References

Azevedo P, Correia-de-Sousa J, Bousquet J Control of Allergic Rhinitis and Asthma Test (CARAT): dissemination and applications in primary care. Prim Care Respir J. 2013; 22:(1)112-116 https://doi.org/10.4104/pcrj.2013.00012

Hayfever. 2017. https://www.entuk.org/hayfever (accessed 15 June 2021)

Blaiss MS, Hammerby E, Robinson S, Kennedy-Martin T, Buchs S The burden of allergic rhinitis and allergic rhinoconjunctivitis on adolescents. Ann Allergy Asthma Immunol. 2018; 121:(1)43-52.e3 https://doi.org/10.1016/j.anai.2018.03.028

British Thoracic Society/Scottish Intercollegiate Guidelines Network. Guideline for the management of asthma. 2019. https://www.brit-thoracic.org.uk/quality-improvement/guidelines/asthma/ (accessed 15 June 2021)

Demoly P, Bossé I, Maigret P Perception and control of allergic rhinitis in primary care. NPJ Prim Care Respir Med. 2020; 30:(1) https://doi.org/10.1038/s41533-020-00195-8

Giavina-Bianchi P, Aun M, Takejima P, Kalil J, Agondi R United airway disease: current perspectives. J Asthma Allergy. 2016; 9:93-100 https://doi.org/10.2147/JAA.S81541

Head K, Snidvongs K, Glew S Saline irrigation for allergic rhinitis. Cochrane Database Syst Rev. 2018; 6:(6) https://doi.org/10.1002/14651858.CD012597.pub2

Kaplan A, Szefler SJ, Halpin DMG Impact of comorbid conditions on asthmatic adults and children. NPJ Prim Care Respir Med. 2020; 30:(1) https://doi.org/10.1038/s41533-020-00194-9

Klimek L, Bachert C, Pfaar O ARIA guideline 2019: treatment of allergic rhinitis in the German health system. Allergol Select. 2019; 3:(1)22-50 https://doi.org/10.5414/ALX02120E

NHS England. The NHS Long Term Plan. 2019. https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan (accessed 15 June 2021)

NHS England. Personalised care. 2021. https://www.england.nhs.uk/personalisedcare/ (accessed 15 June 2021)

Royal College of Physicians. Why asthma still kills. 2014. https://www.rcplondon.ac.uk/projects/outputs/why-asthma-still-kills (accessed 15 June 2021)

Scadding GK, Kariyawasam HH, Scadding G BSACI guideline for the diagnosis and management of allergic and non-allergic rhinitis (Revised Edition 2017; First edition 2007). Clin Exp Allergy. 2017; 47:(7)856-889 https://doi.org/10.1111/cea.12953

Walker S, Khan-Wasti S, Fletcher M, Cullinan P, Harris J, Sheikh A Seasonal allergic rhinitis is associated with a detrimental effect on examination performance in United Kingdom teenagers: case-control study. J Allergy Clin Immunol. 2007; 120:(2)381-7 https://doi.org/10.1016/j.jaci.2007.03.034

Supporting people to self-manage their allergic rhinitis

02 July 2021
7 min read
Volume 32 · Issue 7

Abstract

Allergic rhinitis is common in the UK and can cause significant symptoms and reductions in quality of life. Viv Marsh considers how health professionals can support self-management of these patients

Many of us look forward to the spring and summer months with warmer weather, longer days and more opportunity to spend time outdoors. But for hay fever sufferers these months can be truly miserable. For others, the winter months can be equally challenging as, with more time spent indoors, exposure to indoor allergens is greater. Hay fever is the term commonly used to describe seasonal nasal allergy triggered by pollen. It affects many children and adults in the UK, causing significant symptoms and reduction in quality of life. Often, people with allergic rhinitis try to manage the condition themselves using home or over-the-counter remedies to reduce and control symptoms. However, effective management may not be straightforward and guidance from knowledgeable and experienced health professionals can lead to improved outcomes. Taking an evidence-based approach, this article will explore the impact of allergic rhinitis on those who experience it, and will consider how health professionals can support self-management to enable people with the condition to manage their symptoms and minimise its impact on their lives.

Rhinitis is a condition where inflammation of the nasal mucosa leads to a set of characteristic symptoms (see Table 1) that may vary in timing and severity. When a patient has ocular in addition to nasal symptoms the condition is called rhino-conjunctivitis. Around 10-15% of children and 26% of adults in the UK experience rhinitis, and rhinitis is strongly associated with asthma (Scadding et al, 2017). Rhinitis can be allergic or non-allergic, with the allergic form being more common at an estimated ratio of 3:1 (Scadding et al, 2017). Allergic rhinitis can be troublesome all year round (perennial allergic rhinitis) or at certain times of the year depending on the causative allergen (seasonal allergic rhinitis – hay fever). People can suffer with one or both forms of allergic rhinitis meaning that they could experience symptoms virtually all year round. Allergic rhinitis is classified according to symptom frequency and severity, ranging from mild to severe and intermittent to persistent (Scadding et al, 2017).

Register now to continue reading

Thank you for visiting Practice Nursing and reading some of our peer-reviewed resources for general practice nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month