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Lung India Official publication of Indian Chest Society  
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Year : 1997  |  Volume : 15  |  Issue : 2  |  Page : 78-81

Patient Education Programme For Asthmatics In India

Correspondence Address:
Samir K Gupta

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Source of Support: None, Conflict of Interest: None

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Patient education programme (PEP) in bronchial asthma, a common concept in Western Medical literature, is rarely discussed or practiced in our country. Since a state of “controlled asthma” is now achievable in Indian setting, PEP for years should be attempted by a team of committed medical and paramedical personnel. Adequate pre-planned arrangements for finance, removal of misconceptions regarding metered-dose inhalers (MDIs) from the minds of patients (and their attending physicians), judicious combination of MDIs of ‘relievers’ like β2 agonists and ‘protectors’ like steroid aerosols and other drugs, basic information about inciting factors and day to day self-management, regular follow up regarding therapy and related problems, proper way of taking MDIs, daily check for nasal block and existence of post-nasal drip, proper way to measure the peak flow meter recordings at home (to judge any deterioration) and self-assessment and immediate ‘crisis management at home’ etc. are some of the issues which need to be discussed in PEP sessions repeatedly. Considering the poor medical infra-structure, inadequate health-care services, overcrowding in hospitals, insufficient para-medical staff-pattern etc. in our country, PEP may, at present, be undertaken only in adequately financed asthma clinics with involved and well-trained medical and para-medical staff. Financial burden for long treatment, inadequate support from Governmental sources (as provided in cases with tuberculosis), illiteracy, language barrier, ignorance , superstition and misconceptions of patients on asthma and MDIs etc. are some of the obstacles, one will have to face while continuing with PEP in India.

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