A woman with asthma: a whole systems approach to supporting self-management

Hilary Pinnock*, Elisabeth Ehrlich, Gaylor Hoskins, Ron Tomlins

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A 35-year-old lady attends for review of her asthma following an acute exacerbation. There is an extensive evidence base for supported self-management for people living with asthma, and international and national guidelines emphasise the importance of providing a written asthma action plan. Effective implementation of this recommendation for the lady in this case study is considered from the perspective of a patient, healthcare professional, and the organisation. The patient emphasises the importance of developing a partnership based on honesty and trust, the need for adherence to monitoring and regular treatment, and involvement of family support. The professional considers the provision of asthma self-management in the context of a structured review, with a focus on a self-management discussion which elicits the patient's goals and preferences. The organisation has a crucial role in promoting, enabling and providing resources to support professionals to provide self-management. The patient's asthma control was assessed and management optimised in two structured reviews. Her goal was to avoid disruption to her work and her personalised action plan focused on achieving that goal.

Original languageEnglish
Article number14063
Number of pages5
Journalnpj Primary Care Respiratory Medicine
Volume24
DOIs
Publication statusPublished - 16 Oct 2014

Keywords

  • WRITTEN ACTION PLANS
  • RANDOMIZED CONTROLLED-TRIAL
  • PRIMARY-CARE
  • IMPLEMENTATION
  • INTERVENTIONS
  • ADHERENCE
  • TELEPHONE
  • CHILDREN
  • OUTCOMES
  • QUALITY

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