Tutorials

Starting treatment

Achieving complete control

Ongoing poor control

Which inhaler, for which patient?

An ICST Competency
Less than 30% patients have Personalised Asthma Action Plan (PAAP). Monitoring of inhaler prescribing allows practitioners to identify patients who have poorly controlled asthma; every patient should be collecting at least 12 preventer inhalers per year and more than 12 reliever inhaler prescribing per year suggest poor control. In this National Welsh Standard, we explore the Long-term management of Asthma according to the All-Wales Adult Asthma Management Guideline.
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 Management and Prescribing Guideline |
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Supporting notes for the All Wales Adult Asthma Management and Prescribing Guidelines.
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The National Review of Asthma Deaths (NRAD), reported here, is the first national investigation of asthma deaths in the UK and the largest study worldwide to date.
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A free self management App developed by the experts from NHS Wales, to signpost your Asthma patients
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This article proposes that in addition to the steps defined in the BTS guidelines, a new step (step zero) should be introduced to cover asthmatic patients who have received no treatment for two years.
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There are over 120 inhaler device & drug combinations licensed for the treatment of respiratory disease in the UK and it can be challenging for clinicians and patients to identify the product which best meets individual needs.
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This document is a sample inhaler summary table, and is not intended to be a prescribing guide. Although dosage information is provided for some preparations, always refer to the BNF or manufacturer’s Summary of Product Characteristics (SPC) for current dosage advice and further information.
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To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.
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To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.
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To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.
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To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.
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
Promote the Asthmahub Apps (Project ONE of TWO)
This is the first of two projects, which involves targeting all patients on the Asthma register and letting them know about the digital resources available that will provide them with a digital Personalised Asthma Action Plan.
Data collected from GP practices across Wales suggest that only 16.1% 1-5 year olds, 24.3% 6-18 years olds, and 25.9% adults have any record of a personalised Asthma Action Plan in their records. If a patient has a personalised asthma action plan, they are four times less likely to be admitted to hospital with an asthma attack.
The Asthma Annual Review (Project TWO of TWO)
This is the second of two projects, which involves reviewing a patient’s Personalised Asthma Action Plan during their next Asthma Review.
Data collected from GP practices across Wales suggest that only 16.1% 1-5 year olds, 24.3% 6-18 years olds, and 25.9% adults have any record of a personalised Asthma Action Plan in their records. If a patient has a personalised asthma action plan, they are four times less likely to be admitted to hospital with an asthma attack.
Promote the Healthhub apps (Project ONE of TWO)
This is the first of two projects, which involves targeting all patients on the Asthma and COPD registers and letting them know about the digital resources available which demonstrate correct inhaler technique.
Data collected from GP practices across Wales suggest that only 44.4% patients on the COPD and Asthma registers have had their inhaler technique checked.
The Asthma and COPD Annual Review (Project TWO of TWO)
This is the second of two projects in the series, which involves checking the inhaler technique of all patients with Asthma and COPD.
Data collected from GP practices across Wales suggest that only 44.4% patients on the COPD and Asthma registers have had their inhaler technique checked.