Making a diagnosis of Asthma – ICST

National Welsh Standard

Making a diagnosis of Asthma

The aim of this programme is to improve the diagnostic accuracy of asthma, and to signpost those patients who do not have clear evidence of the disease. Check out the All Wales guideline, TV show and tutorials on the diagnosis 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 suspected asthma have objective tests to support diagnosis.

Tutorials

Assessment of a Patient

Variable Airflow Obstruction

Confirming a Diagnosis

Sub-tutorials

Typical Presentation of Asthma

BTS Asthma Diagnostic Algorithm

Spirometry and Asthma

Reversibility assessment to confirm Asthma

Fractional Exhaled Nitric Oxide

Bronchial Provocation Tests

Serial Peak Flow Monitoring

No Objective Evidence of Asthma?

Guidelines

All-Wales Adult Asthma Diagnostic Guidelines

Resources

Adult Asthma Pathway supporting notes

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

Consensus statement for FeNO testing in adults in Wales

This group was formed to review the use of FeNO within Wales and designed to represent views from community, primary and secondary care teams.

If, when and how to use FeNO

Professor Mike Thomas discusses the uses of the FeNO test in general practice

Asthma: diagnosis, monitoring and chronic asthma management (NICE)

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.

Southwark and Lambeth Breathlessness Assessment Algorithm

The holistic assessment of breathlessness will improve accuracy of diagnosis, implementation of effective treatment plans, and ultimately improve patient outcomes.

Diagnosis of Asthma in Primary Health Care: A Pilot Study

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.

Asthma, chronic obstructive pulmonary disease, or both?

Diagnostic labeling and spirometry in primary care patients aged 40 years or more.

Improving the diagnosis of asthma in a primary care practice

A process for systematically inviting patients with suspected asthma for objective testing, to improve the diagnostic accuracy of asthma.

Assessments

Making a diagnosis 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

Getting the diagnosis right for patients on the Asthma register

Fixing the Asthma Register (Project ONE of TWO)

0%
completed

Overview of the project

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.

Why is it important?

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.

Getting the diagnosis right for patients on the Asthma register

The Asthma Diagnostic Review (Project TWO of TWO)

0%
completed

Overview of the project

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.

Why is it important?

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.

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