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• W2183010523 abstract "Delivering optimal care to the person with asthma: what are the key components and what do we mean by patient education? M.R. Partridge. ERS Journals Ltd 1995. ABSTRACT: The new understanding of the pathogenesis of asthma has led to an increasing perception of the disease as a chronic condition, rather than one consisting of acute exacerbations. Health professionals need to help patients to accept this new understanding, and this involves a consideration of how best to deliver care and how best to enhance compliance. Good communication is essential, and structured patient education has now been shown to be cost effective. All health professionals need to think how education may best be incorporated into their care. Such care will involve the develop- ment of a partnership between health professional and the patient and their loved ones, and the acquisition by patients of skills in self-management. Several unknowns remain regarding who benefits more from group education as opposed to individual education, and some details of guided self-management. However, in the face of clear evidence of the benefits of patient education, these areas for further study should not delay the adoption of a strong commitment to education by all of those who care for those with asthma. Asthma is a common condition for which we have available effective treatments. The more recent understan- ding of the pathogenesis of the condition has meant that over a relatively short period of time health profession- als and patients have had to adapt, and accept that, for many, it is a chronic condition requiring regular treat- ment rather than being a series of isolated acute attacks. This alteration of perception of the disease means more than a change in frequency or type of our prescriptions. It involves a realization by health professionals that the services we provide for those with asthma may need to change, that our approach to the patient may need to alter, and that the patients response to our new understan- ding may not be predictable. A few decades ago, respiratory physicians may have been in the forefront of a realization of the problems of compliance, for the successful treatment of tuberculosis involved organization and strategies which gave great prominence to that subject. More recently, fellow physi- cians who care for those with diabetes have led the way in an appreciation of the importance of patient educa- tion and the behavioural aspects of chronic disorders. Such considerations have only recently started to creep back into respiratory journals, especially over the latter part of the last decade (1). Our peers have produced for us international (2-4) and national (5, 6) guidelines on the management of asthma, and in all of these the" @default.
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• W2183010523 title "Delivering o optimal c care tto tthe p person w with a asthma: w what a are tthe key c components a and w what d do w we m mean b by p patient e education?" @default.
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