Asthma can impair a patient's quality of life (QOL) while effective therapy can improve it. The patient's quality of life should be monitored if certain findings are present.
Indications for monitoring an asthma patient's quality of life:
(1) moderate or severe persistent asthma
(2) asthma that is difficult-to-treat
(3) an asthma exacerbation requiring a hospital admission
(4) adverse effects from medications (sedation, agitation, etc)
(5) problems with sleep
(6) impairment secondary to dyspnea or other symptoms
(7) problems meeting obligations (missing school, work, etc)
(8) problems in the family
(9) mental health issues
(10) social problems (isolation, peer rejection, etc)
(11) concurrent allergic rhinitis
(12) comorbid illnesses
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