Wechsler, MD, MMSc This case presents a patient with poorly controlled asthma that remains refractory to treatment despite use of standard-of-care therapeutic options. Family and friends can also help by understanding what triggers her asthma so that they can avoid exposing her to perfumes, pollens or pets that risk triggering her symptoms.
Her vitals were stable with a heart rate of 76 bpm, a temperature of Computed tomography also revealed a nodular lesion at the same location. Device use will be reassessed and the PAAP reviewed.
During an asthma review, there is an opportunity to work with the patient to try to identify what triggers their symptoms and any actions that may help improve or maintain control.
As his bronchoscopy was negative, it was determined that a course of antibiotics would not be an effective treatment option for this patient.
As part of accreditation, the school requires that each child with asthma should have a written PAAP prepared by their doctor to assist trained staff in managing a child with asthma at school. The practice should have protocols in place, underpinned by specific training to support asthma self-management.
A software package, developed in the UK, can be downloaded and used to generate a pictorial PAAP within the consultation. Asthma can affect the whole family, and ways were explored that could help her family understand why it is important that she finds time in the busy domestic schedules to take her regular medication.