What is the role of long-term monitoring in the management of asthma?

Updated: Jan 07, 2019
  • Author: Michael J Morris, MD, FACP, FCCP; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

For all patients with asthma, monitoring should be performed on a continual basis based on the following parameters, which helps in the overall management of the disease:

  • Regarding monitoring of asthma signs and symptoms, patients should be taught to recognize inadequate asthma control, and providers should assess control at each visit.

  • To monitor pulmonary function, regularly perform spirometry and peak-flow monitoring.

  • For quality of life and functional status, inquire about missed work or school days, reduction in activities, sleep disturbances, or change in caregiver activities.

  • To monitor the history of asthma exacerbations, determine whether patients are monitoring themselves to detect asthma exacerbations and if these exacerbations are self-treated or treated by health care providers.

  • Regarding monitoring pharmacotherapy, ensure compliance with medications and usage of short-acting beta agonists.

  • Monitor patient-provider communication and patient satisfaction


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