CHEST Guidelines-Response_chest

Response_chest_29

Pdf Summary

The document is a published correspondence in a scientific journal, primarily discussing the application and benefits of a narrative approach in clinical care for asthma patients. The authors, Helen Owton, Jacquelyn Allen-Collinson, and A. Niroshan Siriwardena, respond to a letter by Dr. Gibson et al., which supports their original article advocating for narrative approaches to enhance asthma care. The narrative approach emphasizes the importance of open questioning and active listening, aiming to better understand the complex stories of patients' experiences with asthma. This approach allows patients to share their illness narratives in ways that are meaningful to them, fostering shared decision-making and improving self-care.<br /><br />The correspondence underlines the role of tone and metaphors in patients' narratives as indicators of their coping mechanisms with asthma. The authors assert that exploring these elements could enhance the effectiveness of clinical communication between healthcare providers and patients, including children and parents.<br /><br />Furthermore, the article acknowledges the potential value of school-based, peer-led educational programs to improve asthma self-care among children. The authors agree with prior research that engaging students' curiosity can effectively enhance their understanding and management of asthma. This understanding can boost patient confidence, which, in turn, facilitates better interaction between patients and health providers, ultimately improving care outcomes.<br /><br />The document also touches on a separate topic concerning the therapeutic role of endoscopic resection in treating typical, noninvasive carcinoid tumors. It references work by Raz et al., noting the discussion around surgical recommendation as a first-line treatment for these tumors. The authors consider the tolerability and mortality-related aspects highlighted by earlier studies.

Keywords

narrative approach

asthma care

clinical communication

patient narratives

self-care

shared decision-making

educational programs

endoscopic resection

carcinoid tumors

healthcare providers