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Related Concept Videos

Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:

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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
14:39

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

Using a knowledge translation framework to implement asthma clinical practice guidelines in primary care.

Christopher Licskai1, Todd Sands, Michael Ong

  • 1University of Western Ontario, London, ON, Canada. clicskai@uwo.ca

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|August 16, 2012
PubMed
Summary
This summary is machine-generated.

Implementing a guideline-based asthma management program improved patient outcomes and reduced healthcare utilization. This knowledge translation initiative demonstrated significant cost savings, proving effective for community primary care.

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Last Updated: May 19, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
14:39

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

Area of Science:

  • Health Services Research
  • Public Health
  • Clinical Implementation Science

Background:

  • International asthma care guidelines exist but face implementation challenges, leading to suboptimal patient control.
  • Regional pilot data revealed a significant gap between asthma care knowledge and its practical application.
  • Existing asthma management often fails to meet established evidence-based standards.

Purpose of the Study:

  • To engineer health system change using a multi-step knowledge translation approach.
  • To implement a guideline-based, interdisciplinary asthma management program in community primary care.
  • To evaluate the effectiveness and cost-efficiency of the implemented asthma program.

Main Methods:

  • Utilized the Canadian Institutes of Health Research knowledge translation framework for multi-level implementation (patient, practice, health system).
  • Developed regional administrative infrastructure and interdisciplinary care teams involving community organizations, primary care physicians, and patients.
  • Program focused on six key guideline elements: spirometry, controller therapy, action plans, and education on inhaler technique, medications, and environmental control.

Main Results:

  • High implementation rates for guideline elements (86-100%).
  • Significant reductions in asthma symptoms (42% to 17%), urgent healthcare visits (71% to 45%), and absenteeism (39% to 19%) post-intervention.
  • Program operating cost was $290/patient with a cost-savings ratio of 2.1:1, similar to diabetes management programs.

Conclusions:

  • A knowledge translation framework effectively guides multi-level organizational change for asthma guideline implementation in primary care.
  • The interdisciplinary asthma management program significantly improved patient health outcomes and reduced healthcare utilization.
  • The program is cost-effective, with savings offsetting implementation costs, making it a viable model for community practices.