Get the free FINAL Asthma Action Plan and Patient Handout 4-8-08indd - rmhp

Asthma Action Plan www.coloradoguidelines.org Name: Date: Physician or Clinic: Phone Number: (GREEN ZONE Doing Well) Personal Asthma Goal: Take these medicines every day for long term control: Name

How to fill out final asthma action plan

How to fill out a final asthma action plan:

1. Start by reviewing the instructions: Carefully read through the final asthma action plan provided by your healthcare provider. Make sure you understand all the sections, terminology, and steps involved.
2. Personalize the plan: Fill in your personal information on the action plan, including your name, date of birth, and emergency contact details. This ensures that the plan is specific to you and can be easily identified by healthcare professionals in case of an emergency.
3. Understand the symptom classifications: The action plan typically includes different zones or colors to indicate the severity of your asthma symptoms. Familiarize yourself with each zone and the corresponding instructions for each level. Generally, these zones are classified as green (good control), yellow (caution or worsening symptoms), and red (urgent or severe symptoms).
4. Identify triggers and early warning signs: It's essential to recognize the triggers that can potentially worsen your asthma symptoms. Note down any specific allergens, irritants, or situations that tend to make your asthma worse. Additionally, list the early warning signs that may occur before a full-blown asthma attack, such as coughing, wheezing, shortness of breath, or chest tightness.
5. List your medications: In the action plan, there is usually a section to record your prescribed asthma medications. Include the names of your preventer (controller) medication, reliever inhaler, and any other medications relating to your asthma management. Provide the appropriate dose and instructions for each medication.
6. Outline the steps for each zone: Go through the action plan and understand the recommended actions for each zone. These instructions may include the use of specific medications, increasing or decreasing medication doses, seeking medical help, or using peak flow meter readings to determine your lung function.
7. Update regularly: Make sure to review and update your final asthma action plan periodically, especially if there are any changes in your symptoms, triggers, or prescribed medications. It's crucial to keep the plan current and accurate to effectively manage your asthma.

Who needs a final asthma action plan?

1. Individuals with asthma: Anyone diagnosed with asthma, irrespective of age or severity of the condition, should have a final asthma action plan. This plan serves as a personalized guide to help manage asthma symptoms, prevent exacerbations, and provide necessary actions during different levels of symptom severity.
2. Parents/caregivers of children with asthma: If your child has asthma, having a final asthma action plan is essential. It helps parents and caregivers understand the necessary steps to take during different situations, like recognizing worsening symptoms and knowing when to administer medication or seek medical attention.
3. School personnel: It is crucial for school staff, including teachers, nurses, and administrators, to be aware of a student's final asthma action plan. This enables them to provide appropriate support and take immediate action in case of an asthma-related emergency at school.
4. Healthcare providers: Healthcare professionals involved in the management of asthma, including doctors, nurses, and respiratory therapists, need to have access to a patient's final asthma action plan. This allows them to provide accurate advice, adjust medications, and ensure consistent care across different healthcare settings.

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What is final asthma action plan?

The final asthma action plan is a personalized document that outlines the steps to take to manage asthma symptoms and attacks.

Who is required to file final asthma action plan?

Individuals with asthma, especially those who have been diagnosed with the condition by a healthcare provider, are required to have a final asthma action plan.

How to fill out final asthma action plan?

A final asthma action plan can be filled out by a healthcare provider in collaboration with the individual with asthma. It includes information on medication use, triggers, symptoms, and emergency protocols.

What is the purpose of final asthma action plan?

The purpose of the final asthma action plan is to empower individuals with asthma to effectively manage their condition, reduce the risk of asthma attacks, and know when to seek emergency medical care.

What information must be reported on final asthma action plan?

Information such as medication names and dosages, asthma triggers, symptoms to watch for, and emergency contact information must be included on the final asthma action plan.