to seek help if their condition deteriorates. To manage their asthma adequately at home, patients will need regular education about what asthma is, an understanding of their triggers, how their medications work and managing their devices. The practice nurse can play a key role in developing the PAAP, monitoring asthma control, and subsequently modifying the PAAP if necessary to maintain control of the condition.

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6

Condren, Michelle, and James A. Boger. "Impact of a Pediatric Clinic-Based Multidisciplinary Asthma Education and Management Program." Journal of Pediatric Pharmacology and Therapeutics 10, no. 4 (October 1, 2005): 254–58. http://dx.doi.org/10.5863/1551-6776-10.4.254.

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OBJECTIVE The objective of this study was to determine if a multidisciplinary asthma education and management program within a general pediatric clinic impacts clinical outcomes of children with asthma. METHODS An asthma education and management clinic was started by a general pediatrician, a pharmacist, and a nurse. At a patient's initial clinic visit, data were collected summarizing hospitalizations, emergency department visits, and number of systemic corticosteroid courses for the previous year. The same data were collected at each subsequent visit. A retrospective review of this data was performed for patients who enrolled in the clinic between February 1999 and 2002 to compare outcomes between the year before enrollment in the clinic and the following year. Patients were included if they received follow-up for at least one year. RESULTS Fifty-seven patients with a mean age of 8.5 years qualified for data analysis. Forty-eight percent of the study population was classified as having moderate persistent asthma, and 11% of patients were severe persistent. Compared to the year prior to clinic enrollment, the number of hospitalizations per patient decreased by 82% (P < .001). Emergency department visits decreased by 81% (P < .001). The number of systemic corticosteroid courses decreased by 72% (P < 0.001). CONCLUSIONS Patient enrollment in a general pediatric clinic-based multidisciplinary asthma education and management program decreases hospitalizations, emergency department visits, and systemic corticosteroid exposure.

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Gresko, Susan, and Elizabeth Burgess Dowdell. "Perceptions of Pediatric Nurse Practitioners and How a Pulmonary Function Printout Influenced Practice." Nursing Research and Practice 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/794585.

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The rate of asthma in the pediatric population has risen over the last two decades and is now considered to be the most common serious chronic disease in children and adolescents as well as a serious public health concern. In one suburban, Pennsylvania nurse-managed clinic, a group of pediatric nurse practitioners (PNPs), noted an increase in the number of children with asthma and purchased a pulmonary function machine (Spirometer). The purpose of this paper is to discuss how the integration of a pulmonary function measurement printout influenced a small group of PNPs visit satisfaction, their delivery of nursing care, and the response of the families. As the incidence of asthma increases in the pediatric population, nurse practitioners and other healthcare professionals can take a leading role in patient teaching and provision of care by augmenting their practice with new technology combined with continued education for the client and family.

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Vlahadamis, Ann, Melanie Danilak, Krista M. Rawson, Karen M. King, and Edith Pituskin. "Group medical appointments: A novel approach in patient education for adjuvant endocrine therapy." Journal of Clinical Oncology 31, no. 26_suppl (September 10, 2013): 133. http://dx.doi.org/10.1200/jco.2013.31.26_suppl.133.

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133 Background: Group medical appointments (GMA) are currently practiced for a wide range of medical conditions such as diabetes, hypertension, asthma, and cardiovascular disease. Previously, postmenopausal estrogen receptor positive breast cancer patients (ERBCP) attended individual physician clinic appointments to learn about their options for adjuvant endocrine therapy. This resulted in variable education provided, lengthy medical oncologist (MO) clinic visits and significant wait-lists to attend clinic. Accordingly, we embarked on a pilot program to determine the feasibility and acceptability of GMA in this patient population. Methods: Since 2010, ERBCP requiring endocrine therapy were referred and scheduled in the biweekly GMA program. Education regarding choices, risks, benefits and side effects of endocrine therapy were provided by a nurse practitioner (NP) and/or pharmacist (RX). After questions were solicited from the group, individual ERBCP were provided with prescriptions and scheduled for guideline-based follow-up. Results: Approximately 900 ERBCP have attended GMA, with 100% of MOs referring eligible patients. Surveys indicate high levels of satisfaction with the information provided and the GMA format. Conclusions: GMA provided by NP and/or RX is feasible and acceptable to both ERBCP and MOs. Health system benefits include increased efficiency and reduced cost, with MO clinic reserved for complex patient needs. Patient benefits include timely access to care and high levels of reported satisfaction. Future work will examine the effects of GMA on patient compliance and medication reconciliation with endocrine therapy.

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Ahmed, SulemanElkamil, Nashwa FathElrhaman Ahmed, and Dawria Adam. "ASSESSMENT OF NURSES KNOWLEDGE AND PRACTICE REGARDING CARE OF ASTHMATIC CHILD IN ELMAK NIMER HOSPITAL." International Journal of Research -GRANTHAALAYAH 4, no. 2 (February 29, 2016): 39–45. http://dx.doi.org/10.29121/granthaalayah.v4.i2.2016.2810.

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This study is a descriptive, analytic, based, cross-sectional study, it was conducted to assess the nurses knowledge and practice regarding care of asthmatic child in ElmekNemir Hospital as were included 60 nurses. A pre-tested and pre-coded questionnaire consisting of 11 questions, it involved 60 nurses, their experience in paediatric unit between 1 year to more than 7years; their qualification was varies. The study was show that most of the nurses (51.3%) not know the definition of asthma and more than halve (55%) of nurses have knowledge about giving oxygen during asthma attack and (61.6%) of nurses knows the nutritional care of asthmatic patient; regarding performance of nursing skills of asthma most of nurses (63%) of nurses not know to perform spirometry procedure, instead of (78%) of nurses know how to give oxygen to asthmatic patient, the study recommend that administrator should develop Continues education activities for nurses should to increase knowledge and practice of the nurses to be skilful; establish of educational poster in nurses office consist most important interventional activities for asthmatic patient.

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10

Feller, Ellen. "The training of medical specialists and nurses in patient education on Bronchial Asthma." Patient Education and Counseling 23 (June 1994): S26. http://dx.doi.org/10.1016/0738-3991(94)90147-3.

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Kramer, Hannah, and Rebecca Batt. "Anaphylaxis: how to recognise and manage in primary care." Practice Nursing 32, no. 6 (June 2, 2021): 232–36. http://dx.doi.org/10.12968/pnur.2021.32.6.232.

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Anaphylaxis is a life-threatening emergency. Hannah Kramer and Rebecca Batt explain how correct diagnosis, avoidance and patient education are fundamental in reducing risk Anaphylaxis is a serious systemic hypersensitivity reaction that is usually rapid in onset and can cause death. It is an immune-mediated reaction, which typically occurs when a person is exposed to a trigger, for example a food, drug, or insect sting. This article aims to assist with the recognition of symptoms and to guide management of anaphylaxis in primary care. Beyond the acute, the practice nurse can play a key role in helping patients to manage their allergies in the long-term, particularly for those who are most vulnerable. Patients should be supported in understanding how best to avoid their triggers, in managing their emergency medication, and in the importance of good asthma control.

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12

Anastasaki, Marilena, Maria Trigoni, Anna Pantouvaki, Marianna Trouli, Maria Mavrogianni, Niels Chavannes, Jillian Pooler, et al. "Establishing a pulmonary rehabilitation programme in primary care in Greece: A FRESH AIR implementation study." Chronic Respiratory Disease 16 (January 1, 2019): 147997311988293. http://dx.doi.org/10.1177/1479973119882939.

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Pulmonary rehabilitation (PR) is an evidence-based, low-cost, non-medical treatment approach for patients with chronic respiratory diseases. This study aimed to start and assess the feasibility, acceptability and impact of a PR programme on health and quality of life of respiratory patients, for the first time in primary care in Crete, Greece and, particularly, in a low-resource rural setting. This was an implementation study with before–after outcome evaluation and qualitative interviews with patients and stakeholders. In a rural primary healthcare centre, patients with chronic obstructive pulmonary disease (COPD) and/or asthma were recruited. The implementation strategy included adaptation of a PR programme previously developed in United Kingdom and Uganda and training of clinical staff in programme delivery. The intervention comprised of 6 weeks of exercise and education sessions, supervised by physiotherapists, nurse and general practitioner. Patient outcomes (Clinical COPD Questionnaire (CCQ), COPD Assessment Test (CAT), St. George’s Respiratory Questionnaire (SGRQ), Patient Health Questionnaire-9 (PHQ-9), Incremental Shuttle Walking Test (ISWT)) were analysed descriptively. Qualitative outcomes (feasibility, acceptability) were analysed using thematic content analysis. With minor adaptations to the original programme, 40 patients initiated (24 with COPD and 16 with asthma) and 31 completed PR (19 with COPD and 12 with asthma). Clinically important improvements in all outcomes were documented (mean differences (95% CIs) for CCQ: −0.53 (−0.81, −0.24), CAT: −5.93 (−8.27, −3.60), SGRQ: −23.00 (−29.42, −16.58), PHQ-9: −1.10 (−2.32, 0.12), ISWT: 87.39 (59.37, 115.40)). The direct PR benefits and the necessity of implementing similar initiatives in remote areas were highlighted. This study provided evidence about the multiple impacts of a PR programme, indicating that it could be both feasible and acceptable in low-resource, primary care settings.

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Mudd, Shawna S., and JoAnne Silbert-Flagg. "Implementing the Flipped Classroom to Enhance Nurse Practitioner Clinical Decision-Making in the Care of the Pediatric Asthma Patient." Nursing Education Perspectives 37, no. 6 (2016): 352–53. http://dx.doi.org/10.1097/01.nep.0000000000000083.

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14

Booth, Andrew. "Prescribing inhaled therapy in asthma: health professionals' habits and beliefs." Journal of Prescribing Practice 2, no. 4 (April 2, 2020): 181–86. http://dx.doi.org/10.12968/jprp.2020.2.4.181.

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National and international asthma guidelines provide the evidence base for prescribing growing array of different inhaled therapies. However, the advice given is generic. The influence of nurses in prescribing inhaled therapy continues to grow, yet there is little published to help understand how and why nurses prescribe or advise on the prescribing of inhaled therapy in asthma. The aim of the study was to gain a better understanding of how health professionals make prescribing decisions in inhaled therapy, which was done by taking a survey. The survey gathered data of the habits and beliefs on prescribing inhaled corticosteroid/inhaled long-acting B2 agonist therapy in asthma, from 100 primary healthcare professionals. As a result of the study, patient preference, dose counter and maintenance and reliever therapy were reported to be considered the most important elements by health professionals. The device was considered more important than the drug, and there is an ongoing need for further education of health professionals in this area. Comparing responses from this study with similar responses from people with asthma may bring together the thinking of patients and professionals.

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Hashmi, Anjum, Jamil Ahmed Soomro, Afzal Memon, and Tahira Kasur Soomro. "Incorrect Inhaler Technique Compromising Quality of Life of Asthmatic Patients." Journal of Medicine 13, no. 1 (March 6, 2012): 16–21. http://dx.doi.org/10.3329/jom.v13i1.7980.

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Introduction: The inhalation route is widely used for the treatment of asthma. It is considered that inadequate inhaler technique is the leading cause of therapy failure. Objective: To determine the proportion of incorrect inhaler use and associated factors in asthmatic patients compromising quality of life. Methodology: It is a cross sectional study conducted at Specialist Chest Clinic Fatima Bhai Hospital Karachi from September 2010 to March 2011. A sample size of 215 was selected by Non-probability purposive sampling technique. Trained health care workers in presence Chest specialist requested patients to demonstrate their inhaler technique and assessed it according to the checklist. If any of the steps was missing or done incorrectly, it was marked as incorrect technique. Information was also collected through a structured questionnaire on socio-demographic variables such as age, gender, education, duration of asthma, duration of inhaler use, and patient education of inhaler technique. Data was entered and analyzed on SPSS-14. Results: There was an inverse relationship between education level and incorrect inhaler technique (p<0.05). Education of inhaler usage provided by doctors was more effective as compared to education provided by nurses (p<0.038). There was no significant relationship between age, sex, duration of asthma, duration of inhaler use, frequency of inhaler use and incorrect inhaler technique. Conclusion: Quality of life of a large percentage of patients is compromised by incorrect inhaler use and education level of patients had significant relationship with incorrect inhaler technique.DOI: http://dx.doi.org/10.3329/jom.v13i1.7980 JOM 2012; 13(1): 16-21

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Boulet, Louis-Philippe, Eileen Dorval, Manon Labrecque, Michel Turgeon, Terrence Montague, and Robert L. Thivierge. "Towards Excellence in Asthma Management: Final Report of an Eight-Year Program Aimed at Reducing Care Gaps in Asthma Management in Quebec." Canadian Respiratory Journal 15, no. 6 (2008): 302–10. http://dx.doi.org/10.1155/2008/323740.

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BACKGROUND AND OBJECTIVES: Asthma care in Canada and around the world persistently falls short of optimal treatment. To optimize care, a systematic approach to identifying such shortfalls or ‘care gaps’, in which all stakeholders of the health care system (including patients) are involved, was proposed.METHODS: Several projects of a multipartner, multidisciplinary disease management program, developed to optimize asthma care in Quebec, was conducted in a period of eight years. First, two population maps were produced to identify regional variations in asthma-related morbidity and to prioritize interventions for improving treatment. Second, current care was evaluated in a physician-patient cohort, confirming the many care gaps in asthma management. Third, two series of peer-reviewed outcome studies, targeting high-risk populations and specific asthma care gaps, were conducted. Finally, a process to integrate the best interventions into the health care system and an agenda for further research on optimal asthma management were proposed.RESULTS: Key observations from these studies included the identification of specific patterns of noncompliance in using inhaled corticosteroids, the failure of increased access to spirometry in asthma education centres to increase the number of education referrals, the transient improvement in educational abilities of nurses involved with an asthma hotline telephone service, and the beneficial effects of practice tools aimed at facilitating the assessment of asthma control and treatment needs by general practitioners.CONCLUSIONS: Disease management programs such as Towards Excellence in Asthma Management can provide valuable information on optimal strategies for improving treatment of asthma and other chronic diseases by identifying care gaps, improving guidelines implementation and optimizing care.

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Godden, D. J., A. Robertson, N. Currie, J. S. Legge, J. A. R. Friend, and J. G. Douglas. "Domiciliary Nebuliser Therapy — A Valuable Option in Chronic Asthma and Chronic Obstructive Pulmonary Disease?" Scottish Medical Journal 43, no. 2 (April 1998): 48–51. http://dx.doi.org/10.1177/003693309804300207.

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Domiciliary nebulisers are in widespread use for patients who have severe chronic airways disease, both asthma and chronic obstructive pulmonary disease (COPD). We report a study of the use of domiciliary nebulisers designed to assess practical problems and the value of such therapy in preventing hospital admissions. A total of 405 patients underwent a structured interview at home and their case records were reviewed. Technical performance of the nebuliser compressors was assessed The mean (SD) age of those interviewed was 64.5 (12) years. 185 patients had a physician diagnosis of asthma, and 208 had COPD. 87% patients used their nebuliser at least once daily. Side effects, reported by 54%, were related to frequency of use and commoner in younger patients. 29 subjects (7%) died within 2 years of receiving their nebuliser. Among the survivors, the 2 year periods before and after supply of the nebuliser were compared The percentage of patients requiring hospital admission for exacerbations of lung disease fell from 56% to 46% (p<0.01) but the number and duration of admissions was unchanged Those whose admission duration increased had more severely impaired spirometry when the nebuliser was supplied and had lower activity scores and higher breathlessness scores at the time of interview indicating more severe disease. Approximately half of the compressors were malfunctioning and patients' understanding of the principles of nebuliser treatment was poor. The provision of domiciliary nebuliser can influence hospital admission inpatients with obstructive airways disease. There is also a need for improved patient education and for technical support which may require the development of a nurse-run nebuliser service.

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Gessling, Aliya, Mary Rank, Deborah Larson, Ann Soloway, Jessica Langston, and Quy Tran. "COVID-19 and advance care planning: A unique opportunity." Journal of Clinical Oncology 39, no. 28_suppl (October 1, 2021): 32. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.32.

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32 Background: Advance Care Planning (ACP) is a process to document patient preferences for future health care. Conversations between healthcare providers, patients, and loved-ones are required to reflect a patient’s values, goals, and ultimately their choices for life-sustaining treatments (LST). The COVID-19 pandemic has highlighted the critical importance of these discussions and the need for improved patient engagement. Methods: As COVID-19 infections surged, the VA Northern California Health Care System (VA NCHCS) Hospice and Palliative Care Section (HPCS) partnered with Patient Aligned Care Teams to expand urgent outreach to high-risk patients needing LST documentation. High risk was defined as age > 80, COPD or asthma diagnosis, or Care Assessment Need Score > 80 (CAN Score models risk of hospitalization or death within 1 year). An experienced HPCS Nurse Practitioner (NP) contacted these identified patients to 1.) provide COVID-19 education, 2.) conduct a high-quality goals of care conversation, and 3.) complete LST documentation and other ACP needs. A representative cohort was then followed up to evaluate concordance of treatment with their documented preferences. Results: Between March 2020 and September 2020, 910 patients were identified as high risk. Of these patients, 294 agreed to participate in the telehealth visit and complete LST documentation. Importantly, 108 (37%) patients chose DNR and other LST limitations. In addition, 142 (48%) patients created POLST documentation and 128 (43%) completed Advance Directives. Over 70% of patients who were hospitalized in the VA received care concordant with the newly documented LST preferences. A follow up survey of 29 participants found the outreach impactful and their preferences documented correctly. Conclusions: Prior studies have demonstrated success at educating primary providers to conduct ACP discussions, but given the limitations imposed by COVID-19 restrictions, this novel and highly cost-effective process of coupling a highly trained HPCS NP with a primary care team to perform ACP was piloted with success. After only a single ACP discussion, patients were able to formalize their limits to treatment and subsequent care aligned with these preferences. Patients also found this focused ACP discussion meaningful. This pathway will be integrated within the VA NCHCS as a long-term approach to continued ACP outreach.

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Levy, Mark L. "The national review of asthma deaths: what did we learn and what needs to change?" Breathe 11, no. 1 (March 2015): 14–24. http://dx.doi.org/10.1183/20734735.008914.

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Key pointsThe 2014 UK National Review of Asthma Deaths identified potentially preventable factors in two-thirds of the medical records of cases scrutinised45% of people who died from asthma did not call for or receive medical assistance in their final fatal attackOverall asthma management, acute and chronic, in primary and secondary care was judged to be good in less than one-fifth of those who diedThere was a failure by doctors and nurses to identify and act on risk factors for asthma attacks and asthma deathThe rationale for diagnosing asthma was not evident in a considerable number of cases, and there were inaccuracies related to the completion of medical certificates of the cause of death in over half of the cases considered for the UK National Review of Asthma DeathsEducational aimsTo increase awareness of some of the findings of the recent UK National Review of Asthma Deaths and previous similar studiesTo emphasise the need for accurate diagnosis of asthma, and of the requirements for completion of medical certificates of the cause of deathTo consider areas for improving asthma care and prevention of attacks and avoidable deathsSummaryDespite the development and publication of evidence-based asthma guidelines nearly three decades ago, potentially preventable factors are repeatedly identified in studies of the care provided for patients who die from asthma. The UK National Review of Asthma Deaths (NRAD), a confidential enquiry, was no exception: major preventable factors were identified in two-thirds of asthma deaths. Most of these factors, such as inappropriate prescription and failure to provide patients with personal asthma action plans (PAAPs), could possibly have been prevented had asthma guidelines been implemented.NRAD involved in-depth scrutiny by clinicians of the asthma care for 276 people who were classified with asthma as the underlying cause of death in real-life. A striking finding was that a third of these patients did not actually die from asthma, and many had no recorded rationale for an asthma diagnosis.The apparent complacency with respect to asthma care, highlighted in NRAD, serves as a wake-up call for health professionals, patients and their carers to take asthma more seriously. Based on the NRAD evidence, the report made 19 recommendations for change. The author has selected six areas related to the NRAD findings for discussion and provides suggestions for change in the provision of asthma care. The six areas are: systems for provision and optimisation of asthma care, diagnosis, identifying risk, implementation of guidelines, improved patient education and self-management, and improved quality of completion of medical certificates of the cause of death.

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Piryani, R. M., R. S. Poudel, S. Shrestha, and A. Prajapati. "Assessment of nurses’ knowledge on rotahaler device in a teaching hospital of central Nepal." Journal of Chitwan Medical College 5, no. 4 (February 15, 2017): 27–32. http://dx.doi.org/10.3126/jcmc.v5i4.16548.

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Nurses are among the key personnel for educating patients on use of inhalers. This study aimed to assess the baseline knowledge of practitioner nurses on rotahaler technique and management. A descriptive study was conducted among the practitioner nurses (n=31) in a teaching hospital of Central Nepal. Knowledge on rotahaler technique and management were assessed using questionnaire by giving ‘1’ for correct response and ‘0’ for incorrect response. Descriptive statistics was calculated for statistical analysis using IBM-SPSS 20.0. The mean knowledge score of the participants was 4.74±1.56. Majority of the participants (76.7%) were unable to respond that dry powder inhalers (DPIs) allow maximum deposition of drugs in lung than pressurised metered dose inhalers (pMDIs) and only 2 (6.5%) of them was aware of instructions to clean the rotahaler. About 50% of participants were unaware that patient with asthma and chronic obstructive pulmonary disease (COPD) should hold their breath for around 10 seconds after taking inhaled medication. Similarly, two third participants knew that a quick, forceful and deep inspiration is necessary while using rotahaler. The participating nurses had inadequate knowledge on the technique of rotahaler and its management. Nurses in hospital setting need continued education and training on inhalation technique and the management of inhalation devices.

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Kelso, Tiffany M., Rita R. Alloway, and Timothy H. Self. "Asthma Patient Education." Journal of Pharmacy Practice 5, no. 4 (October 1992): 186–96. http://dx.doi.org/10.1177/089719009200500405.

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Patient education is a very important aspect of the treatment of asthma. Success of therapy is highly dependent upon patients' knowledge of asthma and the correct use of their medications. Over the last decade the morbidity and mortality rates due to asthma have increased. Education of patients is necessary to reduce these rates. Pharmacists can play a major role in the education of patients. Pharmacists are readily available and see most patients frequently for refills. Regular use of anti-inflammatory medications, use of β2-agonists for rescue therapy, and prevention of exercise induced asthma, and correct inhaler technique should be stressed. Spacer devices and peak flow meters should be routinely recommended by pharmacists. Educational aids such as handouts, pamphlets, and video tapes are available from many different organizations that can help make education more time efficient. Asthma education is a rewarding service to offer asthma patients and helps to develop loyalty as well as overall better health care for patients.

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Lilley, Andrew. "ASSESSING THE BENEFITS THAT COMMUNITY PHARMACIES CAN HAVE ON CHILDHOOD ASTHMA OUTCOMES." Archives of Disease in Childhood 101, no. 9 (August 17, 2016): e2.48-e2. http://dx.doi.org/10.1136/archdischild-2016-311535.52.

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IntroductionThe local Clinical Commissioning Group has funded an innovative one-year pilot project to assess the value of providing specialist paediatric pharmacist and physiotherapist support direct to families and health care professionals (GP's, community pharmacists, practice nurses etc.) regarding asthma in the primary care setting. Community pharmacies are the one service that asthmatic children come in contact with in order to pick up their medications it was decided to encourage staff to provide interventions at the point of collection.Methods22 large chain, small chain and independent community pharmacy branches were included in the pilot (out of 152 within CCG area) with a total of 31 pharmacists and 67 assistants trained to provide the service. The plan was to provide ‘back to basics’ leaflets on collection of prescription to help improve education on the medications being used; provide inhaler technique counselling on the collection of all prescriptions for children; encourage pharmacist's to perform medicines use reviews and the new medicines service in asthmatic children of high school age (for which they could collect the standard NHS fee). In order to assess the benefits of this, the pharmacist or assistant would first perform the standard asthma control test, marked out of 25 with the parent/patient completing an online version one month later to assess any improvement in symptom management. In order to trace the number of MURs, NMS, inhaler counselling sessions and leaflets given out a tally chart was completed each month by the branches involved.ResultsUnfortunately of the 22 branches that signed up to the pilot only 15 returned tally charts to the team. Over a six month period 23 MUR's, 3 NMS and 32 inhaler technique sessions were performed with 67 leaflets distributed. Of a possible 55 asthma control tests (MURs and inhaler technique counselling sessions) only 23 patients completed the four week post intervention online form. Of those completed the average asthma control test score increased by 7 points (30% increase). In particular feedback from the pharmacists involved was that the inhaler counselling sessions were of particular benefit to parents/patients.Feedback from the pharmacy teams in general was positive with many stating it was good to be more involved in the care of children's conditions; however many stated in order for the service to roll out to a wider audience the scheme would have to provide a financial incentive for the large chains to take part.ConclusionsIt is clear that interventions performed by the community pharmacy teams can help improve symptom control in asthmatic children. In particular ensuring patients are using their medications correctly appears to be key to symptom control. Encouraging pharmacists to provide child friendly MURs should be investigated further to prove the benefit of this service further. It should be noted that ensuring patients are using their medications correctly is already part of the essential service contract for pharmacies.

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HILTON, SEAN. "Patient Education in Asthma." Family Practice 3, no. 1 (1986): 44–48. http://dx.doi.org/10.1093/fampra/3.1.44.

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Underwood, Margot F., Shirley G. Revitt, Stephen K. Field, and Robert L. Cowie. "Patient Education in Asthma." Disease Management and Health Outcomes 5, no. 6 (1999): 303–9. http://dx.doi.org/10.2165/00115677-199905060-00001.

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Whitman, Marjorie. "Patient education." Nursing 45, no. 1 (January 2015): 52–54. http://dx.doi.org/10.1097/01.nurse.0000453722.00617.69.

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Kelly, H. William. "Asthma, Aerosols, and Patient Education." DICP 25, no. 6 (June 1991): 668–69. http://dx.doi.org/10.1177/106002809102500619.

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&NA;. "Patient education reduces asthma costs." Inpharma Weekly &NA;, no. 820 (January 1992): 9. http://dx.doi.org/10.2165/00128413-199208200-00022.

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Cabana, Michael D., and Tao T. Le. "Challenges in asthma patient education." Journal of Allergy and Clinical Immunology 115, no. 6 (June 2005): 1225–27. http://dx.doi.org/10.1016/j.jaci.2005.03.004.

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Partridge, Martyn R. "Asthma: lessons from patient education." Patient Education and Counseling 26, no. 1-3 (September 1995): 81–86. http://dx.doi.org/10.1016/0738-3991(95)00738-l.

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Meyer, Julienne. "My patient — my nurse." Nurse Education Today 10, no. 6 (December 1990): 474. http://dx.doi.org/10.1016/0260-6917(90)90125-a.

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Guthrie, Diana W. "Diabetes Patient Education: Nurse Specialist Approach." Diabetes Educator 12, no. 2 (March 1986): 131–34. http://dx.doi.org/10.1177/014572178601200209.

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The diabetes nurse specialist must possess many skills and be able to work in many settings with a variety of patients and with other profes sionals. This paper discusses the skills and knowledge required to deliver high-quality care to persons with diabetes mellitus and the kind of training that will best achieve this level of care. It is concluded that specialized professional training in diabetes management is necessary.

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Fry, Fiona. "Better nurse education = improved patient care." Gastrointestinal Nursing 12, Sup10 (December 2014): S7. http://dx.doi.org/10.12968/gasn.2014.12.sup10.s7.

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Goodman, Kassandra J., Brian M. Dougan, Dawn M. Stevens, Jessica R. Smith, Michael A. Mikhail, and Andrew J. Majka. "Introducing Nurse-Led Patient Education Visits." Journal of Nursing Care Quality 36, no. 1 (June 12, 2020): 43–49. http://dx.doi.org/10.1097/ncq.0000000000000489.

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Towle, Angela. "Using Patient Experience in Nurse Education." Health Expectations 10, no. 3 (September 2007): 299–300. http://dx.doi.org/10.1111/j.1369-7625.2007.00437.x.

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Cowie, Robert L., Margot F. Underwood, and Sally Mack. "The Impact of Asthma Management Guideline Dissemination on the Control of Asthma in the Community." Canadian Respiratory Journal 8, suppl a (2001): 41A—45A. http://dx.doi.org/10.1155/2001/213953.

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OBJECTIVE: To measure the impact of asthma management education on the control of asthma in the community.DESIGN: A cross-sectional study comparing three communities.SETTING: Three rural communities in southern Alberta.PATIENTS AND METHODS: A population sample of patients with asthma attending a pharmacy to fill a prescription for asthma medication were selected from three communities. Patients were asked to complete a questionnaire relating to their asthma management and control.INTERVENTION: Three levels of asthma management education were provided in the three communities with populations of 6000 to 10,000. The levels of education ranged from standard continuing medical education programs relating to the national asthma guidelines and a visiting asthma nurse educator to the establishment of an asthma clinic and a multiple-target, intensive education program for health professionals, town leaders, local media, schools and the public. The survey of the population with asthma was conducted approximately one year after the education program had been completed.RESULTS: A total of 327 completed questionnaires were submitted. Analysis showed that there was no significant difference that could be attributed to the intervention in the management of asthma or in the level of asthma control among the patients from the three communities.RESULTS: A total of 327 completed questionnaires were submitted. Analysis showed that there was no significant difference that could be attributed to the intervention in the management of asthma or in the level of asthma control among the patients from the three communities.

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Manwani, Deepa, Veronica Carullo, Michael Rinke, Steven Choi, and Catherine Driscoll. "Reducing Health Care Utilization in Sickle Cell Disease Patients By Implementation of an Individualized, Multimodal Care Plan during Hospital Admission and at Inpatient to Outpatient Discharge." Blood 124, no. 21 (December 6, 2014): 444. http://dx.doi.org/10.1182/blood.v124.21.444.444.

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Abstract Background: SickleCell Disease (SCD) is a chronic illness characterized by vaso-occlusive complications leading to unpredictable episodes of pain, cumulative organ damage and high health care utilization rates. National estimates of total hospital costs for sickle cell related hospitalizations are approximately $488 billion (Steiner 2006). 30 day readmission rates are used as a quality metric for a variety of chronic diseases: 33% of patients with SCD are readmitted within 30 days, compared to 3.4% for asthma, 12% for pneumonia, 16% for heart failure and 20% for diabetes (Brousseau 2010, Berry 2011). Multiple factors contribute to this high utilization rate and not all are modifiable. Increasing age and psychosocial comorbidities are associated with a greater length of stay (LOS). 18-30 year old patients, public insurance and admissions for pain crisis are associated with a higher 30 day readmission rate. Lack of outpatient follow up with a trained hematologist following hospital admission has been demonstrated to increase SCD readmission rates (Leschke 2012). Debaun et al have noted that written discharge management guidelines alone had low utilization rates, however when intensive ongoing patient and provider education by a nurse educator was also included, the 30 day readmission rate decreased from 28 to 11% (Frei-Jones 2009). Hydroxyurea responders have been shown to have a reduced LOS. Hypothesis: Implementation of an individualized, multimodal care plan during inpatient stay and at inpatient to outpatient discharge will reduce acute care utilization. It is likely that the implementation of the comprehensive care plan at this key transition point will be more effective due to (1) greater psychological readiness in the patient/ family to accept escalation of care soon after an acute event (2) decreased instances of “missed opportunities” in the event that the patient does not follow up with a provider with sickle cell specific expertise and (3) improvement in communication amongst inpatient providers, outpatient providers with specific hematology expertise and the multi-disciplinary team. Methods: A SCD quality improvement effort was initiated at The Children’s Hospital at Montefiore (CHAM) in July 2012 with the specific goals of reducing the 30 day readmission rates and length of stay (LOS). Secondary endpoints included admission rates, ED return rates and cost savings. Our efforts were directed at consistent and comprehensive implementation of best-practice guidelines, improved pain management strategies, a multimodal approach to patient care, andutilization of the hospital admission as an opportunity to design a comprehensive care plan. Representatives from the inpatient team, the primary hematologists, nursing, social work, psychology and pain management met weekly to create the care plan. A pre–post design was utilized, comparing data 3.5 years before to 1 year after the initiation of the transition intervention. Results: A significant reduction rate in LOS by 10% and 30 day readmission rate by 37%, with even greater gains in the 18-21 year age group was noted. This was not accompanied by an increase in ED visits (3 and 7 days) and in fact there was a significant reduction in the 3 day ED return rate in older patients. We also saw an overall reduction in the SCD inpatient admission rate by 22% and increase in hydroxyurea use. Table 1: Outcomes from the ongoing SCD Quality Improvement project Number of admissions 3 Day ED Return (%) 7 Day ED Return (%) 30 Day Readmission Rate % LOS (days) < 18 years National Average 17 4.21 Before 556 3.3 0.95 18.1 4.1 After 140 3.4 1.01 14.7 4.0 p-value 0.9 0.8 0.059 0.6 ≥ 18 years National Average 41.1 6.8 Before 1685 11.5 0.9 41.4 6.6 After 592 5 2.1 18.6 5.4 p-value 0.02 0.2 <0.0001 0.04 All Ages Before 2241 5 0.94 24 4.7 After 732 3 1.23 15 4.2 p-value 0.8 0.52 <0.001 0.018 * “Before” and “After” represent data prior to and after the implementation of the ongoing QI initiatives respectively Conclusion: We demonstrate the feasibility of reducing acute care utilization in SCD patients, with the implementation of an individualized, multimodal, comprehensive care plan during hospital admission and at discharge. Disclosures No relevant conflicts of interest to declare.

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Talbot, Brooke. "Improving patient medication education." Nursing 48, no. 5 (May 2018): 58–60. http://dx.doi.org/10.1097/01.nurse.0000531909.68714.85.

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Murdock, Andrea, and Barbara Griffin. "How is patient education linked to patient satisfaction?" Nursing 43, no. 6 (June 2013): 43–45. http://dx.doi.org/10.1097/01.nurse.0000427101.75399.fe.

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Ponté, Corrin M. "EDUCATION OF THE PATIENT WITH ASTHMA." Immunology and Allergy Clinics of North America 19, no. 1 (February 1999): 161–70. http://dx.doi.org/10.1016/s0889-8561(05)70060-6.

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Swanson, Keith A. "Meeting Patient Needs in Asthma Education." Journal of Pharmacy Practice 10, no. 3 (June 1997): 211–21. http://dx.doi.org/10.1177/089719009701000312.

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Preventable drug-related morbidity and mortality in asthma patients is related to inappropriate behavior by both patients (noncompliance) and health care professionals (prescribing and monitoring). Compliance is the crucial factor for success of a therapeutic regimen. Impacting factors have been identified as skills in administration techniques, interactions between patients and providers, and patient expectations. Beneficial effects on the cost of care and quality of life are gained from increasing level of care available to patients. Intensive education including development of self-monitoring skills, early treatment of exacerbations, and access to regular outpatient and Emergency Room care have been shown to be effective.

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Brown, Randall. "Asthma Patient Education: Partnership in Care." International Forum of Allergy & Rhinology 5, S1 (September 2015): S68—S70. http://dx.doi.org/10.1002/alr.21596.

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42

Bakody, Eszter. "Orthopaedic plaster casting: nurse and patient education." Nursing Standard 23, no. 51 (August 26, 2009): 49–56. http://dx.doi.org/10.7748/ns2009.08.23.51.49.c7224.

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Bakody, Eszter. "Orthopaedic plaster casting: nurse and patient education." Nursing Standard 23, no. 51 (August 26, 2009): 49–57. http://dx.doi.org/10.7748/ns.23.51.49.s48.

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Ferenkeh-Koroma, Ada. "Systemic lupus erythematosus: nurse and patient education." Nursing Standard 26, no. 39 (May 30, 2012): 49–57. http://dx.doi.org/10.7748/ns2012.05.26.39.49.c9134.

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Ferenkeh-Koroma, Ada. "Systemic lupus erythematosus: nurse and patient education." Nursing Standard 26, no. 39 (May 30, 2012): 49–58. http://dx.doi.org/10.7748/ns.26.39.49.s53.

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46

Billinǵton, Tracey. "Issues of patient sexuality in nurse education." British Journal of Nursing 21, no. 18 (October 11, 2012): 1109. http://dx.doi.org/10.12968/bjon.2012.21.18.1109.

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Clarke, Sean P., and Charlene Connolly. "Nurse Education and Patient Outcomes: A Commentary." Policy, Politics, & Nursing Practice 5, no. 1 (February 2004): 12–20. http://dx.doi.org/10.1177/1527154403261623.

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Holtzman, Adam L., Jodie P. Williams, Debra F. Hutchinson, Christopher G. Morris, and Anamaria R. Yeung. "Improving Patient-reported Pain During Radiotherapy Through Nurse Involvement and Patient Education." American Journal of Clinical Oncology 41, no. 10 (October 2018): 1028–30. http://dx.doi.org/10.1097/coc.0000000000000415.

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Blonshine, Susan. "Patient education: The key to asthma management." Home Care Provider 3, no. 3 (June 1998): 153–59. http://dx.doi.org/10.1016/s1084-628x(98)90324-0.

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Brewin, Adrienne M., and John A. Hughes. "Effect of patient education on asthma management." British Journal of Nursing 4, no. 2 (January 26, 1995): 81–101. http://dx.doi.org/10.12968/bjon.1995.4.2.81.

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