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24min module
Asthma Guidelines
with June Roberts
This module provides an overview of key asthma guidelines, including:
- global and local guidelines including GINA, BTS/SIGN,
- key recommendations and updates, and
- an overview of the NICE quality and outcomes framework
No advice given in this module is intended to be a substitute for your own professional judgment in the clinical management of your patients.
Let's get started
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Which of the following would a patient require at an asthma review?
Asking about history of previous attacks
Objectively assessing current asthma control
Reviewing reliever use
All of the above
Correct!
All of the above, that’s right. A patient should be assessed on all of these steps to minimise the risk of future asthma attacks.
Incorrect
Not quite. Assessing a patients risk of future asthma attacks requires all of these steps to be reviewed.
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Fill in the blanks. "____ asthma generally refers to a clinical situation where a prior diagnosis of asthma exists, and asthma-like symptoms and asthma attacks persist despite prescription of ____ dose asthma therapy."
Occupational, low
Severe, high
Difficult, high
Correct!
Difficult, high. That’s right. Difficult asthma may still persist despite prescription of high-dose asthma therapy meaning alternative treatments may be recommended.
Incorrect
Almost! Difficult asthma may still persist despite prescription of high-dose asthma therapy.
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When would you consider an occupational cause of asthma in patients:
An onset or reappearance of childhood asthma
Asthma triggered by pollen, dust mites or pets
A flare up at certain times of the year such as hay fever season
Correct!
An onset or reappearance of childhood asthma. That’s right. A cause for occupational asthma is considered with an onset or reappearance of childhood asthma.
Incorrect
Nearly! An occupational cause of asthma is considered in patients with adult onset or reappearance of childhood asthma.
Click to play. You can also expand the video to full screen. When prompted, click Next to continue.
Which of these statements from the NICE 2013 quality standard for asthma are no longer considered national priorities for improvement?
Adults with new onset asthma are assessed for occupational causes
People with asthma who present with an exacerbation of their symptoms receive an objective measurement of severity at the time of presentation
Neither of these statements
Both of these statements
Correct!
Both of these statements. That’s right. Both statements from the NICE 2013 quality standard for asthma are no longer considered national priorities for improvement. They are still supported by the evidence and may still be useful at a local level. In 2018, this quality standard was updated and statements prioritised in 2013 were updated – you can see all statements in NICE. Asthma Quality Standard [QS25] Updated Sept 2018.
Incorrect
Not quite. It’s both statements that are no longer considered national priorities for improvement.
