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    Figure 3–12. Key Educational Messages: Teach and Reinforce At Every Opportunity

     
    Basic Facts about Asthma

    • The contrast between airways of a person who has and a person who does not have asthma; the role of inflammation
    • What happens to the airways in an asthma attack

    Roles of Medications: Understanding the Difference Between:

    • Long-term-control medications: Prevent symptoms, often by reducing inflammation. Must be taken daily. Do not expect them to give quick relief.
    • Quick-relief medications: Short-acting beta2-agonists relax muscles around the airway and provide prompt relief of symptoms. Do not expect them to provide long-term asthma control. Using quick-relief medication on a daily basis indicates the need for starting or increasing long-term control medications.

    Patient Skills

    • Taking medications correctly

    —   Inhaler technique (demonstrate to patient and have the patient return the demonstration)

    —   Use of devices, such as prescribed valved holding chamber (VHC), spacer, nebulizer

    • Identifying and avoiding environmental exposures that worsen the patient’s asthma; eg, allergens, irritants, tobacco smoke
    • Self-monitoring to:

    —   Assess level of asthma control

    —   Monitor symptoms and, if prescribed, peak flow

    —   Recognize early signs and symptoms of worsening asthma

    • Using written asthma action plan to know when and how to:

    —   Take daily actions to control asthma.

    —   Adjust medication in response to signs of worsening asthma.

    —   Seek medical care as appropriate.

     

     

    Source: National Heart, Lung, and Blood Institute National Asthma Education and Prevention Program. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma: Full Report 2007. Bethesda, MD: NHLBI; 2007:124.