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PHOP, CRP OF ASTHMA | Tutorial B-1 RS

130110110177|Gabriella Chafrina| 22/11/13


PHOP
- Develop patient, family doctor partnership to identify risk factors, medications and monitoring asthma
- Identify and reduce the risk of exposure to risk factors like tobacco smoke, allergens additives and food
- Take medicine regularly
- Modifying or changing your environment
- Allergy shots (immunotherapy) small doses of allergens are injected under your skin on a regular
schedule. Over a period of time, your body may become accustomed to the allergen and less responsive
to it upon exposure. This can help prevent a worsening of asthma
- Respiratory infections (upper) These infections include the common cold that triggers 85% of asthma
attacks in young children
- Assess, treat and monitor asthma. Patients should attend their follow up and should know what they
should do when they have an attack

PREVENTION OF ASTHMA
- Primary prevention: before exposure to risk factors known to be associated with a disease
o The goal: to prevent the onset of disease in susceptible (at-risk) individuals evidence indicates
that allergic sensitization is the most common precursor to the development of asthma. Since
sensitization can occur antenatally, much of the focus of primary prevention will likely be on perinatal
interventions.
o Example: potential measure to be applied prenatally, potential measure to be applied postnatally,
environmental tobacco smoke
- Secondary prevention: after primary sensitization to allergen(s) has occurred, but before there is any
evidence of disease focus specifically on first year or two of life
o The goal: to prevent the establishment of chronic, persistent disease in people who are susceptible
and who have early signs of the disease
o Example: H1 hantihistamine using, immunotherapy
- Tertiary prevention: avoidance of allergens and nonspecific triggers when asthma is established
o The goal: to prevent exacerbations or illness that would otherwise occur with exposure to identified
allergens or irritants
o Introduced when first signs of asthma have occurred
o evidence would suggest that the histopathology of the disease is fully established by the time
asthma symptoms occur
o Example: Avoidance of indoor allergens (domestic mites, animal allergens, cockroach allergen, and
fungi), avoidance of outdoor allergens, avoidance of indoor pollutants, avoidance of outdoor air
pollutants, avoidance of occupational exposure, food avoidance, avoidance of certain drugs,
vaccination

PHOP, CRP OF ASTHMA | Tutorial B-1 RS
130110110177|Gabriella Chafrina| 22/11/13
CRP
- WHO estimates that currently 235 million people suffer from asthma. Asthma is the most common
chronic disease among children
- The strongest risk factors for developing asthma are inhaled substances and particles that may provoke
allergic reactions or irritate the airways
- Asthma affects all ages, although it is more common in younger people. The frequency and severity of
asthma attacks tend to decrease as person ages
- As of 2009, 300 million people worldwide were affected by asthma leading to approximately 250000
deaths per year