Management of asthma: new approaches to establishing control.
OBJECTIVE
The high burden of asthma indicates suboptimal control of this chronic condition. This review describes approaches for establishing asthma control based on an understanding of potential issues in the achievement and maintenance of asthma control, recent changes in asthma management guidelines that facilitate attainment of treatment goals, and the importance of the healthcare provider-patient partnership to emphasize treatment based on asthma control.


METHODS
Review of the published literature, asthma management guidelines, and patient asthma education resources.


CONCLUSIONS
Asthma control is best achieved by patient-oriented versus disease-oriented management strategies that incorporate a combination of pharmacologic and nonpharmacologic treatment modalities. Tools that assess and monitor asthma may facilitate the achievement and maintenance of asthma control. Key components of an optimal management strategy include solid partnerships between healthcare providers and patients, comprehensive patient and caregiver education, personalized written asthma action plans, patient-reported evaluation of symptom control, appropriate drug therapy, strategies for improving compliance with asthma medication regimens, and a treatment algorithm that outlines the facets of asthma management.


CONCLUSIONS
Information presented in this article will guide nurse practitioners in helping patients with asthma achieve and maintain long-term disease control.
Sarver
Nancy
N
Midwest Allergy & Asthma Clinic, P.C., Omaha, NE 68130, USA. sarvern@mwaac.com
Murphy
Kevin
K
D000465:Algorithms; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use; D001249:Asthma / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D001993:Bronchodilator Agents / Q000627:therapeutic use; D002908:Chronic Disease; D019468:Disease Management; D016903:Drug Monitoring; D006801:Humans; D009730:Nursing Assessment; D010347:Patient Care Planning / Q000458:organization & administration; D010349:Patient Compliance; D010353:Patient Education as Topic; D018802:Patient-Centered Care; D017410:Practice Guidelines as Topic; D011369:Professional-Patient Relations; D012648:Self Care; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology
D018927:Anti-Asthmatic Agents; D001993:Bronchodilator Agents