How to manage difficult asthma cases. An action plan for physicians and patients

Patients with difficult-to-manage asthma represent one of the greatest challenges in primary care practice. Because these patients are at risk for life-threatening attacks, close monitoring is essential to ensure compliance and to control attacks or medication side effects. In this article, Dr Hunt discusses the many aspects of management, including assessment, identification of triggers, treatment planning, and patient and family education. An "action plan" that outlines the management program is described.