Using a Narrative Approach to Enhance Clinical Care for Patients With Asthma

Chest
Helen OwtonA Niroshan Siriwardena

Abstract

There are currently > 230 million people in the world with asthma, and asthma attacks result in the hospitalization of someone every 7 min. The National Heart, Lung, and Blood Institute outlines four components of clinical practice guidelines for the diagnosis and management of asthma, which tend to take a biomedical focus: (1) measures of assessment and monitoring, obtained by objective tests, physical examination, patient history, and patient report, to diagnose and assess the characteristics and severity of asthma and to monitor whether asthma control is achieved and maintained; (2) education for a partnership in asthma care; (3) control of environmental factors and comorbid conditions that affect asthma; and (4) pharmacologic therapy. Many national guidelines include providing patients with asthma with (1) written action plans, (2) inhaler technique training, and (3) structured annual reviews. Although current guidelines help improve clinical processes of care for asthma, there is also a need to improve self-care of asthma by empowering individuals to take more control of their condition. There is a growing appreciation that a narrative approach with patients with asthma, which focuses on the illness experience and aims ...Continue Reading

References

Sep 17, 2002·Annals of Internal Medicine·A Verghese
Sep 26, 2002·Social Science & Medicine·Jonathan GabeRosemary Ramsay
Oct 8, 2003·Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association·Jurate A Sakalys
Jun 16, 2005·Social Science & Medicine·Brett Smith, Andrew C Sparkes
Mar 22, 2006·Health Communication·John Heritage, Jeffrey D Robinson
Jan 4, 2007·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Leslie J Hinyard, Matthew W Kreuter
Sep 24, 2008·Lancet·Mark Jackson
Jul 31, 2013·Journal of Clinical Nursing·Marit KvangarsnesLennart S Öhlund
Sep 26, 2013·Qualitative Health Research·Sarah DenfordColin J Greaves

❮ Previous
Next ❯

Citations

Jan 13, 2016·Chest·Lucy GibsonRahul Chodhari
Jan 13, 2016·Chest·Helen OwtonA Niroshan Siriwardena
Jun 18, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Jessica KearneyRahul Chodhari

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.