Chronic Asthma- Monitoring

Question 1

What should you check for with asthma exacerbations?

Answer 1

Adherence

Question 2

Unintentional contributory factors for non-adherence

Answer 2

forgetfulness, cost, confusion

Question 3

Intentional contributory factors for non-adherence

Answer 3

no perceived need, fear of ADEs, cultural issues, cost

Question 4

How to find patients with low adherence

Answer 4

Check Rx date, label date, dose counter
Ask patient about beliefs and concerns
“Do you find it easier to remember to take your meds at morning or evening?”

Question 5

How to improve adherence

Answer 5

Shared-decision making
Comprehensive asthma education
Inhaler reminders for missed doses
Reviewing patients’ detailed dispensing records