Control of asthma in an older adult can be challenging. It is important to identify potential barriers and to overcome them.


Disease-related problems:

(1) pulmonary injury from long-standing asthma (no longer completely reversible)

(2) comorbid conditions like congestive heart failure

(3) impaired perception of breathlessness

(4) chronic pain that increases the need for analgesics


Therapy-related problems:

(1) polypharmacy and risk of drug interactions

(2) greater risk for adverse effects from asthma medications

(3) difficulty manipulating inhalers

(4) poor eyesight

(5) confusion and forgetfulness


Social and economic problems:

(1) living alone

(2) mobility problems

(3) being able to afford medications

(4) depression and anxiety


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