Use of Prospective Disease Management to Minimize Asthma Symptoms and Maximize Potential
Asthma is a common chronic illness in all age groups. The goal of treatment of asthma is to allow those with asthma to lead full lives (i.e., sleeping through the night, exercising to their physical capacity without interference from asthma symptoms, and missing no more than the usual amount of school or work). Fundamental to this goal is the issue of prevention, or prospective disease management. From the physiologic perspective, prospective disease management includes having regular visits to review progress and goals of therapy, using medications prophylactically, avoiding precipitating factors by controlling the environment, maintaining physical fitness to reduce exercise-induced asthma, and good communication during asthma exacerbations. Prospective disease management can also be viewed in a much broader psychological context and includes issues of attitude of patient toward the disease, the capacity of the family to adapt to the chronic illness, support for asthma care by the family, and social support of the patient and understanding of the disease by peers and the community in general. Other chapters will deal with the use of medications. Hence, we focus on other medical and educational interventions for prospective disease management.
KeywordsPlacebo Depression Corticosteroid Mold Income
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