A young child with a history of wheeze

James Paton; Patrick Bindels; Ann McMurray; Jodie Biggins; Rebecca Nantanda; Marianne Stubbe Østergaard

doi:10.1038/s41533-017-0020-3

A young child with a history of wheeze

James Paton, Patrick Bindels, Ann McMurray, Jodie Biggins, Rebecca Nantanda, Marianne Stubbe Østergaard

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Abstract

The parents of a 3-year old boy are anxious about their son who has recurring episodes of wheezing. They are frustrated that no one seems to be able to give them answers to their questions and would like a referral to a specialist. Does their son have asthma and what is the prognosis; how can the recurrent wheezing be managed and can the risk of asthma be reduced; are there lifestyle changes that could improve the environment and avoid triggers? Communication and support from the family practice team were essential. Listening to the parents’ concerns, explaining the diagnostic uncertainty, being realistic about what drug treatments could achieve, and providing practical advice on inhaler use and trigger avoidance reassured the parents that there was a strategy for managing their son’s wheeze. The specialist referral was postponed.

Original language	English
Article number	19
Journal	npj Primary Care Respiratory Medicine
Volume	27
Pages (from-to)	1-7
ISSN	2055-1010
DOIs	https://doi.org/10.1038/s41533-017-0020-3
Publication status	Published - 1 Dec 2017

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abstract = "The parents of a 3-year old boy are anxious about their son who has recurring episodes of wheezing. They are frustrated that no one seems to be able to give them answers to their questions and would like a referral to a specialist. Does their son have asthma and what is the prognosis; how can the recurrent wheezing be managed and can the risk of asthma be reduced; are there lifestyle changes that could improve the environment and avoid triggers? Communication and support from the family practice team were essential. Listening to the parents{\textquoteright} concerns, explaining the diagnostic uncertainty, being realistic about what drug treatments could achieve, and providing practical advice on inhaler use and trigger avoidance reassured the parents that there was a strategy for managing their son{\textquoteright}s wheeze. The specialist referral was postponed.",

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AU - Nantanda, Rebecca

AU - Østergaard, Marianne Stubbe

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AB - The parents of a 3-year old boy are anxious about their son who has recurring episodes of wheezing. They are frustrated that no one seems to be able to give them answers to their questions and would like a referral to a specialist. Does their son have asthma and what is the prognosis; how can the recurrent wheezing be managed and can the risk of asthma be reduced; are there lifestyle changes that could improve the environment and avoid triggers? Communication and support from the family practice team were essential. Listening to the parents’ concerns, explaining the diagnostic uncertainty, being realistic about what drug treatments could achieve, and providing practical advice on inhaler use and trigger avoidance reassured the parents that there was a strategy for managing their son’s wheeze. The specialist referral was postponed.

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A young child with a history of wheeze

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