Abstract
In the UK most children with asthma do not attend hospital clinics and continuity of care is provided by their general practitioner. However, those with severe asthma, most of whom will not grow out of their symptoms, need hospital-based care as well. As they progress through adolescence teenagers become increasingly uncomfortable in paediatric wards and outpatient clinics. They need clinics where they can meet the chest physician who will take on their care before they transfer to a clinic for adults (table 5). Adolescent asthmatic patients are a distinct group of patients with different treatment requirements from either paediatric or adult patients. It is important that physicians recognise adolescent needs and the importance of regular health checks, smoking, peer pressure, and the negotiation of treatment plans in this group of patients.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Becker M. H. Patient adherence to prescribed therapies. Med Care. 1985 May;23(5):539–555. doi: 10.1097/00005650-198505000-00014. [DOI] [PubMed] [Google Scholar]
- Bevis M., Taylor B. What do school teachers know about asthma? Arch Dis Child. 1990 Jun;65(6):622–625. doi: 10.1136/adc.65.6.622. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bransford R. P., McNutt G. M., Fink J. N. Exercise-induced asthma in adolescent gym class population. Int Arch Allergy Appl Immunol. 1991;94(1-4):272–274. doi: 10.1159/000235381. [DOI] [PubMed] [Google Scholar]
- Brook U., Shiloh S. Attitudes of asthmatic and nonasthmatic adolescents toward cigarettes and smoking. Clin Pediatr (Phila) 1993 Nov;32(11):642–646. doi: 10.1177/000992289303201101. [DOI] [PubMed] [Google Scholar]
- Cary J., Hein K., Dell R. Theophylline disposition in adolescents with asthma. Ther Drug Monit. 1991 Jul;13(4):309–313. doi: 10.1097/00007691-199107000-00005. [DOI] [PubMed] [Google Scholar]
- Catford J. C., Nutbeam D., Woolaway M. C. Effectiveness and cost-benefits of smoking education. Community Med. 1984 Nov;6(4):264–272. [PubMed] [Google Scholar]
- Coutts J. A., Gibson N. A., Paton J. Y. Measuring compliance with inhaled medication in asthma. Arch Dis Child. 1992 Mar;67(3):332–333. doi: 10.1136/adc.67.3.332. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Evans D. To help patients control asthma the clinician must be a good listener and teacher. Thorax. 1993 Jul;48(7):685–687. doi: 10.1136/thx.48.7.685. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Forero R., Bauman A., Young L., Larkin P. Asthma prevalence and management in Australian adolescents: results from three community surveys. J Adolesc Health. 1992 Dec;13(8):707–712. doi: 10.1016/1054-139x(92)90068-m. [DOI] [PubMed] [Google Scholar]
- Hanrahan J. P., Tager I. B., Segal M. R., Tosteson T. D., Castile R. G., Van Vunakis H., Weiss S. T., Speizer F. E. The effect of maternal smoking during pregnancy on early infant lung function. Am Rev Respir Dis. 1992 May;145(5):1129–1135. doi: 10.1164/ajrccm/145.5.1129. [DOI] [PubMed] [Google Scholar]
- Kemp J. P., Meltzer E. O. Beta 2 adrenergic agonists--oral or aerosol for the treatment of asthma? J Asthma. 1990;27(3):149–157. doi: 10.3109/02770909009073315. [DOI] [PubMed] [Google Scholar]
- Kolnaar B., Beissel E., van den Bosch W. J., Folgering H., van den Hoogen H. J., van Weel C. Asthma in adolescents and young adults: screening outcome versus diagnosis in general practice. Fam Pract. 1994 Jun;11(2):133–140. doi: 10.1093/fampra/11.2.133. [DOI] [PubMed] [Google Scholar]
- Mas J. C., Resnick D. J., Firschein D. E., Feldman B. R., Davis W. J. Misuse of metered dose inhalers by house staff members. Am J Dis Child. 1992 Jul;146(7):783–785. doi: 10.1001/archpedi.1992.02160190013003. [DOI] [PubMed] [Google Scholar]
- Ostrov M. R., Ostrov E. The self-image of asthmatic adolescents. J Asthma. 1986;23(4):187–193. doi: 10.3109/02770908609073156. [DOI] [PubMed] [Google Scholar]
- Pedersen S., Frost L., Arnfred T. Errors in inhalation technique and efficiency in inhaler use in asthmatic children. Allergy. 1986 Feb;41(2):118–124. doi: 10.1111/j.1398-9995.1986.tb00287.x. [DOI] [PubMed] [Google Scholar]
- Rimpelä A. H., Savonius B., Rimpelä M. K., Haahtela T. Asthma and allergic rhinitis among Finnish adolescents in 1977-1991. Scand J Soc Med. 1995 Mar;23(1):60–65. doi: 10.1177/140349489502300111. [DOI] [PubMed] [Google Scholar]
- Robson B., Woodman K., Burgess C., Crane J., Pearce N., Shaw R., D'Souza W., Crossland L., Beasley R. Prevalence of asthma symptoms among adolescents in the Wellington region, by area and ethnicity. N Z Med J. 1993 Jun 23;106(958):239–241. [PubMed] [Google Scholar]
- Rubinfeld A. R., Pain M. C. Perception of asthma. Lancet. 1976 Apr 24;1(7965):882–884. doi: 10.1016/s0140-6736(76)92097-3. [DOI] [PubMed] [Google Scholar]
- Rupp N. T., Guill M. F., Brudno D. S. Unrecognized exercise-induced bronchospasm in adolescent athletes. Am J Dis Child. 1992 Aug;146(8):941–944. doi: 10.1001/archpedi.1992.02160200063028. [DOI] [PubMed] [Google Scholar]
- Sampson A. P., Castling D. P., Green C. P., Price J. F. Persistent increase in plasma and urinary leukotrienes after acute asthma. Arch Dis Child. 1995 Sep;73(3):221–225. doi: 10.1136/adc.73.3.221. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Seigel W. M., Golden N. H., Gough J. W., Lashley M. S., Sacker I. M. Depression, self-esteem, and life events in adolescents with chronic diseases. J Adolesc Health Care. 1990 Nov;11(6):501–504. doi: 10.1016/0197-0070(90)90110-n. [DOI] [PubMed] [Google Scholar]
- Sibbald B. Patient self care in acute asthma. Thorax. 1989 Feb;44(2):97–101. doi: 10.1136/thx.44.2.97. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Silverglade L., Tosi D. J., Wise P. S., D'Costa A. Irrational beliefs and emotionality in adolescents with and without bronchial asthma. J Gen Psychol. 1994 Jul;121(3):199–207. doi: 10.1080/00221309.1994.9921196. [DOI] [PubMed] [Google Scholar]
- Szilagyi P. G., Rodewald L. E., Humiston S. G., Raubertas R. F., Cove L. A., Doane C. B., Lind P. H., Tobin M. S., Roghmann K. J., Hall C. B. Missed opportunities for childhood vaccinations in office practices and the effect on vaccination status. Pediatrics. 1993 Jan;91(1):1–7. [PubMed] [Google Scholar]