Presented By

Presented By

Asthma Course

This program has been reviewed and is endorsed by the:


CCCEP

Asthma Management Course: 17.50 CEUs

Accreditation date: 2015-09-10
Accreditation expires: 2018-09-10

 

As with other chronic diseases, good health outcomes in asthma depend on adherence to evidence-based management guidelines. Knowledge translation of these guidelines is a critical component to the implementation of the guidelines by health care providers. RESPTREC is recognized as a valuable knowledge translation resource of respiratory guidelines for health care professionals working in the area of asthma.

Note: Participants are required to complete the Education course, Asthma course, and COPD course in order to be eligible to write the Certified Respiratory Educator (CRE) examination.

An accurate disease diagnosis, optimal medical management, engaging individuals and their families in self-management skills and regular medical follow-up are all critical components to relieving the effects and the burden of this chronic disease. The RESPTREC Asthma Course curriculum includes a comprehensive review of all areas of asthma care.

Curriculum includes:

  • Pathophysiology
  • Signs and symptoms
  • Epidemiology
  • Risk factors
  • Triggers
  • Diagnosis
  • Asthma control
  • Management (environmental, pharmacotherapy, self-management)
  • Exacerbations
  • Follow-up

Acknowledgements

The original content was developed in 1999 and has been continually updated to reflect the most recent evidence for optimal asthma care. The Asthma Course Expert Committee members have included:

  • Allan Becker, MD, FRCPC
  • Bernie Bolley, BScN, RN, CRE, CRHP
  • Don Cockcroft, MD, FRCP(C), CTS
  • Cathy Gillespie, RN, MN, CAE
  • Brian Graham, PhD
  • Jan Neumann, BPT, CRE, CRHP
  • Alan Kaplan, MD, CCFP(EM), Chair - FPAGC
  • Diane Lougheed, MD, MSc, FRCP(C), Chair Asthma Committee - CTS
  • Dilshad Moosa, BSc, RRT, CRE, CRHP
  • Kristine Petrasko, BScPharm, CRE
  • Donna Rennie, PhD (Epidemiology), RN, CAE, CRHP
  • Judy Riedel, RN, CRE, CRHP
  • Sheldon Spier, MD, FRCP(C), Pediatric Asthma Assembly - CTS

We would like to acknowledge the work of:

  • Lori Kleiboer (Administrative support)
  • Janet Sutherland (Director, CTS & CRHP of the Lung Association)

The content is divided into 7 topics:

  1. The Asthma Educator will be able to:
    1. Define asthma;
    2. Define work-related asthma;
    3. Explain the epidemiology of asthma in terms of:
      1. prevalence;
      2. morbidity;
      3. mortality;
      4. economic costs; and
      5. impact on quality of life;
    4. Explain the risk factors for the development of asthma in each of the following periods:
      1. prenatal;
      2. infancy;
      3. preschool;
      4. school age; and
      5. adulthood;
    5. Explain the pathophysiology of asthma.
  2. The Asthma Educator will be able to:
    1. Explain the relevance of asthma triggers;
    2. Differentiate between inflammatory and non-inflammatory triggers, and give examples;
    3. Give examples of work-related triggers;
    4. Describe the relationship of asthma to: rhinitis; sinusitis; gastroesophageal reflux disorder; and obesity; and
    5. Identify the common signs and symptoms of asthma.
  3. The Asthma Educator will be able to discuss the effect of the menstrual cycle on asthma.
  4. The Asthma Educator will be able to demonstrate how to take an accurate and effective patient history.
  5. The Asthma Educator will be able to describe the importance of the physical findings (from a physical examination) for a person with asthma.
  6. The Asthma Educator will be able to explain the criteria used for diagnosing asthma in pre-school children.
  7. The Asthma Educator will be able to explain lung function tests that may be used to confirm a diagnosis of asthma in children 6 years of age and over and in adults.
  8. The Asthma Educator will be able to define spirometry
  9. The Asthma Educator will be able to describe spirometry in terms of role of spirometric assessment including:
    1. indications for confirming a diagnosis of asthma;
    2. interpretation; and
    3. quality control.
  10. The Asthma Educator will be able to define peak expiratory flow
  11. The Asthma Educator will be able to describe peak expiratory flow in terms of indications for confirming a diagnosis of asthma.
  12. The Asthma Educator will be able to describe bronchoprovocation challenge test in terms of:
    1. What it is;
    2. Indications for confirming a diagnosis of asthma.
  13. The Asthma Educator will be able to describe how work-related asthma is diagnosed.
  14. The Asthma Educator will be able to describe other diagnoses that may be considered for:
    1. Young children; and
    2. Adults.
  15. The Asthma Educator will be able to describe the clinical differences between asthma and COPD.
  16. The Asthma Educator will be able to describe other tests that may be used to adjunct the diagnosis of asthma.
  17. The Asthma Educator will be able to explain asthma control in terms of:
    1. the goals of asthma management; and
    2. the best results possible.
  18. The Asthma Educator will be able to explain the criteria that determine asthma control.
  19. The Asthma Educator will be able to provide instructions on using a peak flow meter properly.
  20. The Asthma Educator will be able to correctly interpret peak flow measurements in relation to control of asthma.
  21. The Asthma Educator will be able to explain loss of control of asthma.
  22. The Asthma Educator will be able to explain the goal of patient monitoring.
  23. The Asthma Educator will be able to explain the role of the patient diary in monitoring control of asthma.
  24. The Asthma Educator will be able to explain the components of a patient diary form in relation to determining whether control is adequate.
  25. The Asthma Educator will be able to explain the asthma management continuum in relation to:
    1. Children 5 years of age and younger; and
    2. Children 6 years of age and older and adults.
  26. The Asthma Educator will be able to explain severity in relation to asthma control.
  27. The Asthma Educator will be able to explain the three main strategies used to manage asthma.
  28. The Asthma Educator will be able to explain the importance of environmental therapy in relation to:
    1. Long-term asthma management;
    2. Tobacco smoke; and
    3. Work-related asthma.
  29. The Asthma Educator will be able to explain the importance of pharmacotherapy in relation to asthma control.
  30. The Asthma Educator will be able to identify:
    1. type of medication
    2. function of medication
    3. generic and brand names
    4. the side effects
    5. the delivery device and number of doses per device for each of the following medications:
      1. inhaled fast-acting beta-agonists
      2. inhaled glucocorticosteroids
      3. inhaled combination glucocorticosteroids/long-acting beta-agonists
      4. leukotriene receptor antagonists
      5. anti-IgE agent
      6. oral glucocorticosteroids
      7. oral methylxanthines
  31. The Asthma Educator will be able to explain asthma management in terms of preschool children.
  32. The Asthma Educator will be able to explain the asthma management continuum in relation to children 6 years of age & older & adults.
  33. The Asthma Educator to explain the management of difficult-to-treat or severe asthma.
  34. The Asthma Educator will be able to explain the effect of:
    1. pregnancy on asthma, and
    2. asthma on pregnancy.
  35. The Asthma Educator will be able to:
    1. define exercise-induced bronchospasm; and
    2. explain how exercise-induced bronchospasm is managed.
  36. The Asthma Educator will be able to describe management of work-related asthma.
  37. The Asthma Educator will be able to explain the indications for use of epinephrine in the treatment of asthma.
  38. The Asthma Educator will be able to explain which delivery devices are better suited to patients of different ages and varying needs.
  39. The Asthma Educator will be able to (for each of the following devices):
    1. Demonstrate proper technique for; and
    2. Demonstrate proper maintenance of:
      1. metered-dose inhaler
      2. metered-dose inhaler with spacer (mouthpiece and mask)
      3. turbuhaler®
      4. diskus®
      5. nebulizer.
  40. The Asthma Educator will be able to explain immunotherapy in relation to:
    1. Its definition; and
    2. Its role in asthma control.
  41. The Asthma Educator will be able to define:
    1. Asthma worsenings; and
    2. Acute exacerbation of asthma.
  42. The Asthma Educator will be able to explain how to treat acute asthma in emergency care
  43. The Asthma Educator will be able to explain the components of a discharge plan following hospitalization due to an asthma exacerbation.
  44. The Asthma Educator will be able to explain the action plan in terms of asthma control.
  45. The Asthma Educator will be able to explain the action plan in terms of:
    1. its components; and
    2. how to adjust medications when asthma is uncontrolled.
  46. The Asthma Educator will be able to explain:
    1. what is meant by follow-up; and
    2. the goal of follow-up.
  47. The Asthma Educator will be able to describe the areas to assess during a follow-up visit.
  48. The Asthma Educator will be able to demonstrate how to conduct an effective follow-up visit.
  49. The Asthma Educator will be able to identify the circumstances that warrant a referral to:
    1. pediatric asthma specialist;
    2. an asthma specialist (adult);
    3. a certified asthma educator; and
    4. an appropriate health care professional.

Registrants must meet the following entrance criteria:

  • hold a degree/diploma in a recognized health care profession
  • scope of practice to include counselling clients
  • must verify current license to practice (and registration number, if applicable)
  • indicate your expectations of the course and how you anticipate using the new skills and knowledge

If there is a question regarding met criteria, acceptance to the program will be made on an individual basis and at the discretion of the RESPTREC™ Management committee.

The Canadian Council on Continuing Education in Pharmacy has confirmed the following accreditation:

CCCEP Number: 1091-2015-1573-B-P
Title: Asthma Course - RESPTREC
Number of CEUs: 17.50
Date Accredited: 2015-09-10
Accreditation Expiry Date: 2018-09-10

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