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Journal articles on the topic 'Respiratory Therapy Education'

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Published: 4 June 2021
Last updated: 11 February 2022

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1

ARI, A., L. GOODFELLOW, and J. RAU. "Characteristics of a Successful Respiratory Therapy Education Program." Respiratory Care Clinics of North America 11, no. 3 (September 2005): 371–81. http://dx.doi.org/10.1016/j.rcc.2005.04.010.

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2

Varekojis, S. M., G. G. Sergakis, C. L. Dunlevy, E. Foote, and J. Clutter. "Distance Learning and the Internet in Respiratory Therapy Education." Respiratory Care 56, no. 11 (November 1, 2011): 1808–11. http://dx.doi.org/10.4187/respcare.01197.

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3

CULLEN, D. "Clinical Education and Clinical Evaluation of Respiratory Therapy Students." Respiratory Care Clinics of North America 11, no. 3 (September 2005): 425–47. http://dx.doi.org/10.1016/j.rcc.2005.04.013.

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4

Vernon, Marlo M., Nicole M. Moore, Lisa-Anne Cummins, Stephanie E. Reyes, Andrew J. Mazzoli, Vahe Heboyan, and Gianluca De Leo. "Respiratory Therapy Faculty Knowledge of and Attitudes Toward Interprofessional Education." Respiratory Care 62, no. 7 (March 14, 2017): 873–81. http://dx.doi.org/10.4187/respcare.05034.

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5

Delish, Dr Dhanush. "Lopinavir Therapy for COVID-19." Psychology and Education Journal 58, no. 2 (February 4, 2021): 535–42. http://dx.doi.org/10.17762/pae.v58i2.1881.

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A dangerous respiratory ailment (COVID-19) because of serious intense respiratory condition severe acute respiratory illness causing Corona illness was first depicted in December 2019 at Wuhan (China), quickly turning into a worldwide disease. In the principal stage, when the duplication of virus assumed into a urgent pathogenic job, antiviral medications should have been pivotal on restricting viral-initiated visceral harm. Shockingly, no possible antiviral drug demonstrated viability for (Corona disease), and a few medications have been redepeloyed shall possibly confront the most sensational worldwide spreading disease. This paper shall audit the investigations assessing how lopinavir or ritonavir ally in utilisation againstCorona disease and already in severe acute respiratory disease and Middle Eastern respiratory disorder (MERS). I looked through many article to recognize all important clinic based and research center investigations distributed up to 15 May 2020; the rules on the utilization of in Corona disease were further straightforwardly looked on the site of the fundamental worldwide logical social orders and organizations. Accessible proof is right now scant and are of inferior standards.The proposals given for Corona disease fluctuate from its place plainly in opposition towards utilization of lopinavir alternatively ritonavir to different places those which are more substantial. As we would like to think, regardless of the questionable consequences of a significantrandomized clinical endeavor, and a few suggestions, clinicians ought not forsake the utilization oflopinavir alternatively ritonavir cure for (Corona disease) , perhaps utilizing these medication through an imminent aimless endeavor, hanging tight for the aftereffects of the various progressing struggles assessing its viability.
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Barnes, T. A., R. M. Kacmarek, and C. G. Durbin. "Survey of Respiratory Therapy Education Program Directors in the United States." Respiratory Care 56, no. 12 (December 1, 2011): 1906–15. http://dx.doi.org/10.4187/respcare.01259.

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7

Pinto, WA, HB Rossetti, A. Araujo, HM Do Carmo, AP Acerbi, MV Santos, JJ Sposito, et al. "Impact of an education program in respiratory therapy quality of care." Critical Care 14, Suppl 1 (2010): P456. http://dx.doi.org/10.1186/cc8688.

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Sreedharan, JithinK, and SureshG Nair. "Fostering quality in respiratory therapy education – A need of the hour." Indian Journal of Respiratory Care 10, no. 2 (2021): 167. http://dx.doi.org/10.4103/ijrc.ijrc_52_21.

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9

Alghamdi, Saeed M., Rayan A. Siraj, and Arzu Ari. "Evaluation of the Clinical Learning Environment in Respiratory Therapy Education: Student Perceptions." Respiratory Care 64, no. 2 (October 16, 2018): 161–68. http://dx.doi.org/10.4187/respcare.05055.

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Stellefson, Michael, Beth Chaney, and Don Chaney. "Heuristic Evaluation of Online COPD Respiratory Therapy and Education Video Resource Center." Telemedicine and e-Health 20, no. 10 (October 2014): 972–76. http://dx.doi.org/10.1089/tmj.2014.0009.

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Dr. Swaroopa Chakole, Mustafa Amdani,. "Respiratory Care in Corona." Psychology and Education Journal 58, no. 2 (February 4, 2021): 613–20. http://dx.doi.org/10.17762/pae.v58i2.1890.

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BACKGROUND The expanse of the coronavirus disease 2019 or COVID-19 is huge. The impact is multispectral and affected almost all aspects of human life. SUMMARY Respiratory impact of the COVID-19 is the most felt and widely reported impact. As the novel coronavirus maintained its history of affecting lungs as seen previously in severe acute respiratory syndrome (SARS) outbreak. Ventilators and oxygen support system are required mostly in comorbid patients particularly amongpatientsbearing illnesses like asthma, bronchial impairment and so on. CONCLUSION More study needs to be done in order to assess the impact on the respiratory functioning of the body. Respiratory care must be including proper instruments so that more efficient result can be obtained. Research is needed to promote the invention of specific therapy for targeted action for respiratory functioning improvement.
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12

Richards, James M., William E. Goetter, Patricia A. Amos, C. Michael Brooks, and Randal H. Robertson. "Validity of the Allied Health Aptitude Test in a Respiratory Therapy Education Program." Educational and Psychological Measurement 46, no. 2 (June 1986): 397–400. http://dx.doi.org/10.1177/001316448604600213.

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13

Dorner, Stephanie, Tara Fowler, Martha Montano, Ray Janisse, Mandy Lowe, and Paula Rowland. "Implementing a peer-learning approach for the clinical education of respiratory therapy students." Canadian Journal of Respiratory Therapy 55 (2019): 21–27. http://dx.doi.org/10.29390/cjrt-2018-022.

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14

Kinkle, Robert Mark. "Factors Influencing Student Success in Associate Degree Respiratory Therapy Programs." Health Professions Education 6, no. 3 (September 2020): 343–53. http://dx.doi.org/10.1016/j.hpe.2020.06.003.

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15

Pulgar Muñoz, Susana, and Alvaro Fernández-Luna. "Práctica de actividad física, consumo de tabaco y alcohol y sus efectos en la salud respiratoria de los jóvenes universitarios (Physical activity, smoking and alcohol consumption and their effects on the respiratory health of college students)." Retos, no. 35 (October 25, 2018): 130–35. http://dx.doi.org/10.47197/retos.v0i35.60603.

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El objetivo de este estudio consiste en analizar y comparar los hábitos de vida (consumo de tabaco, alcohol y práctica de actividad física) y sus efectos en la salud respiratoria en una muestra de estudiantes universitarios. La percepción de síntomas respiratorios y los hábitos de vida de los estudiantes se realizaron a través de un cuestionario específico de salud respiratoria validado para la población general en las preguntas de calidad de vida, el Sant George Respiratory Questionnaire (SGRQ). La muestra estuvo compuesta por estudiantes universitarios sedentarios (n = 497) y estudiantes universitarios del Grado en Ciencias de la Actividad Física y del Deporte (n = 315). Los estudiantes universitarios sedentarios, los que consumían alcohol y los fumadores, exfumadores y fumadores pasivos obtuvieron puntuaciones de síntomas respiratorios más altas en el SGRQ (p<.05) en comparación con los estudiantes de Ciencias del Deporte y los estudiantes que nunca consumían alcohol o tabaco. El consumo de tabaco y alcohol y la inactividad física parecen tener una influencia en la percepción de síntomas respiratorios en los estudiantes universitarios.Abastract. The objective of this study is to analyze and compare life habits (smoking, alcohol and physical activity) and their effects on respiratory health in a sample of university students. The perception of respiratory symptoms and life habits of university students was carried out through a specific validated respiratory health questionnaire, the Sant George Respiratory Questionnaire (SGRQ), for the general population with questions related to health-related life quality. The sample consisted of sedentary university students (n = 497) and university students of Physical Activity and Sport Sciences Degree (n = 315). Sedentary university students, alcohol users, smokers, ex-smokers, and passive smokers had the highest rates of perceived respiratory symptoms in the SGRQ (p<.05) compared to Sport Science students and students who never consumed alcohol or tobacco. Tobacco and alcohol consumption and physical inactivity are the factors that cause more respiratory symptoms in university students.
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16

Vernon, Marlo M., Nicole Moore, Andrew Mazzoli, and Gianluca De Leo. "Respiratory therapy faculty perspectives on interprofessional education: Findings from a cross-sectional online survey." Journal of Interprofessional Care 32, no. 2 (November 2, 2017): 235–38. http://dx.doi.org/10.1080/13561820.2017.1389865.

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17

Fernández-Luna, Álvaro, Pablo Burillo, Leonor Gallardo, and Ignacio Ara. "Consecuencias sobre la salud y la función respiratoria del tratamiento químico del agua en piscinas cubiertas (Consequences to health and lung function of the chemical treatments of water in indoor swimming pools)." Retos, no. 26 (March 5, 2015): 75–83. http://dx.doi.org/10.47197/retos.v0i26.34404.

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El objetivo de este trabajo fue identificar los tratamientos químicos del agua utilizados en piscinas cubiertas y los métodos para evaluar sus efectos en la función y aparato respiratorio de diferentes poblaciones asistentes a estas instalaciones. Se realizó una búsqueda de publicaciones científicas y libros sobre los tratamientos químicos en piscinas y sus efectos en la salud y la función respiratoria. Los tratamientos químicos en piscina basados en el cloro y el bromo generan subproductos de desinfección dañinos para el organismo (DBPs) como las cloraminas y los trihalomentanos (THM). Existen tratamientos alternativos como ultravioleta y ozono que reducen la formación de DBPs. Los métodos de evaluación utilizados para detectar enfermedades, daño pulmonar y de las vías respiratorias son las técnicas basadas en la espirometría, y el análisis de biomarcadores en plasma o suero sanguíneo (proteínas CC16, surfactantes A, B y D, Inmunoglobulina específica), aire exhalado (óxido nítrico, citoquinas), orina (CC16, leukotrieno B4), esputo o saliva (eosinofilos y linfocitos) y DBPs en aire exhalado, sangre u orina. Los efectos observados en las diferentes poblaciones han sido el aumento de la permeabilidad del epitelio pulmonar, la inflamación de las vías respiratorias y síntomas asociados al asma, hiper-reactividad bronquial y rinitis alérgica. Los efectos negativos detectados en el aparato respiratorio de las diferentes poblaciones en piscinas están relacionados con la exposición a productos químicos. Algunos Biomarcadores (como la proteína CC16) obtienen una mayor fiabilidad. Los tratamientos complementarios (ozono y ultravioleta) no han sido evaluados y pueden suponer una reducción en los problemas respiratorios de nadadores y trabajadores.Palabras Clave: biomarcadores, enfermedades respiratorias, espirometría, natación, subproductos de desinfección.Abstrac: The aim of this study was to identify the effects on respiratory function produced by water chemical treatments in the indoor pools in different populations. We made a review of the scientific literature about chemical treatments of water and assessment methods used to detect health effects and respiratory function. Chemical treatments chlorine and bromine generate disinfection byproducts (DBPs) that are harmful to the body, such as chloramines and trihalomethanes (THM). There exist alternative treatments such as ultraviolet radiation and ozone to reduce the formation of DBPs. The methods used to detect diseases of the respiratory tract are spirometry, analysis of biomarkers in plasma or serum (CC16 proteins, surfactants A, B and D, etc..) and exhaled air (nitric oxide, cytokines). The health problems that have been observed are the increase in lung epithelial permeability, inflammation of the airways and other symptoms associated with asthma, allergic rhinitis and bronchial hyper reactivity. The negative effects on respiratory function are related to prolonged exposure to chemicals (chlorine and bromine) in indoor swimming pools. Some biomarkers such as protein CC16 obtain greater reliability as a measurable variable. The reduced presence of DBPs in combination water treatments may be a way to reduce respiratory problems. However, more research is needed for confirmation.Key words: biomarkers, disinfection by products, lung diseases, spirometry, swimming.
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18

AbuNurah, Hassan Y., Ralph D. Zimmerman, Robert B. Murray, and Douglas S. Gardenhire. "The Impact of Respiratory Therapy International Education in the United States: Saudi International Students’ Perceptions." Respiratory Care 65, no. 7 (February 4, 2020): 961–65. http://dx.doi.org/10.4187/respcare.06961.

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19

Alismail, Abdullah, and David López. "Clinical Competencies in Advanced Practice Respiratory Therapy Education: Is It Time to Entrust the Learner?" Advances in Medical Education and Practice Volume 11 (January 2020): 83–89. http://dx.doi.org/10.2147/amep.s239376.

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20

Rodrigues, Antenor, Gerard Muñoz Castro, Cristina Jácome, Daniel Langer, Selina M. Parry, and Chris Burtin. "Current developments and future directions in respiratory physiotherapy." European Respiratory Review 29, no. 158 (December 15, 2020): 200264. http://dx.doi.org/10.1183/16000617.0264-2020.

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Respiratory physiotherapists have a key role within the integrated care continuum of patients with respiratory diseases. The current narrative review highlights the profession's diversity, summarises the current evidence and practice, and addresses future research directions in respiratory physiotherapy. Herein, we describe an overview of the areas that respiratory physiotherapists can act in the integrated care of patients with respiratory diseases based on the Harmonised Education in Respiratory Medicine for European Specialists syllabus. In addition, we highlight areas in which further evidence needs to be gathered to confirm the effectiveness of respiratory therapy techniques. Where appropriate, we made recommendations for clinical practice based on current international guidelines.
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21

Gono, Jr., Exequiel Reposposa. "Estimating Technical Efficiency of Academic Departments of a Philippine Higher Education Institution." International Journal of Management Excellence 11, no. 3 (October 31, 2018): 1665–71. http://dx.doi.org/10.17722/ijme.v11i3.1034.

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The main thrust of this research is to measure the relative technical efficiency of the six (6) colleges of San Pedro College from school year 2004-2014. The technical efficiency of the academic units can be derived based on its ability to produce the optimum number of output (number of research outputs, number of graduates, and number of community extension conducted) based on a given set of inputs (budget allocation and ratio of the full-time and part-time faculty) using data envelopment analysis. The Nursing/Respiratory Therapy Department is consistent as the highest for the ratio of full-time to part-time faculty while the lowest ratio was observed by Medical Laboratory Sciences Department in 2016, Arts and Sciences in 2015 and Accounting and Business in 2014. In terms of technical efficiency, all departments are technically-efficient during 2014. The Nursing/Respiratory Therapy Department, Physical Therapy Department and Medical Laboratory Sciences Department did not obtain 100% efficiency. In 2016, only the Accounting and Business Management Department did not obtain full technical efficiency score. Further, using the Tobit model, the age of the department, number of baccalaureate teachers, proportion of faculty members with doctorate degree with those who are masters’ degree holders, and the dean’s qualification were found to be insignificant as sources of inefficiency.
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22

Utomo, Haryono, and Ariyanto Harsono. "Rapid improvement of respiratory quality in asthmatic children after "assisted drainage" therapy." Paediatrica Indonesiana 50, no. 4 (August 30, 2010): 199. http://dx.doi.org/10.14238/pi50.4.2010.199-206.

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Background Whilst current asthma management is well-developed, there are still 5-10% uncontrolled asthma patients with unknown etiologies. However, its connection with oral focal infection is still uncertain. Therefore, a collaborated research for asthma management was conducted by pediatricians and dental practitioners. Within minutes after the "assisted drainage" therapy, a modification of healing root planning procedure, there is rapid improvement of respiratory function, ie., forced expiratory-volume one second (FEV1) in asthmatic children. This quick response usually achieved by oral inhalation.Objective To investigate the effectiveness of the assisted drainage therapy in the improvement of respiratory quality.Methods Fifteen asthmatic children were subjected to a longitudinal study for two weeks. In tbe first week they were instructed for al lergen avoidance only and the fOllowing one week was combined with tbe assisted drainage therapy, followed by mental health education and dental plaque control therapy. Each s'ubject was af'sef'sed for respiratory quality with a computerized spirometer and blood sampling test. Paired t-test analysis was used for statistical analysis.Results Assisted drainage therapy was performed, within minutes FEV1 increased significantly (P= 0.001). Additionally, there were significant differences serum histamine (P= 0,001) pre and post treatment.Conclusions The assisted drainage therapy is effective as an adjuvant therapy for mild persistent asthma in children.
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23

Zaytsev, A. A., and A. I. Sinopalnikov. "The problem of patient compliance with treatment for respiratory infections." Medical Council, no. 15 (December 8, 2019): 63–69. http://dx.doi.org/10.21518/2079-701x-2019-15-63-69.

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Patient compliance describes the degree, to which a patient follows treatment regimen. At present, non-compliance with medical recommendations is one of the key problems for outpatient practice. Even in case of respiratory infections, patients often violate the prescribed treatment regimen, which leads to growth of ineffective treatment cases, complications, and is also accompanied by a high risk of selection of drug-resistant infectious organisms and rise in expenditures for managing patients. The most common mistakes made by patients include the change by patients of the prescribed antibiotic dosing regimen and premature termination of antimicrobial therapy. Factors affecting patient compliance are extremely diverse. Among them are factors associated with treatment and a disease, patient-associated factors of «doctor - patient» contact, and demographic predictors of low compliance, drug dosage frequency. The most important factors affecting adherence to treatment are duration of therapy; drug tolerance/safety; dosage forms (tablets, syrup, sachet); patient confidence in medical recommendations (presence of «doctor - patient» relationship); severity of the disease; patient age and sex; social activity/employment of the patient; social status of the patient, level of education; marital status; presence of a concomitant pathology in the patient; presence of bad habits (smoking, alcohol) in the patient. The main factor affecting the compliance with therapy is the drug dosage frequency. It is known that compliance is highest, if a patient is required to take a single dose of the drug per day. Duration of therapy is another important factor affecting the patient compliance. For instance, pharmacotherapy for 7 days is characterized by better compliance compared to longer antibiotic treatment regimens. Methods of improving compliance with antimicrobial therapy: reduction in the drug dosage frequency; short courses of antibiotic therapy; favourable safety profile; the cost of the drug; a patient-friendly form of antibiotic dosage form; patient education, clear information of the patient; monitoring the treatment process (repeat visits, phone contacts, etc.). The most effective way to increase compliance is to use an antibiotic drug 1-2 times per day. The use of short antibiotics courses (less than 7 days) is also a good way to increase adherence to treatment. The use of antibiotics with a good safety profile is another important approach to improving the compliance. The article also discusses other ways to enhance the patient compliance with the treatment for respiratory infections.
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Russell, Kendra, Jasmine Brown, Leanne Manella, James Colquitt, and Donna Ingram. "Interprofessional Education: TeamSTEPPS® and Simulation With Respiratory Therapy and Nursing Students in Their Final Year." Nursing Education Perspectives 41, no. 5 (August 7, 2020): 294–96. http://dx.doi.org/10.1097/01.nep.0000000000000717.

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25

Huffman, Vanessa, Diana Carolina Andrade, Jared Ham, Kyle Brown, Leonid Melnitsky, Alejandro Lopez Cohen, and Jayesh Parmar. "Impact of Nasal Swabs on Empiric Treatment of Respiratory Tract Infections (INSERT-RTI)." Pharmacy 8, no. 2 (June 11, 2020): 101. http://dx.doi.org/10.3390/pharmacy8020101.

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Methicillin-resistant Staphylococcus aureus (MRSA) polymerase-chain-reaction nasal swabs (PCRNS) are a rapid diagnostic tool with a high negative predictive value. A PCRNS plus education “bundle” was implemented to inform clinicians on the utility of PCRNS for anti-MRSA therapy de-escalation in respiratory tract infections (RTI). The study included patients started on vancomycin with a PCRNS order three months before and after bundle implementation. The primary objective was the difference in duration of anti-MRSA therapy (DOT) for RTI. Secondary objectives included hospital length of stay (LOS), anti-MRSA therapy reinitiation, 30-day readmission, in-hospital mortality, and cost. We analyzed 62 of 110 patients screened, 20 in the preintervention and 42 in the postintervention arms. Mean DOT decreased after bundle implementation by 30.3 h (p = 0.039); mean DOT for patients with a negative PCRNS decreased by 39.7 h (p = 0.014). Median cost was lower after intervention [USD$51.69 versus USD$75.30 (p < 0.01)]. No significant difference in LOS, mortality, or readmission existed. The bundle implementation decreased vancomycin therapy and cost without negatively impacting patient outcomes.
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Wells, Mary Ellen, and Bradley V. Vaughn. "Sleep Technologists Educational Needs Assessment: A Survey of Polysomnography, Electroneurodiagnostic Technology, and Respiratory Therapy Education Program Directors." Journal of Clinical Sleep Medicine 09, no. 10 (October 15, 2013): 1081–86. http://dx.doi.org/10.5664/jcsm.3088.

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27

Park, Hayoung, Jinyoung Cho, and Sang Hui Chu. "Interprofessional Education Programs for Nursing Students: A Systematic Review." Journal of Korean Academic Society of Nursing Education 24, no. 3 (August 31, 2018): 235–49. http://dx.doi.org/10.5977/jkasne.2018.24.3.235.

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Purpose: The purpose of this study was to investigate how interprofessional education has been designed, implemented, and evaluated in undergraduate programs in nursing through a systematic review. Methods: The literature was searched using the PubMed, CINAHL, EMBASE, and Cochrane central databases to identify interventional studies including teaching-learning activities among nursing students and other disciplines in English between January 2000 and May 2017. Thirty studies were selected for the analysis. Results: Twenty-four studies out of 30 were designed as a pre-post, no control group, quasi-experimental study design. Interprofessional education learners were primarily engaged in medicine, physical therapy, dentistry, occupational therapy, pharmacy, and respiratory therapy. Patient care related activity was the most frequently selected topic and simulation was the most common teaching-learning method. Evaluation of learning outcomes was mainly based on the aspects of teams and collaboration, professional identity, roles and responsibilities, patient care, and communication skills. Nursing students in 26 out of the 30 reviewed studies were found to benefit from interprofessional education, with outcome effects primarily related to changes in learning outcomes. Conclusion: The development and integration of interprofessional education with collaborative practices may offer opportunities in nursing education for training professional nurses of the future.
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Lillie, S., J. Haines, A. Vyas, and S. Fowler. "P121 Speech And Language Therapy In Pulmonary Rehabilitation: The Implication Of Education Sessions On Dysphagia Management." Thorax 69, Suppl 2 (November 10, 2014): A131. http://dx.doi.org/10.1136/thoraxjnl-2014-206260.262.

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29

Kleib, Manal, Deirdre Jackman, and Uirá Duarte-Wisnesky. "Interprofessional simulation to promote teamwork and communication between nursing and respiratory therapy students: A mixed-method research study." Nurse Education Today 99 (April 2021): 104816. http://dx.doi.org/10.1016/j.nedt.2021.104816.

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30

Lawandi, Alexander, and Charles Frenette. "731. Investigating Clinical Factors Contributing to Continued Antibiotic Therapy in Patients with Viral Upper Respiratory Tract Infections." Open Forum Infectious Diseases 5, suppl_1 (November 2018): S263. http://dx.doi.org/10.1093/ofid/ofy210.738.

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Abstract Background It has previously been demonstrated that upwards of 50% of patients presenting to Emergency Departments with symptoms of an upper respiratory tract infection receive empirical antibiotics, and that even with a demonstrated viral infection, 70% of these patients are continued on antibiotics. However, the clinical and biochemical factors contributing to this continued therapy is unclear. This study assessed parameters that may impact antibiotic prescriptions in patients with a confirmed viral respiratory infection. Methods. Positive respiratory virus PCRs (RVPs) from nasopharyngeal aspirates performed on adult patients presenting to the McGill University Health Centre Emergency Departments and outpatient clinics over a period of 10 days during the peak of influenza season were included. For each patient, antibiotic administration pre- and post-PCR result were determined, as were the presence of leukocytosis, neutrophilia, an abnormal chest X-ray, and sepsis. Each parameter’s effect on antibiotic use was then determined. Results. During the study period, there were 123 positive RVPs included. These consisted of 34% Flu A, 43% Flu B, and 23% were a mixture of other common respiratory viruses. Antibiotics were administered in 38% of patients before the test was resulted and continued in 79% of these patients afterwards. There was no correlation between the presence of leukocytosis, neutrophilia, signs of sepsis or abnormalities on chest X-ray and continued antibiotic therapy. Conclusion. Despite identification of a respiratory virus infection, patients are routinely treated with antibiotics even without significant evidence of a bacterial process. The impact of testing for respiratory viruses in limiting antibiotic therapy could be improved by education and direct antibiotic stewardship interventions in this population. Disclosures All authors: No reported disclosures.
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Mason, Wendi, Sally McLaughlin, Sophy Dedopoulos, Erin Mahoney, Tonja Meadows, John L. Stauffer, and Lisa H. Lancaster. "Real-World Comprehensive Disease Management of Patients With Idiopathic Pulmonary Fibrosis." Current Respiratory Medicine Reviews 15, no. 1 (September 12, 2019): 4–15. http://dx.doi.org/10.2174/1573398x15666190212155051.

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Idiopathic pulmonary fibrosis (IPF) is a debilitating, progressive, and fatal fibrotic lung disease with a poor prognosis. Antifibrotic therapy slows but does not halt disease progression. Patient education and management needs change during disease progression. Management is complicated by comorbidities, adverse events associated with antifibrotic therapy, and difficulties with long-term oxygen therapy and pulmonary rehabilitation. Treating IPF requires coordination between physicians and nurses in community and interstitial lung disease center settings. This review provides guidance for the healthcare professional who manages the essential aspects of care in IPF from diagnosis, through disease progression, and to the end of life.
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Murphy, Anna C., Claire Boddy, and Peter Bradding. "Pro: Access to advanced therapies for severe asthma should be restricted to patients with satisfactory adherence to maintenance treatment." Breathe 17, no. 2 (June 2021): 210024. http://dx.doi.org/10.1183/20734735.0024-2021.

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Inhaled corticosteroids (ICS) are the core component of asthma treatment and the only maintenance therapy known to prevent asthma death. There is currently no evidence that biologics prevent asthma death in people with asthma, and as such, biologics cannot be recommended as an alternative to ICS therapy. Taking the time to assess adherence and provide interventions and education to support patients in asthma self-management has been shown to improve patient outcomes. It is therefore our responsibility as healthcare professionals to ensure that patients are supported, educated and motivated to adhere to ICS therapy before progressing to biologic therapies.
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Wanot, Bartosz, Anna Stelmach, and Agnieszka Biskupek-Wanot. "CHRONIC OBSTRUCTIVE PULMONARY DISEASE - THERAPY AND REHABILITATION." Scientific Journal of Polonia University 31, no. 6 (December 20, 2018): 136–42. http://dx.doi.org/10.23856/3114.

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The basis of pharmacological treatment are bronchodilatory drugs, which include sympathomimetic and anticholinergic drugs. Another group of drugs dilating the bronchi is methylxanthines. In the treatment of stable course of COPD, the most common way of administering drugs is by inhalation route. Antibiotic treatment is used when the infection is the cause of COPD intensification. In patients with COPD, controlled oxygen therapy is also used. The methods of COPD surgical treatment include: (1) surgical lung volume reduction (IZOP), that is the removal of the most altered emphysema, (2) emphysema excision (bulelectomy), that is excision of emphysema which helps lung function and reduces dyspnoea, (3) transplantation of lungs is performed in patients with very advanced COPD. Respiratory rehabilitation is a supplement to pharmacological treatment. In order to implement the rehabilitation, rehabilitation programmes developed by medical centers and other healthcare institutions have been created. The current rehabilitation consists of several elements: (1) education, (2) physical exercise, (3) behavioral interaction.
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Scheiber, Barbara, Claudia Spiegl, Claudia Wiederin, Erika Schifferegger, and Natalia Schiefermeier-Mach. "Post-COVID-19 Rehabilitation: Perception and Experience of Austrian Physiotherapists and Physiotherapy Students." International Journal of Environmental Research and Public Health 18, no. 16 (August 18, 2021): 8730. http://dx.doi.org/10.3390/ijerph18168730.

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The rehabilitation needs of COVID-19 survivors are increasingly recognized, with a focus on combating respiratory and neuromuscular dysfunctions. The aim here was to explore the perception of Austrian physiotherapists and physiotherapy students on post-COVID-19 rehabilitation care and to identify barriers for the application of sufficient rehabilitation. We analysed current knowledge and practical skills in respiratory physiotherapy, performing a cross-sectional national survey among physiotherapists working in outpatient settings and physiotherapy students in their last academic year of bachelor-level education in Austria. Out of 255 survey participants, one-third already had inquiries to treat post-COVID-19 patients, and the majority of respondents expected a further increased inflow of patients with rehabilitation needs (64.2%). Only 11.2% of respondents reported feeling sufficiently informed about post-COVID-19 rehabilitation. A total of 68.2% of students and up to 48.1% of physiotherapists favoured a COVID-19-specific adaptation already in the basic academic education, and 74.1% of survey participants indicated interest in attending specific training. Concerning respiratory physiotherapy, our data showed discrepancies between the estimation of the importance of specific examination and treatment techniques and the level of current experience. There is a clear lack of experience in implementing effective device-based respiratory therapy. Our data indicate an urgent need to develop new education and training programs with a focus on the interdisciplinary rehabilitation of patients with post-COVID-19 syndrome.
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Iseman, M. D. "Directly-observed therapy, patient education and combined drug formulations: Complementary, not alternative, strategies in tuberculosis control." Tubercle and Lung Disease 77, no. 2 (April 1996): 101. http://dx.doi.org/10.1016/s0962-8479(96)90020-9.

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Dean, Elizabeth, Alice Jones, Homer Peng-Ming Yu, Rik Gosselink, and Margot Skinner. "Translating COVID-19 Evidence to Maximize Physical Therapists’ Impact and Public Health Response." Physical Therapy 100, no. 9 (July 31, 2020): 1458–64. http://dx.doi.org/10.1093/ptj/pzaa115.

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Abstract Coronavirus disease 2019 (COVID-19) has sounded alarm bells throughout global health systems. As of late May, 2020, over 100,000 COVID-19–related deaths were reported in the United States, which is the highest number of any country. This article describes COVID-19 as the next historical turning point in the physical therapy profession’s growth and development. The profession has had over a 100-year tradition of responding to epidemics, including poliomyelitis; 2 world wars and geographical regions experiencing conflicts and natural disasters; and, the epidemic of noncommunicable diseases (NCDs). The evidence-based role of noninvasive interventions (nonpharmacological/nonsurgical) that hallmark physical therapist practice has emerged as being highly relevant today in addressing COVID-19 in 2 primary ways. First, despite some unique features, COVID-19 presents as acute respiratory distress syndrome in its severe acute stage. Acute respiratory distress syndrome is very familiar to physical therapists in intensive care units. Body positioning and mobilization, prescribed based on comprehensive assessments/examinations, counter the negative sequelae of recumbency and bedrest; augment gas exchange and reduce airway closure, deconditioning, and critical illness complications; and maximize long-term functional outcomes. Physical therapists have an indisputable role across the contiuum of COVID-19 care. Second, over 90% of individuals who die from COVID-19 have comorbidities, most notably cardiovascular disease, hypertension, chronic lung disease, type 2 diabetes mellitus, and obesity. Physical therapists need to redouble their efforts to address NCDs by assessing patients for risk factors and manifestations and institute evidence-based health education (smoking cessation, whole-food plant-based nutrition, weight control, physical activity/exercise), and/or support patients’ efforts when these are managed by other professionals. Effective health education is a core competency for addressing risk of death by COVID-19 as well as NCDs. COVID-19 is a wake-up call to the profession, an opportunity to assert its role throughout the COVID-19 care continuum, and augment public health initiatives by reducing the impact of the current pandemic.
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Sukhova, E. V., V. N. Barsukov, V. M. Sukhov, and N. R. Zainullin. "Factors reducing adherence to therapy and abilities to enhance motivation for treatment." PULMONOLOGIYA, no. 2 (April 28, 2007): 50–55. http://dx.doi.org/10.18093/0869-0189-2007-0-2-50-55.

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The problem of lowering adherence to therapy in lung tuberculosis patients and abilities to enhance motivation to for treatment has not been highlighted in literature. The aim of this study was to investigate factors influencing the adherence to treatment in tuberculosis patients and abilities to enhance their motivation for treatment. A total sample of 72 inpatients with infiltrative and firbocavernous lung tuberculosis were involved. They were residents of Samara region aged 22 to 56 yrs. To investigate factors reducing adherence to therapy a special questionnaire consisting of 34 points has been created proposed by Samara military medical university. Statistic analysis was performed using SPSS programme, version 12.0. As a result, the most common factors reducing adherence to therapy in lung tuberculosis patients were adverse effects of antituberculosis drugs, financial problems, complications of the disease and fear of their appearance, painfulness of treatment procedures, tiredness of long treatment period and of hospital environment. To overcome the fear education of the patients is necessary. To reduce the emotional component and painfulness of some treatment procedures, manual and audiomethods could be helpful. Effective therapy, confidence in the attendant physician and full information of the disease could enhance motivation to treatment.
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Dunne, P. J., N. R. MacIntyre, U. H. Schmidt, C. F. Haas, K. Jones-Boggs Rye, G. W. Kauffman, and D. R. Hess. "Respiratory Care Year in Review 2011: Long-Term Oxygen Therapy, Pulmonary Rehabilitation, Airway Management, Acute Lung Injury, Education, and Management." Respiratory Care 57, no. 4 (April 1, 2012): 590–606. http://dx.doi.org/10.4187/respcare.01776.

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Gordon, Bruce R. "Asthma: An Important Disease to Otolaryngologists — Part III: Anti-Inflammatory Therapy." Ear, Nose & Throat Journal 75, no. 4 (April 1996): 216–24. http://dx.doi.org/10.1177/014556139607500409.

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Asthma is a chronic inflammatory disease of the lower respiratory tract which is triggered by exposure to allergens or other airway irritants, and is commonly encountered in otolaryngologic practice. This three-part review is designed to assist otolaryngologists in recognizing and managing asthmatic patients. Part one summarized current knowledge of the pathophysiology and increasing prevalence of asthma, and its assessment and diagnosis. Part two discussed asthma management by environmental controls, anti-inflammatory therapies, and patient education, and compared pharmacologic treatments which are not primarily anti-inflammatory. These include mucolytic, anticholinergic, antihistamine, theophylline and beta agonist drugs. In this final part, anti-inflammatory treatments for asthma control are critically reviewed, including a balanced discussion of cromolyn, nedocromil, glucocorticoids, allergy immunotherapy, and the appropriate indications, possible toxicities and reasonable precautions for their use.
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Chapin, Ryan, Nicholas J. Mercuro, Yen Christina, Catherine Li, Gold Howard, and Christopher McCoy. "54. Microbiologic Characterization and Antibacterial Use in Hospitalized Adults with covid-19 Infection." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S157—S158. http://dx.doi.org/10.1093/ofid/ofaa439.364.

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Abstract Background Coronavirus disease 2019 (CoVID-19) admissions, oft complicated by an uncertain trajectory, lent to treatment influenced by supposition. Respiratory bacterial co-infection frequently was invoked. The purpose of this study was to determine the respiratory pathogen distribution and antibiotic prescribing patterns in hospitalized patients with CoVID-19. Methods Patients with a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ICD-10 code and/or positive polymerase chain reaction (PCR) hospitalized between March 1 and May 31, 2020 were included. Antibiotic utilization (patient days of therapy-pDOT) was collected for the institution during this period and two years prior. Respiratory microbiologic cultures were reviewed to examine the frequency of co-infection on presentation, categorized as within 3 calendar days from admission or afterward. The relationship of antibiotic utilization to positive cultures was also categorized. Results Of the 7,969 encounters, 829 were ICD-10 coded and/or confirmed SARS-CoV-2 PCR positive and 196 (23.6%) had positive respiratory cultures. 89.8% of patients had endotracheal samples, the rest were isolated from sputum or bronchoalveolar lavage (17.4% and 6.6%, respectively). Patients were more likely to isolate commensal respiratory flora (108 versus 78 patients within the first 3 days of presentation. Notable isolates such as Staphylococcus aureus and Pseudomonas aeruginosa, were more often isolated after 3 days of hospitalization. While the CoVID-19 average hospital census was only 14.7% of the total, antibiotic utilization, (pDOT/1000) was 2.3 times higher, 831.9 versus 368.3 across the institution. During similar periods in 2018 and 2019, days of therapy overall were lower. For CoVID-19 infected patients, the frequency of antibiotic initiation was 73.2%. The length of therapy was on average 8 days with a high rate of observed restarts. Table 1: Patient characteristics for CoVID-19 infected patients admitted during March 1 to May 31, 2020 Figure 1: Positive respiratory pathogen culture results for CoVID-19 encounters (March 1-May 31, 2020) Table 2: Prevalence and select types of antibiotics administered to CoVID-19 patients. (March 1-May 31, 2020) Conclusion Bacterial co-infection in an acute viral process is generally low. In this examination of CoVID-19 infected patients, the rate of any positive respiratory culture was 23.6%. A disproportionate effect on the volume of antibiotics and total days of therapy prompted an interest in early stewardship efforts and education. Table 3: Antibiotic consumption (patient days of therapy) for CoVID-19 encounters (March 1-May 31, 2020) compared to total consumption during identical time periods in 2018, 2019, and 2020 Disclosures All Authors: No reported disclosures
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Palmer, Emma C., and Emily K. Frederick. "Clearing the air: Chronic respiratory illnesses and smoking cessation in the adult psychiatric population." Mental Health Clinician 4, no. 3 (May 1, 2014): 153–61. http://dx.doi.org/10.9740/mhc.n199354.

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Objective: To review current practice guidelines in the treatment of asthma and chronic obstructive pulmonary disease (COPD), review therapeutic options for smoking cessation, and apply current evidence to management of these conditions in the psychiatric population. Background: Chronic respiratory illnesses and nicotine dependence are frequently encountered conditions in the psychiatric population. Psychiatric illness itself may contribute to or be affected by these conditions; medication therapy may additionally be linked to alterations in mental status. However, it is well established that when left untreated or improperly managed, chronic respiratory illness and tobacco use can negatively affect patients' quality of life and lead to increased healthcare utilization. Methods: Current practice guidelines, literature reviews, and primary data pertaining to management of patients with asthma, COPD, and nicotine dependence were examined. Additional data regarding patients with psychiatric illness was reviewed and commented upon. Conclusions: Management of this particular population can pose significant clinical challenges. Regardless of what factors may contribute to the disease states and their treatment, it is important for clinicians to identify and take steps to manage both respiratory and psychiatric concerns as they are able. Identification, evidence-based treatment with appropriate medication therapy, and continuing patient education should be used together to help improve patient outcomes.
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Sharma, Shubhakaran, Gaurav Chhabra, and S. K. Luhadia. "Knowledge, attitude, practices of inhalational therapy among nursing staff posted at tertiary care teaching hospital." International Journal of Research in Medical Sciences 5, no. 10 (September 28, 2017): 4285. http://dx.doi.org/10.18203/2320-6012.ijrms20174188.

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Background: Inhalational therapy for patients with chronic respiratory disorder can greatly benefit. Nurses are one of the major components of health care system of hospital and have an important role in education and training of patients. This study was planned to assess knowledge, attitude, and practices of inhalational therapy among nurses.Methods: This questionnaire based cross sectional study was conducted after taking permission from the institutional ethics committee in all the nurses of a tertiary care teaching hospital. This questionnaire consists of few socio-demographic questions and other questions for assessing level of knowledge, attitudes, and practices related to inhalational therapy. Incompletely filled questionnaire were excluded out for data analysis. Data was interpreted in percentage.Results: Total 344 (87.31%) questionnaires were analysed. 334 (97.09%) have heard the term inhalational therapy and 310 (90.12%) responded that it is preferred in respiratory disease. 117 (34.01%) nurses could not mention single side effect of inhalational therapy. 178 (51.74%) nurses always assess/observe the patient and 211 (61.34%) always train the patients for correct inhalational technique. 165 (47.97%) nurses responded that knowledge of inhaler use came from attending meetings, courses or workshops organized by scientific bodies. 163 (47.38%) nurses considered ‘Disease to be treated’ the most important variable while prescribing an inhalational device.Conclusions: The knowledge of inhalational therapy was satisfactory while the demonstration of inhaler techniques to patients was moderate in this study. So regular training courses and workshop should be conducted for the nurses about inhalational therapy practical approach.
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Kirrane, Michelle, Rob Cunney, Roisin McNamara, and Ike Okafor. "P40 The effect of a pharmacist-led inhaler technique assessment, education and training intervention on asthma control test scores in a paediatric hospital outpatient setting." Archives of Disease in Childhood 103, no. 2 (January 19, 2018): e2.44-e2. http://dx.doi.org/10.1136/archdischild-2017-314585.49.

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BackgroundStudies have consistently demonstrated that the correct and effective use of inhaler therapy reduces the frequency and severity of asthma symptoms and thus improves asthma control. Pharmacists are particularly well positioned to educate and train patients in the correct use of their inhaled therapy.1 They are often the last healthcare professionals to have contact with patients prior to the use of prescribed inhaled medication.2 This places pharmacists in an opportune situation for patient counselling with regard to inhaler technique. An extensive literature search revealed that pharmacist-led inhaler technique assessment and training has not, to my knowledge, been carried out in the paediatric population in a hospital setting.AimTo determine if pharmacist-led inhaler technique assessment, education and training improves asthma control scores in the paediatric population (4–16 years).MethodThis prospective single-centre interventional study was undertaken in patients with a confirmed diagnosis of asthma between the 1 st April and 30th June 2014. Those prescribed inhaled therapy prior to attendance at clinic, were referred to the investigating pharmacist. Patients with concurrent respiratory conditions and those under the age of four were excluded. The pharmacist delivered structured inhaler technique assessment and practical training with regard to correct inhaler technique. Additional educational advice was provided and baseline asthma control scores recorded.ResultsThe results of this study show that inhaler technique assessment, education and training in a single session by a hospital based clinical pharmacist significantly improved ACT scores [Baseline Score=19.33±3.312, Follow-up Score=21.75±2.701, (p=0.04)] and cACT scores [Baseline Score=19.50±4.993, Follow-up Score=21.04±4.647, (p=0.047)].ConclusionThis study shows feasibility and potential for clinical pharmacists in the hospital healthcare setting to provide inhaler technique assessment, education and training for patients with asthma. This study also provides a unique insight into a snapshot of the paediatric population with asthma in Ireland. References 1. Government of Western Australia: DoH (2012). Asthma Model of Care: Respiratory Health Network.Referenceshttp://www.healthnetworks.health.wa.gov.au/modelsofcare/docs/Asthma_Model_of_Care.pdf [Accessed: 15 September 2014.Giraud V, Allaert F, Roche N. Inhaler technique and asthma: Feasibility and acceptability of training by pharmacists. Respiratory Medicine2011;105(12):1815–22.
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Taylor, Daniel J., Wolfgang Schmidt-Nowara, Carol A. Jessop, and John Ahearn. "Sleep Restriction Therapy and Hypnotic Withdrawal versus Sleep Hygiene Education in Hypnotic Using Patients with Insomnia." Journal of Clinical Sleep Medicine 06, no. 02 (April 15, 2010): 169–75. http://dx.doi.org/10.5664/jcsm.27767.

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Fuchs, Florian S., Adriano Pittarelli, Eckhart G. Hahn, and Joachim H. Ficker. "Adherence to Continuous Positive Airway Pressure Therapy for Obstructive Sleep Apnea: Impact of Patient Education after a Longer Treatment Period." Respiration 80, no. 1 (2010): 32–37. http://dx.doi.org/10.1159/000243161.

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46

Zamin, Monique T., Monique M. Pitre, and John M. Conly. "Development of an Intravenous-to-Oral Route Conversion Program for Antimicrobial Therapy at a Canadian Tertiary Care Health Facility." Annals of Pharmacotherapy 31, no. 5 (May 1997): 564–70. http://dx.doi.org/10.1177/106002809703100507.

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OBJECTIVE: To describe the effect of introducing a route conversion program on the prescribing of antimicrobials for the treatment of respiratory tract infections and skin/soft tissue infections in a sample population. DESIGN: Concurrent, pre- and postintervention study. SETTING: Four general internal medicine wards at The Toronto Hospital, a 1170-bed, tertiary care health center in Toronto, Ontario, Canada. PARTICIPANTS: Patients receiving antimicrobial therapy for respiratory tract infections and skin/soft tissue infections. INTERVENTION: Written guidelines and education sessions were presented to residents, interns, medical students, and pharmacists responsible for the care of patients admitted to four general internal medicine wards. MAIN OUTCOME MEASURES: Clinical and laboratory parameters related to the status of the infection were monitored prospectively and compared with the course of drug therapy, with consideration of the patient's ability to meet the criteria established in the guidelines. The number of days of intravenous therapy prescribed despite appropriateness of oral therapy was tallied. RESULTS: Twenty-seven patients (28 infections) were identified for inclusion in the 7-week preliminary audit, and 30 patients (32 infections) were included in the audit after the program, which continued for 5 weeks. Following implementation of the program, the number of days that intravenous therapy was continued despite the appropriateness of oral therapy was reduced from 41% to 26% of the total days of intravenous therapy prescribed. CONCLUSIONS: The program had a positive influence on antimicrobial prescribing behavior in the population studied. Strategies to ensure continued benefit from the program have been developed.
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Ozturk, Guzin Zeren, Dilek Toprak, Osman Sagsoz, and Cuneyt Ardic. "Knowledge, Attitude and Practice of Family Physicians on Antimicrobial Therapy for Acute Respiratory Tract Infections - A Study from Istanbul, Turkey." Eurasian Journal of Family Medicine 10, no. 2 (June 30, 2021): 49–55. http://dx.doi.org/10.33880/ejfm.2021100202.

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Aim: We aimed to investigate the knowledge, attitude, practice of family physicians regarding an-timicrobial therapy in acute respiratory tract infections. Methods: After receiving the ethics committee approval, the data were collected by online questionnaire from a phone application with 304 physicians. Questions about socio-demographic features and knowledge, attitude, and practices on antibiotics use were asked. Using SPSS, we did the statistical analyses with appropriate procedures. Results: Among the participants, 127 (41.8%) were specialists, and 177 (58.2%) were gen-eral practitioners. The specialists gave correct answers about tonsillopharyngitis and bron-chiolitis significantly more often than the general practitioners did. The antibiotic choices for acute otitis media were not in compliance with the guidelines of the Centers for Disease Control, and between the groups, there was no significant difference in terms of initial antibiotic choice. The self-reported antibiotic prescription rate was 25%. In 10%, the most common perceived reason for inappropriate antibiotic prescription was pressure from patients. Conclusion: There remains considerable misuse of antibiotics by primary care physicians for acute respiratory tract infections. Education of physicians and patients regarding acute respiratory tract infections may be needed to lower the rate of inappropriate antibiotic pre-scriptions. Keywords: public health practice, practice patterns, primary healthcare
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Schoenheit, Gadi, Ian Becattelli, and Alan H. Cohen. "Living with idiopathic pulmonary fibrosis." Chronic Respiratory Disease 8, no. 4 (August 19, 2011): 225–31. http://dx.doi.org/10.1177/1479972311416382.

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Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive, and fatal lung disease of unknown origin. Despite recent advancements, the diagnosis and management of IPF remains a distinct clinical challenge; as a result, patients often experience considerable delays in receiving an accurate diagnosis and confusion regarding prognosis and the availability of treatment options. In order to gain further insights regarding patients' perspectives on the diagnostic process, disease education, emotional well-being, and quality of life, we conducted a qualitative in-depth survey among IPF patients in Europe. Patients with a physician-confirmed IPF diagnosis were recruited to participate in an in-depth interview conducted by a trained facilitator who used a qualitative topic guide. A total of 45 patients from 5 European countries participated in the survey. The median reported time from initial presentation to confirmed diagnosis of IPF was 1.5 years (range <1 week to 12 years); in 58% of cases there was a delay of >1 year between initial presentation and a confirmed diagnosis of IPF. Additionally, 55% of patients reported consulting ≥3 physicians before receiving an IPF diagnosis. Patient satisfaction with medical care and disease education appeared to be higher among patients who were receiving care at a recognized center of excellence. Patients generally had reasonable expectations regarding the goals of therapy, with most recognizing the irreversibility of the disease and the limited prospects for achieving a cure. The most common unmet needs cited by participants were disease education resources, access to centers of excellence, and familial support programs. Our findings suggest that patients with IPF commonly experience protracted delays in receiving an accurate diagnosis and generally perceive the level of medical care as suboptimal, despite expressing reasonable expectations regarding the goals of therapy. These results support the need for further improvement in the areas of diagnosis, disease management, and patient education.
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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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Tamozhanska, G. V., O. M. Myatyga, I. M. Sobko, L. O. Ulaeva, and N. V. Honcharuk. "The effectiveness of the using moveable games, metered running, breathing exercises in the physical therapy of orphans born to HIV-infected mothers." Health, sport, rehabilitation 6, no. 4 (November 6, 2020): 58–69. http://dx.doi.org/10.34142/hsr.2020.06.04.06.

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Aim: to develop and experimentally substantiate the method of physical education for orphans born to HIV-infected mothers, based on the use of moveable games for the development of physical qualities, metered running, breathing exercises in orphanage conditions. Material and methods: 28 children of 5-6 years old took part in the experiment. The experimental group included orphans born to HIV-infected mothers (14 children). The control group consisted of orphans with poor health (14 children). The research was carried out on the basis of the health care institution "Regional specialized children's home" Green Gai "for orphans and children left without parental care. The experiment lasted for 12 months, at the beginning and at the end of the experiment anthropometric studies, functional state testing (spirography, Genchi's test, Stange's test), physical fitness tests (running from a high start at 30 meters, a long jump from the spot, throwing a ball from - for the head, standing) Results: An experimental method of physical education for orphans in an orphanage, born to HIV-infected mothers, was developed and implemented. The technique includes the use of moveable games for the development of physical qualities, dosed running exercises and complexes of respiratory gymnastics, taking into account the age characteristics of children of preschool age. A significant improvement (p<0,05) in the indicators of physical development, functional state and physical fitness of children in the experimental group was shown in comparison with the control group. Conclusions: As a result of using the proposed method, it was possible to reduce the incidence of acute respiratory infections in children born to HIV-infected mothers from 8-10 to 4-3 times a year. It has been established that the simplicity and availability of the developed methods of organizing physical education allows them to be used not only by specialists in the field of physical education of preschool children, but also by educators of preschool institutions.
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