Safeguarding cases are often very challenging, and the experience and advice from safeguarding team is invaluable. The team work within a framework of national legislation and guidelines pertaining to child welfare in Britain. The umbrella term used to describe children with asthma that is refractory to high levels of prescribed treatment is problematic severe asthma.
Within this group, the majority of children have DA; asthma that is poorly controlled because of a failure to get the basics of asthma management right. After ensuring the diagnosis is correct, the most common factor that contributes to poor asthma control is associated with medication issues. These include poor adherence to maintenance asthma therapy and inappropriate device or inhaler technique. It is essential that an objective assessment of adherence to maintenance medication is undertaken prior to any child being labeled as having severe asthma.
Subsequent modifiable reasons that may contribute to poor asthma control are harder to identify and necessitate referral to a specialist center with a pediatric DA service, incorporating an MDT. A diagnosis of STRA, with associated additional investigations, and potential escalation of treatment should only be undertaken after all modifiable factors have been thoroughly addressed. Asthma UK [homepage on the Internet].
Accessed March 20, A summary of the new GINA strategy: a roadmap to asthma control.
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Morrison said. Dermatologist Stephen Webster, MD, said he refers all lid margins directly to the ophthalmologist. It is harder to do in private practice, but I think most dermatologists will have an ophthalmologist they can work with and talk to. Ophthalmologist Jay Justin Older, MD, said he refers patients who might have skin problems to the dermatologist.
Older said. They have red eyes in conjunction with a facial rash. To treat such a patient, Dr. Morrison said she consistently communicates with the ophthalmologist. Basal cell carcinoma on and around the eyelids is a common point of interaction between ophthalmologists and dermatologists.