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Questionnaire Survey for Bronchial Asthma in Elderly Care Facilities
Haruko Shinke1, Hiroshi Kamiryo1, Kanoko Umezawa1
1Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
The Kobe Journal of Medical Sciences
|April 17, 2019
Summary
Asthma mortality is rising in elderly populations. Care facilities struggle with effective inhalation assistance for older adults, especially those with cognitive decline, impacting asthma management.
Area of Science:
- Geriatrics
- Pulmonology
- Public Health
Background:
- Asthma mortality decline has stalled in developed nations, with Japan reporting approximately 1,500 annual deaths.
- Elderly individuals (65+) constitute about 90% of asthma-related fatalities, underscoring the need for focused geriatric asthma care.
- Limited research exists specifically addressing asthma management in elderly patients.
Purpose of the Study:
- To investigate the current challenges and practices in managing asthma among elderly patients in care facilities.
- To identify specific difficulties encountered by healthcare professionals in administering inhaled therapies to this demographic.
Main Methods:
- A survey was distributed to 253 elderly care facilities in Kobe, Japan.
- Ninety facilities responded, with data collected on 223 asthma patients across 70 facilities.
- Questionnaires focused on medication use, inhalation technique accuracy, and management of asthma exacerbations.
Main Results:
- Dry powder inhalers were the most frequent inhaled corticosteroid formulation used.
- Only 60% of facilities reported accurate inhalation technique among patients requiring assistance.
- Many facilities lacked resources or training to manage asthma attacks or assist patients with cognitive impairment.
Conclusions:
- Elderly asthma care presents significant challenges for nursing facilities, particularly regarding proper inhalation technique and managing acute exacerbations.
- Cognitive decline in elderly patients complicates adherence and effective use of inhaled asthma medications.
- Improved support and training are crucial for care facilities to adequately manage asthma in the elderly population.
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