Record symptoms scores Trial of treatment Consider alternative diagnosis. (RCP 3 questions or ACT) Appropriate for second opinion to severity of symptoms of treatment Review Appropriate to severity of 1 month or symptoms sooner if required Review Any response? 1 month or sooner if Yes? required. Symptoms Any response? improved Yes? Change in symptom scores Symptoms improved Confirms high probability of Change in symptom asthma scores Confirms high probability of No? asthma Check No? concordance and inhaler technique Consider: possible) concordance and inhaler technique. Serial peak flows Consider referral Bronchodilator response Spirometry Positive result: High probability of asthma Negative result: Consider differential diagnosis/referral Sophie Toor, Produced by Respiratory Matters Ltd. in conjunction with Calderdale CCG Primary Care Paediatric Constipation Pathway
Record symptoms scores (RCP 3 questions or ACT) of treatment Appropriate to severity of symptoms Review 1 month or sooner if required. Any response? Yes? Symptoms improved Change in symptom scores Confirms high probability of asthma No? concordance and inhaler technique. Consider referral Trial of treatment Appropriate to severity of symptoms Review 1 month or sooner if required Any response? Yes? Symptoms improved Change in symptom scores Confirms high probability of asthma No? Check concordance and inhaler technique Consider: possible) Serial peak flows Bronchodilator response Spirometry Positive result: High probability of asthma Negative result: Consider differential diagnosis/referral Consider alternative diagnosis. for second opinion Produced by Sophie Toor, Respiratory Matters Ltd. in conjunction with Calderdale CCG Primary Care Paediatric Constipation Pathway
C3-Project-12-Month-Review-and-Evaluation-report.docx