Saturday, 12 June 2010

Using A Spacer

Hello, my name is....
I'm one of the doctors here.
How are you feeling today?

Find the problem
I understand that you've been having some problems in using an inhaler - tell me a bit about that.
How are your symptoms? You understand that it's important to use - for your asthma? Can you show me you trying to use it?

It's really important that you're able to take your inhaler if you need it but I can see that you're having problems with it. This isn't an uncommon issue for people, it can be fiddly, so there is a device we can use to help you called a spacer. The spacer makes it easier to deliver the medicine to your lungs.

Demonstrate
I'll demonstrate what to do...

The spacer is made up of two parts which slot together easily.

On one end you can attach the inhaler, and on the other side you have the mouthpiece
Shake your inhaler well and attach it to the far end
Release 1 puff into the spacer
Don't worry the medicine stays inside
Make tight with your mouth on the mouthpiece
Breathe deeply in and hold for 10s
Breathe out slowly all the while keeping your mouth attached

Wait 30s before next dose
Do this for three or four times
This should be enough to get the medicine into your lungs

Repeat Relevant Parts
Can you show me how you would use this?

General Advice
In caring for the spacer wash it once a week warm water, and leave it to drip dry
Don't use any detergents as this can cause static inside the spacer, which makes it less effective
Store the device in its box in a cool area to prevent scratches
We should relace the device every 6-12months of use to make sure you have optimum delivery of the drugs

ICE
How does that sound?
Do you have any ideas? concerns? expectations?

We'll follow you up to see how you're doing

Thank you!

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