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Asthma Adherence - A Guide for Health Professionals

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Asthma Adherence

Foreword
Preface
Introduction
Section I
Section II
Section III
Questionnaire
Behaviour Change
References
Tips
Content updated Jun 2001
Page updated 23 Jun 2005

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Tips

Adherence is a major factor in successful asthma management. 

It will be improved by:

  • ensuring your patient understands their asthma and treatment
  • simplifying medication
  • adopting a 'partnership approach' with your patient, and
  • teamwork from all health professionals involved

At each consultation consider

  • Does your patient have a problem with their asthma?
  • Is lack of adherence to a management regimen a possibility?
    • Is it possible they don't understand what is required?
    • Do they have skills for remembering?
    • Do they think it's worthwhile to adhere?
    • What are the implications for them of non-adherence?

These questions may help you create a dialogue and provide a basis for improved adherence. At Diagnosis:

  • How important is your health to you when you consider everything else that is going on in your life?
  • Do you agree with my diagnosis of asthma? Are there any questions/concerns you have about the diagnosis?
  • How serious do you feel your asthma is?
  • How do you feel about the medications prescribed?
  • Are you concerned about possible side-effects?
  • Do you think this treatment plan will work? What potential difficulties might there be?
  • On a scale of 1 (least effective) to 10 (most effective), what would you rate yourself as being able to do of the things we have discussed?
  • Is it clear to you what we need to do to help manage your asthma?

For Review

  • How is the treatment plan going? Let's go over it.  Are you experiencing any difficulties?
  • How often do you forget your medications?
  • Are there times when you are more likely to forget your medications?
  • How do you usually remember? What can we do to help you to remember?