Asthma Research
In order to conduct a search on the topic. "Does education of the patient and the family in self-care management result in improved health and functional health in adult asthmatics?," I first looked for key words in the question. First I put in "patient, education and asthmatic". The responses did not fit properly; they were more schooling oriented. I next put in "adult, self-care, asthma and education." I was closer, but the education was skewing the responses. Finally, I put in "adult, self-care and asthma." I also requested articles after 2003, because I wanted newer studies. This brought up about 227 articles; many of them were oriented toward specific ethnic/cultural groups; these were not applicable. I thus went with the two that appeared to be the most comprehensive and informative on the subject. The first article, "Can asthma control be improved by understanding patient's perspective I thought should be included. This was not o
" However, they add, "The complex asthma self management and the busy modern lifestyles makes it unlikely that patients without outside help and support can effectively follow their self-care plans on a regular basis. The second was pertinent, because it has ramifications for healthcare education for future purposes. The fact that it was conducted by researchers at the University of Maryland, School of Medicine, gives it additional credence. What are the main patient-related determinants of asthma control? In response to the question about education and self-management, these professionals concluded: It is possible to improve current levels of asthma control if healthcare professionals do four things: 1) use appropriate, patient-centered tools to assess control; 2) identify the reasons for poor control in individual patients; 3) work with patients to design individual treatment plans that address poor control and the causes of poor control, taking account of patient goals and aspirations and4) monitor outcomes and take appropriate action through regular review. (It was a relatively small study, 40 patients, so a larger one would be of interest. This is of interest because it provides a highly feasible way of providing necessary instruction in the future as the Internet becomes even more integrated into society. This article, then, would provide an overview of a number of different researchers on this topic. The technology approach was used because, say the authors, "There is a great need to provide effective, on-going education and monitoring for the large numbers of asthmatic patients, in particular for those who have a history of aggravating asthma. What levels of asthma control are patients currently achieving? 2. Both of these articles demonstrated the importance of education for chronic asthmatic adults. nly because of its subject and abstract that closely related to the above question, but also it consisted of responses from a panel of professionals at the International Primary Care Respiratory Group who considered the evidence to date on the subject and discussed the implications for primary care practice. The second article, "Clinical Impact of Home Automated Telemanagement in Asthma," not only looked at the subject of education but also went one step beyond to high-technology education. Based on research to date, these healthcare professionals debated the following questions: 1. What are the common causes of poor control?, and 3.
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