Asthma Case Review Sub-optimal care NHSE SIRI

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Presentation transcript:

Asthma Case Review Sub-optimal care NHSE SIRI 27.10.16 Tabitha Griffin Named Nurse Safeguarding in Primary Care

Asthma management Advanced practice models that incorporate community-based approaches and services for childhood asthma are needed. Innovative, community-included methods of care to address the burden of childhood asthma may provide examples for care of other chronic diseases. (Rosenthal 2012) Asthma control is essential. By identifying barriers to care, health care providers can build an action care plan to individualize each patient's needs. (Trent et al 2015) Safeguarding needs to be embedded as a core foundation into every aspect of patient care neglect may involve a parent or carer failing to: ensure access to appropriate medical care or treatment. (RCGP 2014)

Asthma clinics Do Nurses run them exclusively? 1yrly – frequency review DNA policy – what does it say? Who do you alert? Nurse Protocols: Spirometry in primary care, Managing exacerbations of COPD in primary care, Assessment and review of patients with COPD in primary care, Telephone consultations for routine asthma review, Asthma Review Primary Care Respiratory Society UK Professional curiosity Safeguarding template When to be concerned – highlight those with an SG issue, poorly managed asthma, A&E attendances Age/clinical issue/ SG

Issues for primary care Strategies in place using electronic pt. records In house strategies – in house SG meetings Applicable to many chronic illnesses Skills of the practitioner in SG management RCGP toolkit SCR currently in process

References Prim Care. 2012 Jun;39(2):381-91. doi: 10.1016/j.pop.2012.04.001. Childhood asthma: considerations for primary care practice and chronic disease management in the village of care. Rosenthal MP1. Journal of Pediatric Health Care Barriers in Asthma Care for Pediatric Patients in Primary Care Cindy A. Trent, DNP, RN, CPNP; Kathie S. Zimbro, PhD, RN; Carolyn M. Rutledge, PhD, MSN, CFNP | Disclosures J Pediatr Health Care. 2015;29(1):70-79. http://www.rcgp.org.uk/~/media/Files/CIRC/Safeguarding-Children-Toolkit- 2014/RCGP-NSPCC-Safeguarding-Children-Toolkit.ashx