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Titolo:
Training issues in the use of inhalers
Autore:
Duerden, M; Price, D;
Indirizzi:
Royal Free & Univ Coll London, Sch Med, Rayne Inst, Ctr Clin Pharmacol, London WC1E 6JF, England Royal Free & Univ Coll London London England WC1E 6JF WC1E 6JF, England Univ Aberdeen, Dept Gen Practice & Primary Care, Aberdeen AB9 1FX, Scotland Univ Aberdeen Aberdeen Scotland AB9 1FX Care, Aberdeen AB9 1FX, Scotland
Titolo Testata:
DISEASE MANAGEMENT & HEALTH OUTCOMES
fascicolo: 2, volume: 9, anno: 2001,
pagine: 75 - 87
SICI:
1173-8790(2001)9:2<75:TIITUO>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
METERED-DOSE INHALERS; DRY POWDER INHALER; INHALATION TECHNIQUE; SPACER DEVICES; PRESCHOOL-CHILDREN; DRUG-DELIVERY; CORRECT USE; ELECTROSTATIC CHARGE; MULTIPLE ACTUATIONS; ASTHMATIC-CHILDREN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
96
Recensione:
Indirizzi per estratti:
Indirizzo: Duerden, M Royal Free & Univ Coll London, Sch Med, Rayne Inst, Ctr Clin Pharmacol, 4th Floor,5 Univ St, London WC1E 6JF, England Royal Free & Univ Coll London 4th Floor,5 Univ St London England WC1E 6JF
Citazione:
M. Duerden e D. Price, "Training issues in the use of inhalers", DIS MANAG H, 9(2), 2001, pp. 75-87

Abstract

Patient compliance and techniques used with inhalation devices can strongly influence the effectiveness of inhaled medications but these issues are often poorly recognized and may be neglected when these products are prescribed. The extent of these problems and the success of differing education and training programs designed to improve inhaler technique have been evaluated by a review of the literature using Medline, EMBASE and Biosis Database from 1985 to date. Drug delivery to the airways to optimize clinical response and improve compliance is dependent on correct technique, which requires educational and motivational programs aimed at patients and healthcare providers. Written instructions alone are often insufficient; practical demonstration is also required. Frequent reassessments and re-education for patients and healthcareprofessionals are necessary, as correct technique usually deteriorates over time. This all necessitates dedicated resources, which may be a problem in the current cost-containment climate. Treating acute symptoms immediatelyprovides feedback on technique, but the intensive learning needed to reinforce correct inhaler technique may make the use of inhalers problematic forshort treatment courses of acute diseases. To maximize therapeutic benefitfrom inhaled medications, long term educational programs involving verbal and practical demonstrations must accompany inhaler use, and techniques should be frequently reassessed, particularly in children and the elderly.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 09:15:10