Asthma is a chronic disease that affects the respiratory system and breathing. Asthma care needs to be improved both nin family practice and emergency departments as a matter of urgency in the United kingdom and probably elsewhere as well. As we near the end of 2025, with evidence of poor outcomes especially in children and young people, its time for a new years resolution for clinicians caring for people with asthma. In my final Asthmaspotlight podcast episode for 2025, I strongly suggest three actions that doctors can take to improve the respiratory health and lives of their patients with asthma or suspected asthma. By implementing these three logical actions, asthma attacks, hospitalisations and asthma deaths as well as clinicians workload will be reduced in my view. These are, i) using simple evidence based treatment for asthma, ii) ensuring the term asthma or suspected asthma is recorded in the medical notes and iii) understanding that asthma is a chronic disease, and not simply a symptom (ie wheeze) of an acute disease requiring optimisation of the underlying chronic disease as part of the management of acute attacks which indicate that chronic management has failed.
For more information on the latest asthma guidance see www.ginasthma.org and for practical ideas for improving asthma care see www.bigcatdoc.com and for a talk on how to perform a post asthma attack review see https://bit.ly/3I48YLG
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Chronic Asthma affects respiratory health by causing obstruction of airflow in the lungs. Typical symptoms are cough, wheeze, shortness of breath and difficulty breathing which come and go. Asthma inflammation flares up with symptoms at times due to exposure to trigger factors like pollen, animal dander, smoke, dust, and some medications - this can result in asthma attacks needing urgent treatment. Asthma is mainly treated by family doctors who would refer those whose diagnosis is not clear, or whose asthma is uncontrolled despite treatment, and those with suspected severe asthma. The podcasts are intended mainly for family doctors, nurses, and people who have asthma or who care for someone with asthma. The podcast is not intended as medical advice, rather to inform people what sort of questions to ask their doctor when they consult. Questions and comments are welcome at [email protected]. Please share this podcast with others who treat or who have asthma.
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