This is something that I wouldn’t say bugs me but it is a gripe.
When I go to have my asthma review with my health centre (which I think is a waste of time- because not wanting to be big headed but I end up teaching them more about asthma than they tell me!!!) But to the point. They always tick on their sheet that they have done the inhaler technique review. I have never once been asked to show them my inhaler technique. I think it is possible that they think that because I have taken them for so long I must know how to take them. But is think that the longer you take them the more your inhaler technique should be reviewed as you are likely to develop bad habits. When I think about it, it is not only at my health centre the hospital do it as well. There have been so many times i ahve seen such bad techniques and jsut want to go and tell people that they doing it wrong and how to do it but i always refrain.
Here are some of the techniques I have seen!
1) giving it a good shake then holding it about5 inches from your mouth and squirt and try and catch it (no joke catch it. the person head moved forward as though they were catching somethign in their mouth!!!)
2) a good shake given again and holding the inhaler jsut outside an open mouth and giving four puffs and keeping ones mouth open and i could see the inhaler mist out the side (well not mist but you know when you can see inhaler when you spray it!)
3) a good shake and the inhaler held upside down and puffed into the mouth. the mouth was closed but immediatly opened after the puff.
4) the inhaler is sprayed as the person is breathing out! so it came out the top!!!
These are just a few of the different inhaler techniques I have seen. I always have tried to make sure myinhaler technique is right. I know it probably isn’t and I have probably developed bad habits but I’m only human. You cant blame people for having bad inhaler techniques because if others experiences are the same as mine then you don’t get taught how to have a good technique and what is a bad technique.
I know it is difficult to know the right way and wrong way for all the inhalers. I have three different types of inhaler and all have different techniques of using it which is a bit confusing and when your in a rush you don’t always have time to stand and breathe out deeply and then in and take inhaler and hold your breath and then repeat this if you have a few puffs to do etc.
Peak flow is also another one as results can vary hugely depending on your technique. Also I haven’t seen random techniques for this as you don’t tend to do a peak flow on the bus or up town shopping!!!!
I know there are some followers of this blog from other countries and wondered what you healthcare providers are like with inhaler techniques and things?