Asthma

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  • Asthma
    • Symptoms
      • Coughing
      • Wheezing
      • Tight chest
      • Shortness of breath
    • Causes
      • Family history
      • Other atopic conditions
      • Having bronchiolitis as a child
      • Childhood exposure to to tobacco smoke
      • Being born prermaturely
      • Having low birth weight
      • Work related
    • Triggers
      • Respiratory tract infections
      • Allergens
      • Airbone irritant
      • Medicines
      • Emotions
      • Foods containing sulphites
      • Weather conditions
      • Indoor conditions
      • Exercise
      • Food allergies
    • Treatment
      • Relievers
      • Preventors
      • Nebuliser
      • Spacer
      • Steroid medication
      • Bronchial thermoplasty
    • Lifestyle changes
      • Get regular check ups to avoid chest infections etc
      • Clean regularly (reduce house mites)
      • Stay away from food you're allergic to
      • Stop smoking
      • Remove stressful things
      • Yearly flu jab and vaccinations
    • Impacts (FPIES)
      • Financial
        • Miss work for appointments
        • Stop work (if triggering asthma)
        • Cost of travel
      • Physical
        • Shortness of breath
        • Tiredness and weakness
        • Cough
      • Intellectual
        • Increased knowledge of asthma
      • Emotional
        • Fear and anxiety
        • Frustration
      • Social
        • Not taking part in group activities or social events (sports)
    • Patient centred care (HITLERD)
      • Heart of process
        • All decisions to involve patient
        • Care involved (carrying inhaler round)
        • Social impacts of dietary change, not exercising as much
      • Informed choices
        • Explain treatment w/out jargon
        • Risks & benefits of treatment
        • Know consequences of no treatment
      • Take reposnibility
        • Decide whether or not to have treatment
        • Making suitable dietary changes
      • Lifestyle changes
        • DIet
        • Not doing as much exercise
        • Stop smoking
        • Change/ quit job
      • Empowering
        • Have named asthma nurse
        • Support groups
        • Charities
        • Make sure they understand condition
      • Respecting
        • Treating as equal
        • Health proff show respect
        • Suggesting treatment (counselling to stop smoking)
      • Dignity
        • Staff explain each procedure
        • Talk about fears and concerns
    • Care pathway
      • See practice nurse & GP w/ symptoms
        • They would measure peak flow
        • Consider history
        • Discuss lifestyle, pets, smoking etc
      • Asthma plans drawn up
      • Negotiate most effective way to manage
      • Refer to other health proffessionals
        • Counsellors
        • Nurse
        • GP
        • Pharmacy (prescriptions)
      • Secondary care would only come in if there was an asthma attack (A&E)

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