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Asthma

Uncontrolled asthma in primary care: part 1

The British Guideline on the Management of Asthma (BTS/SIGN, 2019) defines the aim of asthma management as being to gain control of the disease, while the guideline from the National Institute for...

Asthma reviews: an essential part of good care

Primary care nurses, therefore, face a major challenge of addressing a backlog of work created by the pandemic and at the same time ensuring that they meet Quality and Outcome Framework (QOF)...

Seasonal asthma: should it be managed differently?

Asthma is an inflammatory condition where the airways have become hyperreactive in response to a trigger (eg house dust mite, pollen, cats, viruses and temperature changes). The inflammatory cascade...

Managing allergic rhinitis in children and young people

Allergic rhinitis affects many children and young people in the UK causing significant symptoms and a reduction in quality of life. It can be poorly perceived by children, their families and health...

Allergic rhinitis and its impact on airways disease

Exposure to allergens leads to early and late phase allergic reactions. The early phase reaction is characterised by sneezing and rhinorrhoea as a result of histamine, prostaglandin and leukotriene...

Back to school with asthma in 2021

Back to school planning in 2021 may be hampered by a primary care system facing a backlog of care, plus a patient population who may be reluctant to access care. According to surveys by Asthma UK...

Understanding personal asthma action plans

The National Review of Asthma Deaths (NRAD) (Royal College of Physicians, 2014) investigated the clinical records of 195 adults and children who died of asthma between February 2012 and January 2013....

Remote asthma consultations in primary care

In a speech on the future of healthcare delivered in July 2020, Matt Hancock, the secretary of state for health and social care, said that ‘Coronavirus has catalysed deep structural shifts in...

Inhaled therapy for asthma

For severe or difficult asthma, a relatively new treatment exists for initiation by specialist care only. Monoclonal antibody (MAB) injections are given by intramuscular injection once a month to...

Preventing back-to-school asthma attacks

Given the predictability of worsening asthma control and the increased risk of asthma attacks in the back-to-school period, successful interventions could substantially reduce the overall asthma...

Caring for people with asthma in primary care

According to Asthma UK (2019a), there are 4.3 million adults and 1.1 million children currently receiving treatment for asthma. Asthma is the most common lung disease in the UK (British Lung...

Exercise and pregnancy: information for practice nurses

The Department of Health (2011b) published the Start Active, Stay Active strategy, which mirrors the WHO (2010) global recommendations for physical activity. Recommendations state that adults should...

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