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Case Reports
. 2014 Oct 16:24:14063.
doi: 10.1038/npjpcrm.2014.63.

A woman with asthma: a whole systems approach to supporting self-management

Hilary Pinnock  1 , Elisabeth Ehrlich  1 , Gaylor Hoskins  2 , Ron Tomlins  3
Affiliations
Case Reports

A woman with asthma: a whole systems approach to supporting self-management

Hilary Pinnock et al. NPJ Prim Care Respir Med. .

Abstract

A 35-year-old lady attends for review of her asthma following an acute exacerbation. There is an extensive evidence base for supported self-management for people living with asthma, and international and national guidelines emphasise the importance of providing a written asthma action plan. Effective implementation of this recommendation for the lady in this case study is considered from the perspective of a patient, healthcare professional, and the organisation. The patient emphasises the importance of developing a partnership based on honesty and trust, the need for adherence to monitoring and regular treatment, and involvement of family support. The professional considers the provision of asthma self-management in the context of a structured review, with a focus on a self-management discussion which elicits the patient's goals and preferences. The organisation has a crucial role in promoting, enabling and providing resources to support professionals to provide self-management. The patient's asthma control was assessed and management optimised in two structured reviews. Her goal was to avoid disruption to her work and her personalised action plan focused on achieving that goal.

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References

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    1. British Thoracic Society/Scottish Intercollegiate Guideline Network British Guideline on the Management of Asthma Thorax 200863(Suppl 4iv1–121. , updated version available from: http://www.sign.ac.uk (accessed January 2014). - PubMed
    1. National Asthma Council Australia Australian Asthma Handbook . Available from: http://www.nationalasthma.org.au/handbook (accessed May 2014).
    1. National Asthma Education and Prevention Program (NAEPP) Coordinating Committee Expert Panel Report 3 (EPR3): Guidelines for the Diagnosis and Management of Asthma . Available from: https://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm (accessed May 2014). - PubMed
    1. Taylor SJC, Pinnock H, Epiphaniou E, Pearce G, Parke H.

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