VA Asthma Action Plan 2012 free printable template

Virginia Asthma Action Plan School Division Name Date of Birth Health Care Provider Provider s Phone Parent/Guardian Additional Emergency Contact Contact Phone Contact Email Asthma Severity Effective Dates Fax Last flu shot / to Intermittent or Persistent Mild Moderate Severe Asthma Triggers Things that make your asthma worse Colds Smoke tobacco incense Pollen Dust Animals Strong odors Mold/moisture Stress/Emotions Exercise Acid reflux Pests rodents cockroaches Season circle Fall Winter...

How to fill out VA Asthma Action Plan

How to fill out VA Asthma Action Plan

1. Obtain a copy of the VA Asthma Action Plan template.
2. Fill in your personal information, including your name, date of birth, and contact details.
3. Identify your asthma triggers and list them in the designated section.
4. Record your medications, including the names, dosages, and when to take them.
5. Establish a peak flow meter average and record the green, yellow, and red zones.
6. Define your action steps for each zone, indicating what to do when symptoms worsen.
7. Include emergency contacts and any additional instructions from your healthcare provider.
8. Review the completed plan with your healthcare provider for accuracy.

Who needs VA Asthma Action Plan?

1. Individuals diagnosed with asthma who are receiving care through the VA.
2. Veterans who have experienced asthma symptoms or exacerbations.
3. Patients who require a structured plan to manage their asthma effectively.

People Also Ask about

What are some treatment plans for asthma?

Treatment Long-term asthma control medications, generally taken daily, are the cornerstone of asthma treatment. Quick-relief (rescue) medications are used as needed for rapid, short-term symptom relief during an asthma attack. Allergy medications may help if your asthma is triggered or worsened by allergies.

Who can write an asthma plan?

An Asthma Action Plan is like an instruction manual for your asthma written by your doctor. Everyone with asthma should have an Asthma Action Plan, no matter how old you are or how mild your asthma might feel. It's your guide on how to manage your asthma and what to do if you do have a flare-up or asthma attack.

How do you write an asthma action plan?

Your asthma action plan will include your medicines and instructions for what to do when you are feeling well, what to do when you have asthma symptoms and what to do when your asthma symptoms are getting worse. It should include the names of your medicines, how much to take and when to take it.

Who creates an asthma action plan?

Your doctor (GP) should create your or your child's asthma action plan with you. The GP will ask you about your symptoms and what you can do to manage them, including avoiding asthma triggers. Sometimes, an asthma action plan can also be created by doctors or specialists working in a hospital.

Can pharmacists write asthma action plan?

The Asthma Action Plan is provided to patients by either a GP or pharmacist.

What is the 4x4x4 rule for asthma?

Tell the operator that someone is having an asthma emergency. Keep giving the person 4 separate puffs, taking 4 breaths for each puff, every 4 minutes until emergency assistance arrives.

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What is VA Asthma Action Plan?

The VA Asthma Action Plan is a personalized plan designed for veterans and service members to manage their asthma effectively. It outlines daily management strategies, action steps for worsening symptoms, and information on how to avoid triggers.

Who is required to file VA Asthma Action Plan?

Veterans and service members diagnosed with asthma are encouraged to file a VA Asthma Action Plan to help manage their condition and improve their quality of life.

How to fill out VA Asthma Action Plan?

To fill out the VA Asthma Action Plan, individuals should collaborate with their healthcare provider to detail their asthma triggers, daily medications, and specific action steps to take based on symptoms. It's important to review and update the plan regularly.

What is the purpose of VA Asthma Action Plan?

The purpose of the VA Asthma Action Plan is to provide veterans with a structured approach to manage their asthma, ensuring they understand their condition and know how to respond effectively to worsening symptoms.

What information must be reported on VA Asthma Action Plan?

The VA Asthma Action Plan must include information such as personal asthma triggers, medication details, action steps for different symptom levels, emergency contact information, and a clear plan for regular follow-ups with healthcare providers.