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Related Concept Videos

Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

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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.
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Asthma-IV: Diagnostic and Management01:30

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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:
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Asthma-IV: Nursing Management01:30

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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...
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COPD: Management Using Bronchodilators and Corticosteroids01:26

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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Asthma-II: Pathophysiology and Classification01:26

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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.
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Asthma-I: Introduction01:29

Asthma-I: Introduction

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Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Coordinated Asthma Program Improves Asthma Outcomes in High-Risk Children.

Faye Holder-Niles1,2, Linda Haynes1, Helen D'Couto1,2

  • 11 Boston Children's Hospital, Boston, MA, USA.

Clinical Pediatrics
|April 25, 2017
PubMed
Summary

Coordinated team-based asthma care significantly reduced urgent care visits, emergency department visits, and hospitalizations in high-risk children. This approach improves asthma management and healthcare utilization for pediatric patients.

Keywords:
asthmachronic diseasecoordinated careemergency room visitshigh-risk patientshospitalizationsmultidisciplinary teamquality improvement

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Area of Science:

  • Pediatric Pulmonology
  • Primary Care Innovation
  • Healthcare Management

Background:

  • Fragmented care and poor continuity impact pediatric asthma outcomes.
  • Innovative primary care models are essential for effective asthma management.
  • High-risk children with asthma often experience significant healthcare utilization.

Purpose of the Study:

  • To evaluate the effect of a coordinated, team-based asthma care program.
  • To assess the impact on unplanned asthma-related healthcare utilization.
  • To determine the program's effectiveness in high-risk pediatric populations.

Main Methods:

  • A multidisciplinary asthma team provided coordinated care to 141 high-risk children.
  • Intervention included diagnostic assessment, family needs assessment, asthma education, and community referrals.
  • Patients were followed for 2 years, comparing pre- and post-intervention healthcare utilization.

Main Results:

  • Significant reductions observed at 1 and 2 years post-intervention.
  • Urgent care visits decreased by 40% (P = .002) and 50% (P < .0001).
  • Emergency department visits decreased by 63% (P < .0001) and 70% (P < .0001).
  • Inpatient hospitalizations decreased by 69% (P = .002) and 54% (P = .04).

Conclusions:

  • Coordinated team-based asthma care effectively reduces healthcare utilization in high-risk children.
  • The program improved asthma outcomes by decreasing unplanned visits and hospitalizations.
  • This model demonstrates a successful strategy for enhancing pediatric asthma care within primary care settings.