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In this article, you will learn that:


  • Occupational asthma is a common cause of adult-onset asthma, responsible for up to a fifth of all cases
  • Evidence-based guidelines are available for the management of occupational asthma
  • Early referral to an occupational respiratory specialist is important to ensure that patients receive appropriate support
  • Patient prognosis is best following early diagnosis
  • Occupational asthma has significant impact on the patient; a third of workers remain unemployed up to 6 years after diagnosis

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In this article, you will learn that:


  • Making a differential asthma diagnosis in primary care is challenging
  • The British Thoracic Society and Scottish Intercollegiate Guideline Network (BTS/SIGN) provide guidance to support asthma diagnosis in primary care
  • Alternative approaches e.g. Desktop Helpers and integrated working practices can assist with asthma diagnosis
  • Involving patients in their diagnosis is critical
  • 'Treatable traits’ have a potential role in asthma diagnosis

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In this article, you will learn that:


  • Smokers with asthma have declining lung function and worsening asthma symptoms
  • Worsening asthma symptoms and lung function changes can be reversed with smoking cessation; therefore, helping patients to stop smoking should be a priority in primary care
  • Practical recommendations are available to help support patients with asthma who smoke
  • A collaborative approach is important for helping patients to stop smoking
  • Tools including carbon monoxide monitoring and online resources are available to assist in helping patients to quit smoking

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In this article, you will learn that:


  • Poor inhaler technique has important implications on asthma treatment outcomes
  • ADMIT found that the level of clinical evidence behind beliefs regarding inhaler technique differs
  • Regularly reviewing inhaler technique is important
  • Improving technique is essential to optimise care for people with asthma

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