Self-management plans for people with deteriorating asthma
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Self-management plans for people with deteriorating asthma

Katy Mara Odedra Was at time of writing an asthma and allergy clinical nurse specialist, Imperial College Healthcare NHS Trust, London

Katy Odedra discusses the development of individualised credit card-sized pictorial asthma plans and the results of a study of their effect on patients

Self-management plans (SMPs) focus on the early recognition of unstable or deteriorating asthma. Patients without SMPs are more likely to have an asthma exacerbation. The author developed an individualised credit card-sized pictorial asthma plan (ICPAP). Fifty-three patients with asthma aged between 16-60 years were recruited from attendees of a hospital-based, nurse-led clinic. Patients completed a standardised asthma quality-of-life questionnaire and were given the ICPAP. Spirometry, emergency/out-patient/GP attendances, hospital admission and exacerbation data were collected. The patients were reviewed at three and six months. At six months, 79% of patients had used their ICPAP, 100% understood it and 49% were carrying it with them. The most popular aspect of the ICPAP was size and pictures. There was a reduction in exacerbation rate (P=0.0360), unscheduled attendances to general practice (P=0.0005) and hospital admissions (P=0.0044).

Primary Health Care. 25, 8,24-30. doi: 10.7748/phc.25.8.24.e1069


Peer review

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Conflict of interest

None declared