Source: International Congress 2016 – Non-inflammatory assessment of airway disorders
Disease area: Airway diseases

Abstract

Background:It is recommended that all people with asthma should be provided with written guidance in the form of a PAAP (NRAD 2014). NHS Lanarkshire recently produced an adult version of the PAAP and planned to assess its' use in the local population.Methods: Patients with asthma were provided with a PAAP as part of a structured annual review and education program, delivered by a respiratory nurse specialist team as part of a collaborative project between NHS Lanarkshire and National Services for Health Improvement. Follow up telephone review was conducted at 6-months, when patients were asked the following questions:–Do you remember getting an PAAP?–Do you still have your PAAP?–When did you last look at your Asthma Management Plan?–Name one item it containsIn addition, data on exacerbations and health care utilisation were collected.Results: 136 patients completed the project. At 6 month follow up, 82.2% remembered receiving their PAAP, 64.9% still had it, and 20.7% had used it. When asked to recall any one item it contained, 43.4% were unable to do so. During follow up, 27.2% of patients had one or more asthma exacerbations. Patients who had used their PAAP had poorer asthma control and were more likely to have had an exacerbation (50%) than those who had not used it (21.5%),p=0.004.Conclusions: Following a comprehensive asthma review with specific education around the importance of a PAAP, 6 months later, approximately one third of patients will not maintain it, and of those that do, a significant proportion will not be able to recall its content, which emphasises the importance that information must be written down for patients.


Rating:

Share or cite this content

Citations should be made in the following way:
Andrew Smith (Wishaw, United Kingdom), Andrew Smith, Soong Tan, Manish Patel, Maureen Carroll, Judy Lever, Amanda Lee, Eddie McKnight, John Haughney. The impact of a structured consultation delivered by a respiratory nurse specialist on patients’ use of personalised asthma action plans (PAAP). Eur Respir J 2016; 48: Suppl. 60, 1016

Member's Comments

No comment yet.

Related content which might interest you: Effectiveness of a community based integrated specialist service for the management of COPD Source: Annual Congress 2013 –Quality of diagnosis and assessment in primary care Year: 2013 Management of asthma in patients supervised by primary care physicians or by specialists Source: Eur Respir J 2006; 27: 42-50 Year: 2006 Does having specialist asthma nurses improve adherence to national asthma guidelines? A comparison between two UK district general hospitals Source: International Congress 2015 – Chronic airway disorders: miscellaneous aspects Year: 2015 Patient and health care providers (HCP) perception of benefits and future use of acute non-invasive ventilation (NIV) Source: Annual Congress 2013 –New evidence for NIV in the acute setting Year: 2013 Reducing inappropriate high dose ICS prescribing for COPD in primary care using respiratory integrated care virtual clinics Source: International Congress 2015 – Management of COPD and other respiratory diseases in primary care Year: 2015 Impact of a new inhaler management policy on the hospitalised patient Source: International Congress 2014 – From individual patient interactions to models of care: the nursing perspective Year: 2014 The development of my breathing matters: A digital intervention to improve patient self-management of asthma Source: International Congress 2016 – Best abstracts in COPD management Year: 2016 Emergency department (ED) attendance with asthma: An unmet need for specialist review Source: International Congress 2016 – Monitoring airway diseases with clinical tools Year: 2016 Description of a Dutch well-established asthma/COPD service for primary care Source: Annual Congress 2013 –Early diagnosis and effectiveness of disease management in primary care Year: 2013 Measuring the value of integrated respiratory consultant support of a community respiratory multidisciplinary team (MDT) Source: International Congress 2014 – Management of asthma and other respiratory diseases in primary care Year: 2014 The impact of a specialist multi-disciplinary approach to difficult asthma on healthcare outcomes in a district hospital Source: Annual Congress 2013 –Phenotyping asthma: clinical severity, comorbid conditions response to treatment? Year: 2013 Does increasing the access to specialist respiratory team reduce the presentation and admission of acute asthma to hospital? Source: International Congress 2016 – Non-inflammatory assessment of airway disorders Year: 2016 The contribution of an asthma diagnostic consultation service (ADCS) in obtaining an accurate asthma diagnosis for primary care patients Source: International Congress 2016 – Asthma management in primary care Year: 2016 Can a community-based education and action plan intervention improve asthma management and reduce admissions in children? Source: International Congress 2014 – Qualitative and quantitative research that contributes to respiratory nursing practice Year: 2014 Asthma management in French general practice: Physician-reported medical care and adherence support Source: International Congress 2015 – Respiratory disease management in primary care Year: 2015 Prevalence of asthma and management of exacerbations in general practice (GP) after computerised Spanish guideline on the management of asthma (GEMA) and collaborative care environment Source: International Congress 2015 – Management of asthma and COPD in primary care Year: 2015 Impact on asthma morbidity and patient enablement of providing a telephone option in a primary care asthma review service: controlled implementation study Source: Eur Respir J 2006; 28: Suppl. 50, 571s Year: 2006 Increased pharmacy input into asthma care of patients in the community: from device education to disease state management Source: Annual Congress 2006 - Connecting with the community: collaborations that work Year: 2006 Effectiveness of a new nursing intervention for primary care COPD patients Source: International Congress 2016 – Respiratory nursing research: opening new perspectives on patient experiences Year: 2016 Promotion of pulmonary rehabilitation through an online educational resource for patients and local multi-disciplinary network for healthcare professionals Source: Annual Congress 2013 –The latest insights in chronic care Year: 2013