Academic literature on the topic 'Asthma Treatment Study and teaching Victoria'
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Journal articles on the topic "Asthma Treatment Study and teaching Victoria"
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McKenzie, Kirsten, and Sue Wood. "Asthma Terminology and Classification in Hospital Records." Health Information Management 34, no. 2 (June 2005): 27–33. http://dx.doi.org/10.1177/183335830503400203.
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Asthma is a national health priority area in Australia, and there is significant interest in capturing relevant detail about hospitalisations as a result of asthma. A public submission received by the National Centre for Classification in Health from a large teaching hospital in Victoria suggested that current classification terminology in ICD-10-AM did not adequately reflect the terms recorded in clinical inpatient records, and that patterns and severity of asthma better reflected current clinical terminology in Australian hospitals. The purpose of this study was to determine the validity of the public submission and inform future changes to ICD-10-AM. A representative sample of over 3000 asthma records across Australia and New Zealand were extracted, and the asthma terminology documented and codes assigned were recorded and analysed. The study concluded that there was little support for either pattern terminology or the current classification terminology; however, severity of asthma was commonly used in asthma documentation.
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Trautner, C., B. Richter, and M. Berger. "Cost-effectiveness of a structured treatment and teaching programme on asthma." European Respiratory Journal 6, no. 10 (November 1, 1993): 1485–91. http://dx.doi.org/10.1183/09031936.93.06101485.
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The purpose of this study was to perform a cost-effectiveness analysis of the structured treatment and teaching programme for patients with asthma (ATTP) at Dusseldorf University. We investigated whether the monetary benefits outweighed the costs of the intervention. Adult patients with moderate to severe asthma participated in a 5 day in-patient programme. Follow-up was 3 yrs. The incremental costs and benefits of the intervention, compared with standard treatment, were calculated. Costs were incurred by the hospitalization and by lost productivity. Compared to the year before the programme, (average reduction) days spent in hospital (5.2 days per patient per year), days of absence from work (18.4 days per patient per year), acute severe asthma attacks (3.8 attacks per patient per year), and physician consultations (2.3 visits per patient per month), decreased in the 3 yrs after the intervention. The programme produced net benefits of DM 12,850 (in 1991 German marks) per patient within 3 yrs. Within the health care sector, the net benefits were DM 5,900. Within 3 yrs, the paying bodies saved DM 2.70, and society as a whole saved DM 5 on each DM spent for the programme. We conclude that the intervention produced net monetary benefits. This result was stable over a wide range of variation of the outcome measures. Therefore, programme deserves implementation, not only for its demonstrated medical benefits but also for its economic savings.
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Lee, P. Y., and E. M. Khoo. "How Well were Asthmatic Patients Educated about Their Asthma? A Study at the Emergency Department." Asia Pacific Journal of Public Health 16, no. 1 (January 2004): 45–49. http://dx.doi.org/10.1177/101053950401600108.
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70 patients presented with acute asthma exacerbation requiring nebulised bronchodilator treatment at the emergency department of a teaching hospital in Kuala Lumpur, Malaysia, were interviewed over a two-week period in July 2001. The results showed that 45 (64%) patients had not been educated on the nature of asthma; 30 (43%) had not been advised on preventive measures or avoidance of triggers; 54 (77%) were not advised about the medications used and their side effects; 42 (60%) patients did not know the difference between reliever and preventive medications; 37 (53%) were unable to recognize features of worsening asthma and 68 (97%) were not told about the danger of non-prescribed self-medication or traditional medications. Only six (9%) patients were using peak flow meters and were taught self-management plans. The multiple regression results suggest that patients who were followed up at teaching hospital based clinics were better educated on asthma. In conclusion, asthmatic patients are still not educated well about their disease. Health care providers need to put more emphasis on asthma education so that the number of emergency room visits can be reduced. Asia Pac J Public Health 2004; 16(1): 45-49.
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Zeru, Tesfalidet Gebremeskel, Ephrem Engidawork, and Alemseged Beyene Berha. "Assessment of Asthma Control and Quality of Life among Asthmatic Patients Attending Armed Forces Referral and Teaching Hospital, Addis Ababa, Ethiopia." Pulmonary Medicine 2020 (July 29, 2020): 1–12. http://dx.doi.org/10.1155/2020/5389780.
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Background. The primary goal of asthma management is to achieve good asthma control. However, poor patient-physician communication, unavailability of appropriate medications, and lack of long-term goals have made asthma control difficult in developing countries. Poor assessment of asthma control and quality of life is a major cause of suboptimal asthma treatment worldwide, and information regarding this issue is scanty in developing countries like Ethiopia. This study thus attempted to assess the level of asthma control and quality of life in asthmatic patients attending Armed Forces Referral and Teaching Hospital. Methods. A cross-sectional study comprising 184 physician-diagnosed asthmatic patients was conducted using interview, chart review, and prescription assessment. Asthma control was assessed using Asthma Control Test, while asthma quality of life was assessed using Mini-Asthma Quality of Life Questionnaire (mini-AQLQ). Spearman’s rank correlation analysis was performed to understand the relationship between mean mini-AQLQ score and asthma control. Receiver operating characteristic curve analysis was performed to establish cut-off values for mini-AQLQ. Results. Asthma was uncontrolled in 67.9% subjects. There was a strong correlation between asthma control and quality of life (rs=0.772; P<0.01). A cut-off value for the quality of life was established at 4.97. Majority of the patients were taking two or three antiasthmatic drugs. Oral tablet and inhaler short-acting beta agonists (SABA) were the frequently combined drugs. Uncontrolled asthma was associated with middle-aged adults (adjusted odds ratio AOR=6.31; 95% CI: 2.06, 19.3; P=0.001), male gender (AOR=0.38; 95% CI: 0.15, 0.98; P=0.044), married (AOR=0.24; 95% CI: 0.08, 0.78; P=0.017), comorbidities (AOR=0.23; 95% CI: 0.09, 0.61; P=0.003), and oral SABA use (AOR=0.22; 95% CI: 0.09, 0.59; P=0.003). Male gender (AOR=0.36; 95% CI: 0.16, 0.84; P=0.018), intermittent asthma (AOR=0.18; 95% CI: 0.04, 0.86; P=0.032), use of oral corticosteroids (AOR=0.22; 95% CI: 0.06, 0.73; P=0.013), and SABA (AOR=0.39; 95% CI: 0.17, 0.89; P=0.026) were found to have a significant association with poor asthma-related quality of life. Conclusion. The findings collectively indicate asthma remains poorly controlled in a large proportion of asthma patients in the study setting. Moreover, quality of life appears to be directly related to asthma control. Healthcare providers should therefore focus on asthma education with an integrated treatment plan to improve asthma control and quality of life.
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Steel, S., S. Lock, N. Johnson, Y. Martinez, E. Marquilles, and R. Bayford. "A Feasibility Study of Remote Monitoring of Asthmatic Patients." Journal of Telemedicine and Telecare 8, no. 5 (October 2002): 290–96. http://dx.doi.org/10.1177/1357633x0200800508.
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We assessed the feasibility of a remote monitoring system for asthmatic patients to use in their own homes. Eighty-four patients were invited to participate following discharge from hospital after an acute exacerbation of their asthma. We remotely monitored 33 patients from two hospitals for two weeks. Their mean age was 34 years (range 17–50 years). Patient compliance with monitoring was 80% (range 45–231%) and compliance with transmitting the results using a modem was 52% (range 0–100%). The average time spent teaching patients how to perform measurements was 16 min (range 2–55 min) and time spent providing asthma education was 39 min (range 5–135 min). Ninety-six per cent of patients found the equipment easy or very easy to use and 92% said they would use the equipment again in the future. Medical intervention occurred in 48% of patients during the study period, which suggests that the use of remote monitoring could be important in reducing asthma morbidity and improving treatment outcomes.
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Krym, Valerie F., Brent Crawford, and Russell D. MacDonald. "Compliance with guidelines for emergency management of asthma in adults: experience at a tertiary care teaching hospital." CJEM 6, no. 05 (September 2004): 321–26. http://dx.doi.org/10.1017/s1481803500009581.
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ABSTRACTObjectives:Despite evidence-based clinical practice guidelines for the emergency management of asthma, substantial treatment variation exists. Our objective was to assess compliance with the Canadian Association of Emergency Physicians (CAEP) / Canadian Thoracic Society (CTS) Asthma Advisory Committee’s “Guidelines for the emergency management of asthma in adults” in the emergency department (ED) of a university-affiliated tertiary care teaching hospital.Methods:This retrospective study was conducted in a Canadian inner city adult ED. Investigators reviewed all ED records for the period from Jan. 1, 2001, to Dec. 31, 2001, and identified adult patients (i.e., >18 years of age) with a primary ED diagnosis of asthma. Hospital records were then reviewed to document compliance with the CAEP/CTS asthma guidelines. Descriptive statistics, including means, standard deviations and frequencies were used to summarize information.Results:Overall compliance with the guidelines was 69.6%, (95% confidence interval, 64.7%–74.5%), but compliance ranged from 41.4% for severe asthma, 67.1% for moderate asthma, and 88.6% for mild asthma. Interobserver reliability for compliance assessment was excellent.Conclusions:Despite publication and dissemination of evidence-based guidelines for the management of acute asthma in adults, guideline compliance at a university-affiliated, inner city, tertiary care teaching hospital ED is suboptimal.
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Panda, Abinash, and Sadhana Panda. "Parental beliefs and practices in childhood asthma – A hospital based cross-sectional study." Panacea Journal of Medical Sciences 12, no. 1 (April 15, 2022): 128–33. http://dx.doi.org/10.18231/j.pjms.2022.024.
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Childhood asthma represents a significant burden, not only in terms of morbidity and reduced quality of life but also in terms of healthcare costs, as reflected by the high rates of unscheduled emergency department visits, hospitalization, and school absenteeism. Parents play a key link in asthma management and adherence to treatment regimen in the early years of childhood before children can manage their asthma independently. However, some parents have misconceptions regarding asthma and its medication, which could in turn influence children’s control of asthma.To find out the effect of parental beliefs and practices with respect to their knowledge about etiology, folk beliefs, home remedies, alternative therapies, etiology and pharmacotherapy in childhood asthma influence the pharmacotherapy and outcome of asthma management.The hospital based cross sectional study was carried out on a convenience sample of 82 parents of children, 5-14 years of age and clinically diagnosed with asthma of any form in the Department of Pediatrics, F.M. Medical College & Hospital, a tertiary care teaching hospital in Balasore town in the eastern part of India. The parents’ beliefs and practices were captured with the help of a pre-designed and validated questionnaire. Descriptive analytical statictics was used to analyse the demographic data. Chi square test was used to find out the association of beliefs, use of home remedies, folk beliefs and alternative therapies and the use of prescribed asthma medications as per standard reference. GraphPad Prism free trial version 7.0 was used for statistical analysis. Statistical significance was taken at a level of p ≤ 0.05.Majority of the children were in the age group of 10-14 years with a male predominance. Most of the primary care givers less than 40 years age and literate, 30 (36.6%) having more than two children and a family history of asthma. The common beliefs were that asthma was chest allergy, of hereditary origin. Exposure to dust, indoor smoke believed to be a significant potential triggering factor for asthma attack The participants (68.2%) believed that inhaled steroids had more side effects lead to dependency also believed using inhaler only when serious. Domiciliary treatment was preferred. 𝛽-agonist were the commonest medications.Parental beliefs and practices have a predominant role in the management of asthma in children. In order to enhance the level of perceptions among caregivers, education should include knowledge about asthma and its management, as there might be misperceptions about the use of inhalers and the safety of inhaled corticosteroids.
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K, Keerthi, Gireeshan V.K, and Deepthi K. "Is Parent Education Tool Effective in Improving Awareness among Parents of a Wheezing Child? A Pre-Experimental Study." Journal of Evidence Based Medicine and Healthcare 8, no. 06 (February 8, 2021): 298–301. http://dx.doi.org/10.18410/jebmh/2021/58.
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BACKGROUND Asthma is a common chronic disease in childhood. Globally, more than 339 million people are estimated to have asthma. The prevalence of childhood asthma in India is about 6 %. Even though childhood asthma is highly prevalent, the knowledge level among parents / caregivers about the disease, its risk factors, prevention and management is poor. Currently, in India there are no national or state level bodies to provide relevant information about the disease. The rationale of this study is to create a parent education tool that will provide the necessary details about the disease and to check the effectiveness by assessing the improvement in knowledge about childhood asthma among parents of wheezers after implementation of this self-prepared educational tool through a structured teaching programme. METHODS A pre-test post-test pre-experimental study was conducted among parents of children admitted to paediatric ward and intensive care unit of a tertiary care centre in North Kerala. A self-prepared questionnaire was used to assess the knowledge of parents before intervention. Intervention was done using an educational tool prepared by the researcher with the aid of power point presentation and hands on training on technique of using metered dose inhaler. Effectiveness of the tool was assessed after 10 days of intervention using the same questionnaire. Statistical analysis of collected data was done using Statistical Package for the Social Sciences (SPSS) version 26. RESULTS 51 parents were included in the study. The scoring of questionnaire before and after educational intervention was done as poor (< 10 score), average (11 - 20 score) and good (21 - 31 score). The mean score before intervention was 9.98 (SD = 3.14) and after intervention the score became 17.73 (SD = 2.562), and the difference was statistically significant (P = 0.00). Mean score of the knowledge regarding treatment and prevention of asthma improved to 10.18 (SD = 2.133) from 4.29 (SD = 2.212). CONCLUSIONS A well-developed parent education tool is a requirement for minor adjustments needed in the lifestyle of a child with asthma, which ensures proper prevention and treatment. KEYWORDS Childhood Asthma, Wheezing Child, Parent Education, Asthma Education Tool, Asthma Awareness
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Grant, Cameron C., Anne K. Duggan, and Catherine DeAngelis. "Independent Parental Administration of Prednisone in Acute Asthma: A Double-Blind, Placebo-Controlled, Crossover Study." Pediatrics 96, no. 2 (August 1, 1995): 224–29. http://dx.doi.org/10.1542/peds.96.2.224.
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Objective. To determine the effectiveness of a single dose of prednisone administered by a parent to a child early in an asthma attack. Design. A randomized, double-blind, placebo-controlled, crossover study with children enrolled for 12 months (6 months prednisone, 6 months placebo). Setting. A primary-care clinic and emergency department of an inner-city teaching hospital from March 1992 through May 1993. Children. Children 2 to 14 years of age enrolled in this clinic who had made two or more outpatient (emergency department or primary-care clinic) visits for acute asthma in the preceding year. Selection. There were 204 eligible children, of whom 86 were contacted and enrolled; of these, 78 (91%) completed the study. Intervention. Capsules containing prednisone (2 mg/kg up to 60 mg) or placebo. Parents were instructed to give their child one capsule for an asthma attack that had not improved after a dose of the child's regular acute asthma medicine. Measurements. Parents were interviewed every 3 months. Computerized patient records and chart reviews were used to verify parent reports. Outcome measures were the numbers of outpatient visits and hospitalizations for treatment of acute asthma. Results. Neither the total number of attacks nor the number for which medicine was used differed significantly by arm of study. There was a larger number of attacks resulting in outpatient visits when children were in the group that received prednisone (1.1 ± 0.59 versus 0.59 ± 0.86). This trend was less pronounced but persisted when limited to attacks for which the medicine was given (0.58 ± 0.99 versus 0.35 ± 0.55). Neither the number of attacks resulting in admission nor the number of hospital days differed significantly by arm of study. Conclusions. A single dose of prednisone available for use at home early in an asthma attack was associated with an increase in outpatient visits made for acute asthma. When prednisone was given for an attack, there was no reduction in outpatient visits. This intervention can not be recommended for children with asthma. These results should be confirmed in other pediatric populations.
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Kebede, Bezie, Girma Mamo, and Abebaw Molla. "Association of Asthma Control and Metered-Dose Inhaler Use Technique among Adult Asthmatic Patients Attending Outpatient Clinic, in Resource-Limited Country: A Prospective Study." Canadian Respiratory Journal 2019 (August 1, 2019): 1–6. http://dx.doi.org/10.1155/2019/6934040.
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Asthma is a heterogeneous disease which is characterized by chronic airway inflammation. It is a common chronic respiratory disease affecting 1–18% of population in different countries. It can be treated mainly with inhaled medications in several forms, including pressurized metered-dose inhaler (MDI). Patients encountered difficulty in using inhaler devices even after repeated demonstration and/re-evaluation. This could highly compromise patient treatment outcome/asthma control. To evaluate relationship between MDI use technique and asthma control among adult asthmatic patients who attend respiratory clinic in Jimma University Medical Center (JUMC), Southwest Ethiopia. A prospective observational study was conducted from March to August 22, 2018. All adult asthmatic patients who met the inclusion criteria were included in the study. Patient baseline assessment was conducted (patient demography, inhalation technique, adherence, and asthma control status). Inhalation technique was obtained using a standard checklist of steps recommended in National Institute of Health (NIH) guidelines. Patient adherence using asthma inhalation test and asthma control status was assessed by 2017 GINA guideline. Independent predictors of outcome were identified, strength of association between dependent and independent variables was determined by using ordinal logistic regression analysis, and statistical significance was considered at P<0.05. One hundred forty patients were included in the analysis. Among these, 26 (18.4%) patients were controlled, 65 (46.1%) partially controlled, and 35% uncontrolled. Proportion of patients with uncontrolled asthma were higher among inefficient as compared to efficient, whereas patients with controlled asthma were higher among efficient as compared to inefficient. Asthma control status is significantly associated with inhalation technique (P=0.006). Since most of the patients were inefficient and it is significantly associated with asthma control status, the hospital tried to adopt video MDI teaching program, and the patient should ask healthcare professionals how to take medication and they should bring their device to receive demonstration during visit. Health professionals should re-evaluate the patient during their hospital visit and encourage bringing their device to give demonstration.
Books on the topic "Asthma Treatment Study and teaching Victoria"
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Hennessy, Mark. Process evaluation of the Victorian Drink Driver Program: A report prepared for the Drug Treatment Services Unit, Aged, Community and Mental Health Division, Department of Human Services. Melbourne: Drug Treatment Services Unit, Aged, Community and Mental Health Division, 1998.
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Hennessy, Mark. Process evaluation of the Victorian Drink Driver Program: A report prepared for the Drug Treatment Services Unit, Aged, Community and Mental Health Division, Department of Human Services. Drug Treatment Services Unit, Aged, Community and Mental Health Division, 1999.
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