Tutorials

Assessment of a Patient

Variable Airflow Obstruction

National Welsh Standard
There is no gold-standard diagnostic test for Asthma, which explains why we have approximately 30% of patients on our asthma register who do not have clear evidence of the disease.
The All-Wales Adult Asthma Diagnostic guideline is a simple, one-page guideline, providing specific guidance for anyone making a diagnosis of Asthma across Wales. It standardises the diagnostic process, and provides a consistent approach to care in Wales.
In this TV show, Dr Katie Pink, the National Asthma Clinical Lead and Consultant Respiratory Physician, explores the problem further and introduces the Guideline.
All-Wales Adult Asthma Diagnostic Guidelines |
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Supporting notes for the All Wales Adult Asthma Management and Prescribing Guidelines.
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This group was formed to review the use of FeNO within Wales and designed to represent views from community, primary and secondary care teams.
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Professor Mike Thomas discusses the uses of the FeNO test in general practice
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Below is the most recent guideline from NICE covering diagnosis, monitoring and managing patients with asthma. It aims to improve the accuracy of diagnosis, help people to control their asthma and reduce the risk of asthma attacks.
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The holistic assessment of breathlessness will improve accuracy of diagnosis, implementation of effective treatment plans, and ultimately improve patient outcomes.
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The aim of the study was to diagnose and classify patients with non-infectious lower respiratory tract problems in primary health care using internationally applied diagnostic criteria and diagnostic tests.
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Diagnostic labeling and spirometry in primary care patients aged 40 years or more.
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A process for systematically inviting patients with suspected asthma for objective testing, to improve the diagnostic accuracy of asthma.
45-minute case-based assessment
25 multiple choice questions
80% pass mark (20 out of 25)
Unlimited retakes
On successful completion, your certificate will appear under this tab.
Undertake Assessment
Fixing the Asthma Register (Project ONE of TWO)
This is the first of two projects, which involves a review of the Asthma register; identifying patients with the appropriate evidence for their diagnosis in their notes, patients who may have Asthma but need further confirmatory testing, and those who do not have Asthma and should be removed from the register.
Data collected from GP practices across Wales suggest that only 76.3% adult patients and 67.4% children and young adult patients on the Asthma registers have evidence of any tests results that can be used to support their diagnosis.
The Asthma Diagnostic Review (Project TWO of TWO)
This is the second of two projects, which involves inviting patients in for a review of the Asthma diagnosis if they don’t have any record of any diagnostic tests.
Data collected from GP practices across Wales suggest that only 76.3% adult patients and 67.4% children and young adult patients on the Asthma registers have evidence of any tests results that can be used to support their diagnosis.