Originally published: February 2018


Hear about 42-year-old teacher, John, who has had asthma since childhood but has poor inhaler technique.

Educational objectives

After completing this activity, healthcare professionals should be able to:

  • Describe the RCP 3-questions to assess asthma control
  • Review how to advise patients on good inhaler technique
  • Understand how to offer very brief advice (VBA) on smoking cessation
  • Discuss when it is appropriate to step down a patient’s medication according to the BTS/SIGN Asthma guideline

This patient case scenario is fictional.

Grainne d’Ancona is a principal pharmacist with a special interest in respiratory medicine at Guy’s and St Thomas’ NHS Foundation Trust, London, UK