Adults and children (12 years old above) in any race, gender.
any type of anti-asthmaticMetered Dose Inhaler.
Durationusage above a months.
Patientswithany concurrent medical problems, except
psychiatric disorders or behavior problems
Patients with clinical diagnosis of Chronic
Obstructive PulmonaryDisorder (COPD)even
when they may be usingMDI
Dueto pre-existingHEALTH BELIEF, related to culture & ethnic
old Chinese culture belief that
asthma is caused by the body`s
imbalance of the yin (cool) and yang
.....MORE MOTIVATED to increase their quality of healthy
nowadays peopleare willingto spenda lot of
moneyin order to improvetheir qualityof
Patientthathas been use theinhalerfor a fewyears.........
1)have BEST CHEMISTRY related withdose regimen and
2) have OWN SKILLon delivering dose to specific target
they CONFUSE to amount of dose / frequency
THROAT IRRITATION (DYSPHONIC)
is most common side effectof inhaler,which affect
approximately 1 out of 3 patients
Due to myopathyeffect...
• According to thehealthtalk.comdate of June13, 2007 with
title‘Managementof Asthma’ noted that, mouthrinsing
is essential after inhaler usage, in order to
prevent complication such as mouthinfection
or oral thrush
it is importantthat to watch the inhaler as it can
preventing the buildupof excess powderthat block
the holeof releasingthe aerosolizedform of
medicationas 18% of ours candidate didnot watch
Feature of ideal inhaler:
1) ease to operate duringan attack
2) the effectiveness to deliver the drug
Taste & convenient
Pharmacistshould focusingon patientBELIEFS, NEED and
patientshould WORKtoward a set of achievable goal
pharmacist and patient should be work
together to increase the compliancy
When healthcare professionals establish the
patient wishes, they will complyit.
• patientcan detect some deficientstep regarding
technique ofhandlinginhaler by refers to the written
Provide Written Information