These checklists are based on the national asthma council australia s information paper for health professionals. Improved asthma outcomes with a simple inhaler technique intervention by community pharmacists. Inhaler devices and technique 23 acute asthma 25 clinical issues 35 troubleshooting 35 asthma triggers 36 exercise and asthma 37 smoking and asthma 39. Different types of puffers and inhalers need to be cleaned in different ways.
Hp inhaler technique for people with asthma or copd. Our library of howto videos includes clips showing the correct use of various asthma and copd inhalers. These checklists are based on the national asthma council australias. Contact the national asthma council australia, your local asthma foundation or your division of general practicegeneral practice network about asthma. Asthma and chronic obstructive pulmonary disease copd are lifelong, potentially lifethreatening diseases that represent the leading chronic respiratory diseases in the world. Inhaler technique for people with asthma or copd all patients need individualised, repeated handson training in correct inhaler use. Ends full report of asthmarelated deaths by age, sex and state, visit national asthma councils website. Device technique was scored objectively at baseline and again at 3 and 12 months post education. Expert panel report, the global initiative for asthma guidelines. Trying, but failing the role of inhaler technique and. The australian asthma handbook and my asthma guide, is developed by the national asthma council australia. This information paper was prepared in consultation with the following health professionals.
This guide features key figures and tables from the handbook, alongside selected section overviews to provide context. National asthma council australia, melbourne, 2018. Asthma council welcomes drop in asthma deaths but warns. Copd common errors inhaler technique factsheet puffer and inhaler care. Inhaler device technique can be improved in older adults. When it comes to inhaler use, it is accepted that we have a longstanding problem, i. Produced by nps medicinewise in collaboration with the national asthma council australia, this handy summary of checklists is an excellent tool to ensure that health professionals are using the correct sequence of steps when teaching patients inhaler technique. Request pdf on apr 1, 2012, dianne p goeman and others published device technique can be improved in older people with asthma find, read and cite all. How to ensure the correct inhaler device is selected for each patient. Other devices are available for inhaled medicines please see the manufacturers product information for instructions these checklists are based on the national asthma council australia s information paper for health professionals. The correct inhaler technique depends on the device. Checklists of steps, and videos demonstrating correct technique, for various types of inhalers are available on national asthma council australias website. Investigating new asthmalike symptoms in older adults. Suboptimal adherence and errors in inhaler technique are common among copd patients.
The national asthma education prevention program naepp coordinating committee committee is governed by the provisions of the federal advisory committee act, as amended. These checklists are based on the national asthma council australias information paper for health professionals. I nhaled therapy is the cornerstone of asthma treatment, and direct delivery of medication to the lung allows for optimal efficacy and safety. National asthma education and prevention program naepp. Implementation of a pharmacy studentdriven inpatient. How to use an asthma inhaler healthdirect australia.
Review inhaler technique and adherence correct if suboptimal. Pdf competence in metered dose inhaler technique among. Safety considerations with newer inhalation devices. Asthma is a worldwide public health issue with increasing incidence and effect on mortality and morbidity across the entire life span. The chart was developed independently by the national asthma council australia, with support from boehringer ingelheim, gsk australia, mundipharma and teva pharma australia. Inhaler devices and technique australian asthma handbook.
Inhaler technique checklists national asthma council australia. Basheti ia, reddel hk, armour cl, bosnicanticevich sz. Community pharmacists are the last point of contact before patients are provided with an inhaled asthma device and are expected to adequately educate and train patients on its use. National asthma council australias six step asthma.
Asthma and allergy foundation of america 1235 south clark street suite 305, arlington, va 22202 phone. There are also clips showing correct use of allergy nasal sprays. According to national asthma council australia, 90% of. Assess patients inhaler technique at every opportunity. Asthma and allergy foundation of america aafa home. No clinical variables were associated with errors in inhaler technique. As well as including all the latest inhalers available in australia, the updated version specifies the pbs reimbursement status of each medication as at may 2018. Adequacy of inhaler technique used by people with asthma or.
Prior to assessing student participants, a nurse respiratory specialist used a handson demonstration process to calibrate the stepbystep inhaler technique for five students, and performance was validated against the national asthma council of australia naca checklist. Research indicates that the magnitude of this problem is huge with anywhere up to 90% of people with asthma depending on device and patient population not using their. Inhaled therapy is essential for treatment of acute and chronic asthma, and the metered dose inhaler with a spacer is the optimal delivery system in children. National asthma council australias six step asthma management plan. Knowing the steps in inhaler technique and common errors for each type of inhaler can help you check patients technique and provide effective instruction. No clinical variables to assist in the prediction of medication nonadherence and poor inhaler technique were identifiable. P257 suboptimal inhaler technique in patients aged over. These tools for asthma control were created following the evidencebased guidelines. However, up to 94% of patients with asthma and copd do not use their inhalers correctly, 15 and they require multiple education sessions to maintain their technique. Inhaler technique, including the critical steps for each device type, was assessed and scored according to australian national asthma council nac guidelines.
National asthma council australia with support from boehringeringelheim, gsk australia, mundipharma and teva pharma australia resources treatment guidelines australian asthma handbook. Assess asthma severity to initiate treatment see page 5. Device technique can be improved in older people with asthma. National asthma council australia abn 61 058 044 634 suite 104, level 1, 153161 park street south melbourne, vic 3205, australia tel. Australian asthma handbook national asthma council australia. Slowly breathe in all the air you can and hold for 510 seconds. Investigating asthmalike symptoms in adolescents and young adults. Asthma and copd guidelines underline the importance of correct inhaler technique training and frequent inhaler technique checks. If an extra dose is prescribed repeat steps 3 to 9. Produced by nps medicinewise in collaboration with the. Resources national asthma council australia howto videos demonstrating inhaler technique.
Produced by nps medicinewise in collaboration with the national asthma council australia, this handy summary of checklists is an excellent tool to ensure that health professionals are using the correct sequence. Device technique was assessed discretely according to current national asthma council nac guidelines 24 and critical inhaler technique steps were scored using the nac checklist for each device. Inhaler technique in adults with asthma or copd hps pharmacies. Understanding your inhaler the asthma foundation, nz. The australian asthma handbook is the national clinical practice guidelines for asthma management in primary care. Inhaler technique checklists national asthma council. Spacer use and care national asthma council australia. The goal of asthma selfmanagement is to achieve better health through controlling and preventing asthma attacks. Asthma education and selfmanagement are essential components of successful asthma management. Competence in metered dose inhaler technique among. Challenges in the management of bronchial asthma among adults in nigeria. Poor inhaler technique is extremely common and is associated with worse outcomes in asthma. How to use turbuhaler national asthma council australia. Latest evidence on the prevalence and impact of incorrect technique, plus checklists.
Hp inhaler technique for people with asthma or copd national. Put the inhaler mouthpiece into the end oft e spacer. The national asthma council australia is a notforprofit organisation working to improve health outcomes and quality of life for people with asthma. During this time, our health professional resources are available for download only. Implementation of a pharmacy studentdriven inpatient inhaler counseling service for copd and asthma patients background.
Inhaler technique influences asthma control and should be taught at all contact points where health care professionals interact with the patient inhalation techniques can be improved by. Development of this howto video was supported by the australian government department of veterans affairs as part of the prevent puffer problems campaign. Chronic respiratory disease suboptimal inhaler medication. National asthma council australia using your asthma or copd inhaler correctly, howto videos, my asthma guide, how to use a standard mdi, how to use autoinhaler, inhaler technique checklist, use and care of spacers. Please read our short guide how to send a book to kindle. Further information about the resource can be found on the nps medicinewise website. Asthma care quick reference national heart, lung, and. Home asthma australia the nations peak consumer body. Our website has a wide range of asthma resources for health professionals and people with asthma. Your taxdeductible donation will help us continue investing in much needed asthma research and will support vital services for. Gps to talk with patients about the cost of medicines. Thanks to ms judi wicking, asthma and respiratory educator, and the patient who participated in this film clip. The emergency care clinical network recommends using the national asthma council australia australian asthma handbook the images below are linked to easytofollow pathways of care and treatment options for emergency patients presenting with asthma.
Authorized by 424b of the public health service act, 42 u. Poor inhaler technique results in less than optimal delivery of medicine to the lungs. The national asthma council australia office has temporarily closed due to the covid19 outbreak. Our handbook is now published as an innovative, easytouse website. Information paper inhaler technique for people with asthma or copd.
The national asthma council australia retained editorial control. The handbook provides bestpractice, evidencebased guidance translated into practical advice for primary care health professionals. Most patients with asthma or copd do not use their inhalers properly, and most have not had their technique checked or corrected by a health professional. Put the mouthpiece of the spacer in your mouth and above your tongue. Assessment of inhaler technique among fourthyear pharmacy.
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