preview

Treating Asthma

Decent Essays

Asthma treatment is consistent with care along a continuum which may change at any time to accommodate the individual’s current symptoms. The clinical based guidelines consist of step by step guidelines with varying treatments arranged by age and organized by the severity and the addition of pharmacological therapies (NAEPP, 2007). The process of treating asthma has been proven most successful with the NAEPP clinical guidelines. The NAEPP guidelines provide a holistic approach to caring for individuals suffering from asthma. Treatment consists of assessing and monitoring the severity of one’s asthma, the provision of patient education to assist with self-management, assisting with the need to control one’s environmental risk factors, the …show more content…

Follow up treatment or assessment has been identified as the single most beneficial aspect to ensuring one’s asthma is well controlled (Axelsson et al., 2015). Follow up with individuals should take place between 2-6 weeks of acute exacerbation and between 1-3 month intervals regularly (NAEPP, 2007). Evaluation and changes in treatment are recommended based on assessment of one’s adherence to medication regimens and management of environmental factors (NAEPP, 2007). Once it is established if the individual is maintaining adherence and controlling environmental factors but the individual’s asthma that is not well controlled a one step up method of treatment is recommended and a two step up approach for very poorly controlled individuals (NAEPP, 2007). Asthma well controlled should be evaluated and concluded controlled for 3 months prior to changes in medication regimens (NAEPP, 2007). After 3 months of well controlled asthma, an individual’s medication regimen may be stepped down by 1 step and the dose of ICS’s may be reduced by 25 percent every 3 months until the lowest control dose is reached (NAEPP, 2007).
In the event asthma is no longer manageable by a primary clinician the need for a referral may be require. Referral to an asthma specialist for management is recommended if there are complications achieving or maintaining control of asthma. Also, if the patient required more than 2 uses of oral systemic corticosteroids in 1 year or has required hospitalization it is imperative for the individual to be referred for further management (NAEPP,

Get Access