Management | Managing Maintenance Therapy
🔄 Managing Maintenance Therapy
This shared component provides a structured way to record decisions around stepping up or stepping down asthma maintenance therapy, based on the patient's symptom control and clinical course.
🧭 When Will I See This?
📋 What To Record
|
|
|---|
Field | Purpose |
| Step-Up Implemented | Tick if stepping up therapy due to poor control, with supporting notes |
| Step-Down Considered | Tick if stepping down therapy due to sustained good control |
| Details of Change | Optional free-text to record specific treatment adjustments and rationale |
📘 Make sure to also update the Self-Management Plan and arrange follow-up if medication is changed
🧠 Step-Down Guidance
Only consider if asthma well-controlled for at least 3 months
Gradual reduction in inhaled corticosteroid (ICS) dose or simplification of regimen
Monitor carefully and review action plan thresholds
⚠️ Step-Up Guidance
💬 Suggested Questions to Ask
“Have you been using your reliever inhaler more often recently?”
“Do you feel your symptoms have been well controlled?”
“Would you be open to adjusting your preventer medication to match how things are going?”
Related Articles
Inhaler Management | Adherence to Inhaled Therapy
? Adherence to Inhaled Therapy Adherence to asthma medication is critical to achieving good symptom control and preventing exacerbations. This shared component supports structured conversations to identify non-adherence and plan support. ? When ...
Managing Non-Responders and Follow-Up Recalls
Introduction The Primary Care IT lesson on implementation of OneRecall contains more detailed stepped instructions Not all patients respond to initial recall invitations. Effective management of non-responders ensures that patients receive necessary ...
History and Control | Step-Up / Step-Down Therapy Logic
? Step-Up / Step-Down Therapy Logic This shared component helps clinicians adjust asthma maintenance therapy based on symptom control. It supports proactive treatment changes and ensures decisions are well-documented, safe, and QOF-aligned. ? When ...
022 Meds Management: HRT
The Hormone Replacement Therapy searches are designed to identify patients on HRT medication who require annual monitoring. The HRT folder forms part of 022 Meds Management Patients on HRT should be monitored at least annually. The report pulls out ...
Managing Patient Queries and Concerns about Recalls
Introduction The Primary Care IT lesson on implementation of OneRecall contains more detailed stepped instructions Patients may have questions or concerns about their recalls, including why they are being recalled, how to book an appointment, and ...