Nurse Clinicians

Introduction on Asthma Care services

Chronic diseases such as asthma often have intermittent symptoms but require long-term treatment. Treating asthma is not usually hard, but it can be complex, requiring a fine balance of:

• Understanding of the disease
• Understanding of role of different drugs and the need for continued prophylaxis
• Understanding of techniques of inhaler use
• Understanding the role of allergens and triggers and how to avoid them
• Understanding of the Asthma Action Plan and how to use it
• Recognition of asthma symptoms

It is important that the patient and family have a good understanding of the above to help keep asthma under control. The asthma nurse clinician maintains partnership with patients and their physician to help provide information, counselling and support to help them manage their asthma.

Control Asthma, Enjoy Life from TTSH on Vimeo.

This video presentation highlights what's new in asthma management, particularly from the GINA (Global Initiative for Asthma) guidelines.

It emphasizes:

1. The shift from classification of Asthma Disease Severity to Asthma Control
2. An objective assessment of Asthma Control, using the ACT score
3. Treatment based on Control

Smoking Cessation Service

Smoking is associated with more than 50 different diseases and disorders and many are fatal. Giving up smoking will benefit both your health as well as that of your loved ones. During your consultation the nurse clinician will:

• Motivate a smoker to stop smoking.
• Provide information and skills to stop smoking.
• Provide a smoker with information on types of medications available to quit smoking.

Our Nurse Clinicians

Name:

Lathy Prabhakaran

Credentials

RN, BHSC, MSN, Advance Diploma in Critical Care, Diploma in Respiratory Disease, Quit Smoking Consultant

Clinical Preceptorship in Asthma Management – HMDP Award to The University of Pennsylvania (USA)

Name:

Neo Lay Ping

Credentials:

RN, BHSN, Certificate in Respiratory Disease Management

Clinical Specialty Attachment:

HMDP Award to Toronto, Canada for Asthma Clinical Attachment

HMDP Award to the University of Pennsylvania (USA)

Projects

Posters Presentation

Oral Presentation

Publications

Clinician's Name(s)	Year	Title
Abisheganaden J, Chee C.B.E, Goh S.K, Yeo L.S, Lathy Prabhakaran , Earnest A, Wang Y.T.	2001	Impact of as Asthma Carepath on the Management of Acute Asthma Excerbation Annal Academy of Medicine Singapore Vol 30 No.4 (suppl).
Lathy Prabhakaran, Cheong G.N, Ong KC, Earnest A.	2003	Effectivenss of opportunistic intervention for smoking cessation among hospitalized smoking patients in Tan Tock Seng Hospital. (A Pilot study); Annals of the Academy of Medicine, (Volume 32  Suppl No 5), S67-S69
Lathy Prabhakaran, Choo Y M	2004	Effectiveness of nurse clinician-led outpatient smoking cessation clinic in a hospital in Singapore.Singapore Nursing Journal Vol 31 No3.PP 6-14
Phoa L.L., Lathy Prabhakaran., Pek W.Y., Tay S.Y., Seow E., Ng A.W.	2005	Characteristics of Patients with Repeat Attendance at Emergency Department for Asthma Exacerbation. (Abstract of Poster Presentation) Chest; 128(4):238S-239S
Lathy Prabhakaran , Ong K C, Cheong G N	2006	Effectiveness of opportunistic intervention for smoking cessation among hospitalized smoking patients in Tan Tock Seng Hospital (A pilot study); Annals of the Academy of Medicine, (Volume 32 Suppl No 5), S67-S69
Ong KC, Cheong G N, Lathy Prabhakaran, Earnest A	2005	Predictors of success in smoking cessation among hospitalized patient. Respirology;10(1);63-69
Lathy Prabhakaran, Lim G., Abisheganaden J., Chee C.B., Choo Y.M.	2006	Impact of asthma education program on patient's knowledge, inhaler technique and compliance to treatment. Singapore Medical Journal 2006; 47 (3) :225-231
MOH Clinical Practice Guidelines Chronic Obstructive Pulmonary Disease	2006	Work group member in guideline development http://www.moh.gov.sg/mohcorp
MOH Clinical Practice Guidelines Management of Asthma 2008	2006	Work group member in guideline development http://www.moh.gov.sg/mohcorp
Lathy Prabhakaran, Earnest A,, Abisheganaden J , Jane Chee	2009	Was it easy to use the Asthma Control Test (ACT) in different clinical practice settings in a tertiary hospital in Singapore? Ann Acad Med Singapore 2009;38:(2):1064-1069
Jane Chee	2009	Ventolin over-reliance can be fetal. Nursing Pride Newletter May Volume 2 Issue
Lathy Prabhakaran * , Wai Yan Chee *, Kia Chong Chua, John Abisheganaden and Wai Mun Wong	2010	The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS)
Lathy Prabhakaran,MSN, BHSC (Nurs), RN, Earnest Arul,MSC, John Abisheganaden,M Med (Int Med), FAMS, FRCP (Edin), Jane Chee,BHSC (Nurs), RN	2010	Difference in Asthma Control TestTM (ACT) Scores in Three Different Clinical Practice Settings - Annals Academy of Medicine October 2010, Vol. 39 No. 10
LATHY PRABHAKARAN1, Alicia Vasu2, Tay Seow Yian2, ABISHEGANADEN J3, Wang Meiyi4, Neo Lay Ping 1,Wong Wai Mun4	2011	Disposition Status of Asthma Patients after Treatment at Emergency Department at A Tertiary Hospital In Singapore. Abstract of Poster Presentation 2nd Singapore Health & Biomedical Congress 2011; S260 Annals Academy of Medicine .November 2011, Vol. 40 (Suppl) No. 11
Lathy Prabhakaran1, Siti Aisha JANTAN 2, Wilson Low3, Wong Wai Mun2, Abisheganaden J4,	2011	A Pilot Study to evaluate outcome of asthma patients' right sighted from an institution to Primary Care Provider (PCP). Abstract of Poster Presentation 2nd Singapore Health & Biomedical Congress 2011; S261 Annals Academy of Medicine .November 2011, Vol. 40 (Suppl) No. 11
Lathy Prabhakaran Jane Chee, Arul Earnest, Syahidah Salleh	2012	Comparison of Three Modes of Teaching Enrolled Nurses on Asthma Management Journal of Asthma & Allergy Educators 2012 3:117 originially published online 1 May 2012
Lathy Prabhakaran, Nur Adillah A Y, John Abisheganaden, Ghee Hian Lim, Jane Wai Yan Chee, Tan Wei Lee, Fatimah Sattar and Christine Nyuk Lian Liew	2012	A Clinical Improvement Project: Reducing Default Rates at a Fast Track Asthma Clinic Journal of Asthma & Allergy Educators published online 23 July 2012
Lathy Prabhakaran, Alicia Vasu, Tay Seow Yian, John Abisheganaden, Wang Meiyi and Wong Wai Mun	2012	The Current Care Delivery Practice for Asthma at the Emergency Department in a Tertiary Hospital in Singapore Journal of Asthma & Allergy Educators published online 28 September 2012