All patients will receive a handout addressing adherence to physician orders, hazards of overuse and directions for appropriate use. Oral hygiene and the importance of keeping the mouthpiece clean are stressed. Reorder instructions are also included. Decrease in the reported incidence of inhaler abuse. No evidence of oral candida has been noted.
Patients reorder their inhalers in advance.
Duplicate medications in multiple delivery devices have been drastically reduced. Physicians more efficiently utilize Respiratory Therapy. Job satisfaction has improved in Respiratory Therapy, and rapport among respiratory staff and physicians has developed from the close working relationship.