4 edition of Assessment of compliance amongst asthma patients using anti-inflammatory medication found in the catalog.
Assessment of compliance amongst asthma patients using anti-inflammatory medication
Thesis (M.Sc.) -- University of Toronto, 2001.
|Series||Canadian theses = -- Thèses canadiennes|
|The Physical Object|
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It is estimated that one quarter of asthma patients in the UK have a compliance rate of 30% or less (Das Gupta and Guest ). The term compliance in health care has become less fashionable recently due to it implying that a patient is perhaps ineffectual and hasn’t followed the health professionals’ instructions (Hyland ). By Bob Sullivan. Asthma is a chronic disease that affects 24 million people in the United States and causes 5, to 6, deaths each year [1,2].
The improper use of asthma inhaler devices was observed in (45%) of the patients and was associated with irregular clinic follow-ups (p = ), lack of asthma education (p = Common problems in asthma care in Taiwan and, perhaps, globally include patients seeking treatment only for acute asthma attacks, lack of concepts of long-term asthma care, poor compliance with inhaled medication, monitoring and assessment of asthma severity by symptoms and signs only, shortage of time and personnel to educate patients, and.
Poor compliance with asthma management. Poor patient adherence to prescribed treatment is a widespread problem in asthma. Poor adherence has been associated with increased mortality from asthma6 7 and several studies have shown that there is no association between compliance and sex, socioeconomic group, level of education, or personality traits.. Furthermore, clinicians, whether . Regular use of inhaled anti-inflammatory agents plus bronchodilators is the mainstay of asthma treatment and can provide excellent control of symptoms with few side effects. Unfortunately, most asthmatic patients fail to take their medications as prescribed, with compliance .
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Assessment of compliance amongst asthma patients using anti-inflammatory medication, validating an instrument useful in quantifying inhaler consumption and identifying non-adherence: a. For this group of patients, compliance can be improved only by developing communication skills that reduce the disparity between the health professional and the patient.
Certain interviewing techniques can help to identify patients’ needs and open questions can encourage them to become involved in treatment decisions. Follow-up. Regular follow-up is important to maintain good asthma control.
Consistent follow-up by a primary health care provider is necessary to assess control of asthma, prescribe and adjust therapy and reinforce patients' knowledge about asthma and compliance with their therapy Convincing families to return for follow-up for nonacute care requires knowledge about the disease Patients.
Study population. Figure Figure1 1 shows the recruitment procedure of the study population. We included patients who had been diagnosed with asthma more than 3 times during outpatient visits using the diagnosis code of asthma in the International Classification of Disease, Ninth Revision, Clinical Modification (ICDCM) ().
 We excluded patients with an asthma diagnosis Cited by: 7. Introduction. Assessment of compliance amongst asthma patients using anti-inflammatory medication book is a chronic inflammatory airway disease with a high prevalence, around 10% in children and 5% in adults in Western countries [1, 2].Asthma is a major cause of disability and health resource utilisation, and reduces quality of life .This is partly caused by asthma exacerbations, which have a huge impact on patients and their by: Nonadherence to inhaled corticosteroid therapy in asthma.
Rates of nonadherence amongst asthmatic patients (to all medications, including theophylline as measured by serum levels) were shown to range between 30% and 70% in a review;8 this is apparent irrespective of how adherence is measured, be it the percentage of prescribed medication taken, serum theophylline.
In cases of precipitate asthma, allergen exposure, use of non-steroidal anti-inflammatory drugs and psychological stress are important factors to consider. 15– 17 In addition to documentation of the routine medications (including compliance with inhaled corticosteroid therapy), consideration of other issues such as continuity of primary care.
Other routes of administration for anti-asthma drugs may improve compliance. Kelloway et al 44 found that compliance was higher with prescribed oral medications compared with inhaled anti-inflammatory medications for asthma. However, their study was a retrospective database study that compared oral theophylline with two inhaled anti.
Asthma is a chronic inflammatory airway disease. Increase in airway inflammation is hypothesised to contribute to worsening of asthma symptoms and deterioration in lung function, resulting in the use of reliever medication. Short-acting β2-agonists only treat the symptoms, whereas an anti-inflammatory reliever is believed to treat both symptoms and the underlying inflammation, thereby.
In the Belfast study 25 of 51 patients (49%) were found to be non-adherent to prednisolone using a cortisol/prednisolone assay; again, patients only admitted low adherence when confronted with objective measurements.7 In another adult study involving a London hospital inpatient assessment, 9 of 28 subjects (32%) prescribed ≥15 mg prednisolone.
Teach patients how to use the asthma action plan to: • Take daily actions to control asthma • Adjust medications in response to worsening asthma • Seek medical care as appropriate Encourage adherence to the asthma action plan.
• Choose treatment that achieves outcomes and addresses preferences important to the patient/family. A recent review of the Asthma Insights and Reality surveys referred to the low level of use of anti-inflammatory medication, the suboptimal control of asthma, and the consequent deterioration in the lifestyle of patients.
These results reinforce the need for renewed efforts to effectively inform patients, both through and apart from their HCP.
Short-acting bronchodilators are recommended for all asthma patients, 2 8 and no explanation can be given for the three severe asthmatics who did not use these drugs. Also, the use of inhaled anti-inflammatory drugs (steroids and cromolyn sodium) was much lower than recommended.
2 8 Only 52% of the moderate and severe asthmatics used these. Introduction. Asthma is the most common chronic disease in the paediatric population, and has shown increasing incidence and prevalence in recent decades.Aside from morbidity and mortality, asthma in children also yields substantial socioeconomic consequences and places substantial burden on healthcare systems.
Inhaled corticosteroids (ICS) is the first-line controller therapy for. However, not all studies have found a consistent association between severity of asthma and depression (see Table 3).Yellowlees et al. 48 examined patients with near-fatal asthma attacks (N = 13) and a control group with less severe illness (N = 36) and found a 33% overall prevalence rate of psychopathology in both groups.
One subject in the study group (1/13, 8%) and one in the control. It is well accepted that on average patients do not take their medications as prescribed, especially medications used to treat chronic conditions, such as asthma.1, 2, 3 However, less well known is the rate at which patients fail to fill their prescriptions.
This situation, known as primary nonadherence, is difficult to track because it requires knowledge of both the prescriptions written by. In at least half of these cases there was evidence of a lack of compliance with ICS treatment. In asthma, the overuse of β 2-agonists combined with under-use of anti-inflammatory medications is.
trigger assessment using evidence from the NHLBI asthma guidelines (Figure 4). The algorithm incorporates both drug and nondrug management strategies, eg, stepped medication care, asthma. Other risk factors included seasonal asthma (3/9), poor compliance with medication (6/9), and use of non-combination LABA inhalers (4/9).
Seasonal asthma often remains unrecognised in patients considered to have ‘mild’ asthma, who can suddenly become unwell when they receive a large allergen load during the pollen or fungal spore seasons. Asthma IQ: Patient Assessment Asthma IQ: Patient Management and Outcomes Additional Information The educational tutorial on the EPR-3 asthma guidelines has been updated and can be found here.
Additional asthma-focused educational activities can be found here. For more information or questions contact [email protected] Other medicines that may cause asthma symptoms include: Anti-inflammatory painkillers such as ibuprofen (for example, Nurofen®), diclofenac, etc.
Some young children use liquid medication instead of inhalers. Steroid tablets. Book a video physio assessment today. Initial online sessions with a qualified physiotherapist. Compliance with inhaled medication is generally poor during the long-term treatment of asthma and incorrect inhaler use is common (21).
In adults with mildto-moderate asthma, compliance has been reported to be as high as 73% with an inhaled asthma medication .NIH ). Assessment of asthma status, health care use, and processes of asthma care among children in managed Medicaid programs demonstrated that Black and Hispanic children had worse asthma than white children, but the minorities used less anti-inflammatory medication (Lieu et al.
). This study and other studies suggest.