COMPLIANCY TOWARD INHALER AND ASSESSMENT OF INHALER TECHNIQUE

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PREPARED BY: MUHAMAD ARIFF BIN MAHDZUB

DIPLOMA IN PHARMACY
UNIVERSITY TEKNOLOGY MARA (UiTM)

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COMPLIANCY TOWARD INHALER AND ASSESSMENT OF INHALER TECHNIQUE

  1. 1. STUDY ON COMPLIANCY TOWARD INHALER AND ASSESSMENT OF INHALER TECHNIQUE AT HOSPITAL SULTANAH NORA ISMAIL PREPARED BY: MUHAMAD ARIFF BIN MAHDZUB DIPLOMA IN PHARMACY UNIVERSITY TEKNOLOGY MARA (UiTM) 1
  2. 2. ACCORDING TO www.ginasthma.org It has beenobservedthat a significant number of patientwere TEND TO DRAWBACKthe MDI dose
  3. 3. ….becauseof impropertechique Using inhaler
  4. 4. aim objective &
  5. 5. patients’ understandingtowards their dosage regimen theirability to perform MDI technique appropriately
  6. 6. determine thelevel of compliance using inhalers evaluate if proper techniques of inhalation are practiced
  7. 7. Method ology
  8. 8. 3 month 15 August - 15 November 2012
  9. 9. exclusion inclusion
  10. 10. 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
  11. 11. Patients under12 Patients with clinical diagnosis of Chronic Obstructive PulmonaryDisorder (COPD)even when they may be usingMDI
  12. 12. RESULT
  13. 13. Compliancy towardinhaler technique Poor Good 68% 32%
  14. 14. 1. Age
  15. 15. Age range Good Poor 12 to 20 9 2 21 to 30 8 1 31 to 40 11 2 41 to 50 2 14 51 to 60 1 21 61 to 70 2 22 71 to 80 1 12 81 to 90 1 1
  16. 16. Younger Respondent Older Respondent
  17. 17. 2.
  18. 18. Good Poor High 30 19 Low 5 56 Education level
  19. 19. Low Education Respondent High Education Respondent
  20. 20. 3.
  21. 21. Good Poor less then 6 month 1 33 6 month - 1 year 1 24 2 year - 4 year 4 8 5 year - 7 year 9 4 8 year - 10 year 9 4 10 year above 11 2 Duration Usage Inhaler
  22. 22. 4.
  23. 23. Good Poor malay 17 52 chinese 9 14 india 6 5 other 3 4 good poor male 17 42 female 18 33
  24. 24. Dose regiment (As prescribe by doctor)
  25. 25. ASPRESCRIBEbydoctor…… Morethan…… SOMEtimes…… LESs…… 69% 13% 13% 5%
  26. 26. SIDE EFFECT (after takinginhaler)
  27. 27. 3 65 4 20 14 4 0 10 20 30 40 50 60 70 Headache Throat Irritation Coughing Tremor tachycardia Oral Thrush Side Effect Associated with MDI
  28. 28. 0 10 20 30 40 50 60 70 Category 1 yes no sometimes Respondent`s alert for washing mouth after using metered dose inhaler (MDI)
  29. 29. Sales Once Week If Nessecary No86% 20% 4%
  30. 30. TASTE (it is Problem ???????)
  31. 31. Respondent opinion about metered dose inhaler (MDI) operation 24% 76% taste yes no
  32. 32. …It is convenience??
  33. 33. Respondent opinion about metered dose inhaler (MDI) operation 97% 3% convenience yes no
  34. 34. Pharmacist & patient work together……. What respondent says???
  35. 35. 0 20 40 60 80 100 120 YES NO Pharmacist and patient should be work together to increase the compliancy of patient toward metered dose inhaler (MDI) 107 3
  36. 36. Requirement thing need to alert by pharmacist
  37. 37. Requirement need to take alert by pharmacists during counselling session 0 10 20 30 40 50 60 improve demostration improve language provide written information 30 24 56
  38. 38. DISCUSSION…….
  39. 39. Dueto pre-existingHEALTH BELIEF, related to culture & ethnic Age old Chinese culture belief that asthma is caused by the body`s imbalance of the yin (cool) and yang (heat)
  40. 40. .....MORE MOTIVATED to increase their quality of healthy Education level nowadays peopleare willingto spenda lot of moneyin order to improvetheir qualityof health
  41. 41. Patientthathas been use theinhalerfor a fewyears......... 1)have BEST CHEMISTRY related withdose regimen and 2) have OWN SKILLon delivering dose to specific target Duration usage
  42. 42. Dose regiment they CONFUSE to amount of dose / frequency should take
  43. 43. THROAT IRRITATION (DYSPHONIC) is most common side effectof inhaler,which affect approximately 1 out of 3 patients Side effect Due to myopathyeffect...
  44. 44. Washing mouth • 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
  45. 45. 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 inhaler Inhaler washing
  46. 46. 2 Feature of ideal inhaler: 1) ease to operate duringan attack 2) the effectiveness to deliver the drug Taste & convenient
  47. 47. 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.
  48. 48. • patientcan detect some deficientstep regarding technique ofhandlinginhaler by refers to the written informationgiven Provide Written Information

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