Long term management of Asthma – ICST
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    National Welsh Standard

    Long term management of Asthma

    The findings from the National Review into Asthma Deaths uncovered a system-wide problem with managing patients with Asthma, and instigated urgent reviews into local and national Asthma management strategies. The aim of this programme is to provide patients with asthma with basic asthma care, in line with the Personal Asthma Action Plan, and monitor preventer and reliever inhaler prescribing. Check out the All Wales guideline, TV show and tutorials on the long-term management of Asthma in practice. When you are ready, navigate to the assessment to achieve the certificate.

    NICE Quality standards [QS25]:

    1. People aged 5 years and over with asthma discuss and agree a written personalised action plan.
    2. People with asthma have their asthma control monitored at every asthma review.
    3. People who receive treatment in an emergency care setting for an asthma attack are followed up by their GP within 2 working days of discharge.
    4. People with suspected severe asthma are referred to a specialist multidisciplinary severe asthma service.

    Tutorials

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      Starting treatment

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        Achieving complete control

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          Ongoing poor control

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            Which inhaler, for which patient?

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              The Asthma Annual Review

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                Live event recording – preparing patients for Winter

                Sub-tutorials

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                  When to refer a patient with Asthma

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                    Treatment options for Severe Asthma

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                      Management of severe Asthma

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                        Difficult Asthma

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                          Personalised Asthma Action Plans

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                            Asthma Self-Management

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                              Structured Asthma Clinical Review

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                                Stepwise approach to asthma pharmacotherapy

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                                  Goals of asthma therapy

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                                    Event Recording: A Major Update to Asthma Prescribing in Wales

                                    Guidelines

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                                      All-Wales Adult Asthma Management and Prescribing Guideline

                                      Resources

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                                        Adult Asthma Guideline supporting notes

                                        Supporting notes for the All Wales Adult Asthma Management and Prescribing Guidelines.

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                                          Why asthma still kills: The National Review of Asthma Deaths (NRAD)

                                          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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                                            Asthmahub: website

                                            A free self management App developed by the experts from NHS Wales, to signpost your Asthma patients

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                                              Should asthmatics no longer on treatment be followed-up?

                                              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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                                                RightBreathe Inhaler prescribing information

                                                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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                                                  Cwm Taf UHB Inhaler Summary Tables

                                                  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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                                                    NHS Wales Asthma Care Plan – English

                                                    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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                                                      NHS Wales Asthma Care Plan (MART) – English

                                                      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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                                                        NHS Wales Asthma Care Plan – Welsh

                                                        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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                                                          NHS Wales Asthma Care Plan (MART) – Welsh

                                                          To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.

                                                          Assessments

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                                                            Long-term Management 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

                                                            QI Projects

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                                                              Personalised Asthma Action Plan

                                                              Promote the Asthmahub Apps (Project ONE of TWO)

                                                              0%
                                                              completed

                                                              Overview of the project

                                                              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.

                                                              Why is it important?

                                                              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.

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                                                                Personalised Asthma Action Plan

                                                                The Asthma Annual Review (Project TWO of TWO)

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                                                                completed

                                                                Overview of the project

                                                                This is the second of two projects, which involves reviewing a patient’s Personalised Asthma Action Plan during their next Asthma Review.

                                                                Why is it important?

                                                                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.

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                                                                  Inhaler Technique Check

                                                                  Promote the Healthhub apps (Project ONE of TWO)

                                                                  0%
                                                                  completed

                                                                  Overview of the project

                                                                  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.

                                                                  Why is it important?

                                                                  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.

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                                                                    Inhaler Technique Check

                                                                    The Asthma and COPD Annual Review (Project TWO of TWO)

                                                                    0%
                                                                    completed

                                                                    Overview of the project

                                                                    This is the second of two projects in the series, which involves checking the inhaler technique of all patients with Asthma and COPD.

                                                                    Why is it important?

                                                                    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.

                                                                    © Institute of Clinical Science and Technology (ICST) 2020 Support: support@icst.org.uk