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Non Adherence To Inhaler Treatment Among Copd And Asthma Patients


Non Adherence To Inhaler Treatment Among Copd And Asthma Patients
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Non Adherence To Inhaler Treatment Among Copd And Asthma Patients


Non Adherence To Inhaler Treatment Among Copd And Asthma Patients
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Author : Chin H. Oh-Ciernick
language : en
Publisher:
Release Date : 2019

Non Adherence To Inhaler Treatment Among Copd And Asthma Patients written by Chin H. Oh-Ciernick and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019 with categories.


"The effect of non-adherence to inhalers has a significant impact on morbidity and mortality in patients with COPD and/or asthma, as well as an increase in healthcare cost. Non-adherence to inhaler treatment is a complex multifactorial problem. The patients with asthma and chronic obstructive pulmonary disease (COPD) have a non-adherence rate up to 50 to 70% with their medication regimen. The purpose of this EBP change project was to improve inhaler adherence in patients with COPD and/or asthma by conducting follow-up calls after a face-to-face visit. A total of seven individuals voluntarily participated in the project. During the initial face-to-face visit, the participants completed a pre-test (Morisky, Green, Levine Questionnaire). The first follow-up calls were placed one week after the face-to-face visit. The second follow-up calls were placed two weeks after the first follow-up calls. During the follow-up calls, the project manager addressed any barriers that were preventing the participants from adhering to inhaler regimen such as changing the inhaler to one with a lower copay. The post-test was completed by the participants during the face-to-face follow-up visit. The post-test demonstrated an improvement in inhaler adherence of 58% among all participants, which exceeded the benchmark of 30%. Consequently, follow-up calls after the face-to-face visit improved medication adherence by providing an opportunity for healthcare providers to address barriers that may hinder patients from adhering to the medication regimen. Key words: COPD, asthma, medication, inhaler, non-adherence, follow-up calls " -- Abstract



Trends In Asthma Prevalence Health Care Use And Mortality In The United States 2001 2010


Trends In Asthma Prevalence Health Care Use And Mortality In The United States 2001 2010
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Author :
language : en
Publisher:
Release Date : 2012

Trends In Asthma Prevalence Health Care Use And Mortality In The United States 2001 2010 written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Asthma categories.




Asthma Adherence


Asthma Adherence
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Author :
language : en
Publisher:
Release Date : 1999

Asthma Adherence written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Asthma categories.




Severe Asthma


Severe Asthma
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Author : S. J. Szefler
language : en
Publisher: Marcel Dekker
Release Date : 1996

Severe Asthma written by S. J. Szefler and has been published by Marcel Dekker this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with Medical categories.


Bridging the gap between basic science and clinical research, this comprehensive and fully up-to-date reference presents new directions in asthma care - examining the pathophysiology, epidemiology, immunology, environmental control, and psychosocial impact of severe asthma.



Inhaled Delivery Systems For The Treatment Of Asthma And Copd


Inhaled Delivery Systems For The Treatment Of Asthma And Copd
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Author : Donald A. Mahler
language : en
Publisher: CRC Press
Release Date : 2023-07-19

Inhaled Delivery Systems For The Treatment Of Asthma And Copd written by Donald A. Mahler and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-07-19 with Medical categories.


Inhaled therapies form the cornerstone for treatment of patients with asthma and COPD. Evolving technology has resulted in availability of a wide range of devices for delivery of inhaled drugs. The four different delivery systems -- pressurized metered-dose inhalers, slow mist inhalers, dry powder inhalers, and nebulizers -- are unique in design and require distinct inhalational instructions for correct use. This book provides current information about inhalation devices, including their advantages and disadvantages, with guidance for optimal techniques of use. The book emphasizes appropriate selection of inhalation devices based on patient and health care professional factors as well as device attributes that allow selection of the right medication in the right inhalation device at the right time for the right patient. Key Features: • Addresses the objective of precision medicine – the right medication in the right inhaler device at the right time. • Inputs by international thought leaders who have published widely on inhaled medications and/or inhaled delivery systems for clinicians, trainees and respiratory therapists. • Discusses the development of audio-based systems and smart inhalers for patient monitoring.



Severe Asthma


Severe Asthma
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Author : Kian Fan Chung
language : en
Publisher: European Respiratory Society
Release Date : 2019-06-01

Severe Asthma written by Kian Fan Chung and has been published by European Respiratory Society this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-06-01 with Medical categories.


Severe asthma is a form of asthma that responds poorly to currently available medication, and its patients represent those with greatest unmet needs. In the last 10 years, substantial progress has been made in terms of understanding some of the mechanisms that drive severe asthma; there have also been concomitant advances in the recognition of specific molecular phenotypes. This ERS Monograph covers all aspects of severe asthma – epidemiology, diagnosis, mechanisms, treatment and management – but has a particular focus on recent understanding of mechanistic heterogeneity based on an analytic approach using various ‘omics platforms applied to clinically well-defined asthma cohorts. How these advances have led to improved management targets is also emphasised. This book brings together the clinical and scientific expertise of those from around the world who are collaborating to solve the problem of severe asthma.



Patient Assessment In Clinical Pharmacy


Patient Assessment In Clinical Pharmacy
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Author : Sherif Hanafy Mahmoud
language : en
Publisher: Springer
Release Date : 2019-03-28

Patient Assessment In Clinical Pharmacy written by Sherif Hanafy Mahmoud and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-03-28 with Medical categories.


This comprehensive, first-of-its kind title is an indispensable resource for pharmacists looking to learn or improve crucial patient assessment skills relevant to all pharmacy practice settings. Pharmacists’ role as health care practitioners is evolving as they are taking a more active part in primary patient care -- helping patients manage their medications and diseases, providing patient education, and, in some jurisdictions, prescribing and adapting medications. To perform their day-to-day duties, pharmacists are best-served using a framework called the patient care process. This framework involves three steps: patient assessment; care plan development and implementation; and monitoring and follow up. Organized in four parts, this practical book begins with introductory chapters regarding the basics of patient assessment and the patient care process. Part II includes a detailed assessment of common symptoms encountered by pharmacists. Part III discusses assessment of patients with various chronic illnesses. Part IV addresses select specialized topics and assessment considerations. An invaluable contribution to the literature, Patient Assessment in Clinical Pharmacy: A Comprehensive Guide will be of great benefit to pharmacists, regardless of their practice setting, and to pharmacy students as well.



Pharmacotherapy In Chronic Obstructive Pulmonary Disease


Pharmacotherapy In Chronic Obstructive Pulmonary Disease
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Author : Bartolome R. Celli
language : en
Publisher: CRC Press
Release Date : 2003-12-17

Pharmacotherapy In Chronic Obstructive Pulmonary Disease written by Bartolome R. Celli and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-12-17 with Medical categories.


Placing specialists at the cutting-edge of therapeutic and biotechnological research, this reference reviews the extensive array of pharmaceutical options available for the management of patients with COPD. The book considers disease severity, dosing regimens, administration methods, and monitoring procedures, as well as medication-related side-eff



Asthma In The Elderly


Asthma In The Elderly
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Author : Robert Barbee
language : en
Publisher: CRC Press
Release Date : 1997-08-12

Asthma In The Elderly written by Robert Barbee and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997-08-12 with Medical categories.


This invaluable clinical resource furnishes a comprehensive review of asthma in the older patient-covering pathology, physiology, immunology, diagnostic problems, and management. Written by a team of renowned authorities, Asthma in the Elderly addresses the epidemiology and classification of asthma in the older population details the pharmacological management of chronic asthma as well as acute exacerbation management summarizes the toxicity of asthma drugs and the potential pitfalls of pharmacological management describes the pathological features of airway obstructive disease in older patients presents the factors that make asthma management more complex and patient education more difficult and much more! Containing over 1100 bibliographic citations for more in-depth exploration of particular topics, Asthma in the Elderly is a practical guide for pulmonologists and pulmonary disease specialists; clinical allergists; geriatricians; internists; chest, intensive care, primary care, and family practice physicians; respiratory therapists; physiologists; pathologists; cell and molecular biologists; and medical school students in these disciplines.



Inhalational Therapy For Airway Disease Among Adult Patients


Inhalational Therapy For Airway Disease Among Adult Patients
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Author : Ruchi Sachdeva
language : en
Publisher:
Release Date : 2015

Inhalational Therapy For Airway Disease Among Adult Patients written by Ruchi Sachdeva and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with categories.


Objective: To determine proportion of correct inhalation technique amongst patients with asthma and chronic obstructive pulmonary disease.Methodology: A cross-sectional study involving 100 known subjects of either disease condition using inhaler device for atleast one-year reporting at chest OPD of government hospital were interviewed using pre-tested semi-structured interview schedule and inhalation technique determined by standard observation checklist. Each step was given a score of 'one' if undertaken by patient and 'zero' in case of non-compliance.Results: There were 62% male patients; 27% were illiterate; 92% were married; 32% were current smokers; average age was 50.3 (±14.5) years; 55% and 45% had asthma and COPD respectively; 60% were on MDI device and 40% were using DPI; 23% reported co-morbid (HT/DM) condition and 27% reported occupational dust exposure while more than one-third (36%) reported hospitalization during last one-year due to disease condition. Inspite of clinical requirement, 45% were not taking inhaler therapy regularly and reasons elicited were lack of knowledge (32%), casual attitude (07%), financial constraints (04%) and stigma (01%). On a positive note, patients undertaking regular visit to doctors were also taking inhaler regularly (P