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Monday, August 5, 2013
  Clinical Accuracy Spoken Here  

Asthma: Effects of Depression

Researchers in Baltimore studied the effect of depression on adherence to asthma therapy after discharge from the hospital in 59 patients.

Following discharge, for approximately 2 weeks, patients were monitored electronically to assess their use of therapies. The researchers reported patients who were depressed were 11 times more likely to take less than 50% of prescribed medications.

The study concluded that we need to look at screening and treating depression due to the high risk of poor adherence with therapy once patients leave the hospital.

[Reference: Asthma, Module A, Pathophysiology]

  Excellence in Case Mgmt  

Asthma: Exacerbation Action Plan

Ensure that a patient has a written asthma action plan to be followed in the event of an exacerbation, especially patients with moderate-to-severe persistent asthma or with a history of severe exacerbations.

Children should receive a plan appropriate to the school setting. The plan should direct the student to adjust medications in response to particular signs, symptoms, and peak flow measurements and when to seek medical help. Collaborating with the school nurse is very helpful in setting up a plan for the initial intervention for an exacerbation.

Review the written plan with the patient and family.

[Reference: Asthma, Module D, CM Role]

  Improving Patient Care...  

Asthma: Patients Need to Know Definition

Asthma is defined as a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role, in particular, mast cells, eosinophils, T lymphocytes, neutrophils, and epithelial cells. In susceptible individuals, this inflammation causes recurrent episodes of wheezing, breathlessness, chest tightness, and cough, particularly at night and in the early morning. Airway inflammation is the target to control and regulate airflow obstruction and the resulting symptoms.

Case managers need to ensure that their patients and their caregivers (if any) know and understand the definition for asthma.

[Reference: Asthma, Module A, Pathophysiology]


Tom RasmussenTom Rasmussen
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