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Recognising Acute Asthma Attacks: Importance of Personal Asthma Action Plans (PAAP)

This session highlights the findings of the National Review of Asthma Deaths and the importance of implementing Personal Asthma Action Plans (PAAPs) to prevent asthma-related fatalities. It emphasizes the need for medical professionals to provide written PAAPs, assess recent asthma control, and identify avoidable factors that increase the risk of attacks and death. The session also discusses clinical signs and measurements for asthma management and emphasizes the components of self-management plans through structured education and culturally appropriate support.

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Recognising Acute Asthma Attacks: Importance of Personal Asthma Action Plans (PAAP)

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Presentation Transcript

  1. Session 3 Recognising the Acute Attack Personal Asthma Action Plans (PAAP)

  2. Why asthma Still Kills – The National review of Asthma Deaths (NRAD 2014) • PAAP’s provided to only 23% • During final attack 45% died without seeking medical assistance or before emergency medical care provided • 39% severe asthma; 49% moderate; 9% mild • Excessive prescribing of reliever medication • 39% prescribed >12 SABA in year before they died • 4% prescribed >50 reliever inhalers • At least 5 patients were on LABA monotherapy

  3. Key RecommendationsMedical and Professional care • All should be provided with written PAAP that details: • triggers • current treatment • specifies how to prevent relapse • when and how to seek help in an emergency • Trigger must be elicited routinely and documented • Assessment of recent asthma control at every asthma review • Health professionals must be aware of factors that increase risk of attacks and death

  4. Avoidable Factors related to Patient, Family or Environment • Poor adherence to medical advice: i.e. DNA, failure to respond to symptoms • Psychosocial factors: i.e. substance abuse • Smoker or exposed to 2nd hand smoke • Allergies: i.e. animals, food, seasonal, drug

  5. Clinical Signs: Altered consciousness Exhaustion Arrhythmias Hypotension Cyanosis Silent chest Poor respiratory effort Measurement: PEF < 33% best or predicted SATS ,92% PaO2 < 8kPa “normal” PaCo2 4.6-6.0kPa

  6. Components of Self-Management Plan • Structured education • Reinforced with written PAAP • Every consultation is opportunity to review, reinforce and extend patients’ knowledge and skills • Education is a process not a single event • Culturally appropriate supportive self-management education • Questions are designed to stimulate open discussion

  7. Thank You

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