Tutorials
Understood
Assessment of a Patient
Understood
Variable Airflow Obstruction
Understood
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]:
- People aged 5 years and over with suspected asthma have objective tests to support diagnosis.
TV Show: Asthma Diagnosis Guideline
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.
Mark as Understood
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 |
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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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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.
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If, when and how to use FeNO
Professor Mike Thomas discusses the uses of the FeNO test in general practice
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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.
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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.
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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.
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Asthma, chronic obstructive pulmonary disease, or both?
Diagnostic labeling and spirometry in primary care patients aged 40 years or more.
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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)
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completed
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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
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.