Self management in asthma care

Papers p 1507 Equipping people with asthma with the tools they need to manage their condition is as important as writing the correct prescription,” according to the United Kingdom's National Asthma campaign. Guided self management has an established place in asthma guidelines and recommendations.1-2 Yet the reality of everyday asthma care is quite different from that which the guidelines suggest, as shown by Jones et al in this issue (p 1507).3 Even among general practitioners in an academic setting, asthma remains underdiagnosed and poorly treated,4 despite increased awareness of the condition. Professionals perceive asthma as a lifelong problem, but patients discontinue treatment after a few years or do not consult health professionals at all.5 General practitioners and nurses have an important role in implementing self care programmes. However, Jones et al report that patient self management …

[1]  R. Pill,et al.  Qualitative study of views of health professionals and patients on guided self management plans for asthma , 2000, BMJ : British Medical Journal.

[2]  P. Pons,et al.  Emergency department documentation in cases of intentional assault. , 1999, Annals of emergency medicine.

[3]  D. Ryan,et al.  Present and future management of asthma and COPD: proceedings from WONCA 1998. , 1999, Family Practice.

[4]  C. van Weel,et al.  Active detection of chronic obstructive pulmonary disease and asthma in the general population. Results and economic consequences of the DIMCA program. , 1998, American journal of respiratory and critical care medicine.

[5]  C. van Weel,et al.  The role of "fear of corticosteroids" in nonparticipation in early intervention with inhaled corticosteroids in asthma and COPD in general practice. , 1998, The European respiratory journal.

[6]  K. Sweeney,et al.  Personal significance: the third dimension , 1998, The Lancet.

[7]  J. Douglas,et al.  Adult asthma review in general practice: nurses' perception of their role. , 1997, Family practice.

[8]  D. Postma,et al.  Comparison of guidelines and self-management plans in asthma. , 1997, The European respiratory journal.

[9]  C. van Weel,et al.  Prevalence of asthma and COPD in general practice in 1992: has it changed since 1977? , 1996, The British journal of general practice : the journal of the Royal College of General Practitioners.

[10]  C. van Weel,et al.  Asthma in adolescents and young adults: screening outcome versus diagnosis in general practice. , 1994, Family practice.

[11]  Gwynn Davis,et al.  Assaults: The relationship between seriousness, criminalisation and punishment , 1994 .