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Date of Plan: Asthma Medical Management Plan This plan should be completed by the students personal health care team and parents/guardian. It should be reviewed with relevant charter school staff
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How to fill out asthma medical management plan

Who needs an asthma medical management plan?
01
Individuals diagnosed with asthma, especially those with frequent symptoms, severe symptoms, or a history of asthma exacerbations.
02
Individuals who require daily medication to control their asthma symptoms.
03
Individuals who need to monitor their asthma symptoms regularly and make adjustments to their treatment plan accordingly.
04
Individuals who have a history of severe allergic reactions or other conditions that can worsen asthma symptoms.
05
Individuals who participate in physical activities that may trigger their asthma symptoms.
How to fill out an asthma medical management plan:
01
Start by gathering all relevant medical information, including previous asthma diagnosis, medications used, and previous asthma exacerbations.
02
Consult with a healthcare provider specialized in asthma management to assess your current symptoms, triggers, and overall asthma control.
03
Work with your healthcare provider to determine the appropriate treatment plan for your asthma, including the medication(s) to be used and the frequency and dosage of each medication.
04
Discuss and establish an asthma action plan with your healthcare provider. This plan should include the steps to take in case of worsening symptoms, as well as when and how to seek emergency care.
05
Learn how to properly use your asthma medication(s), including inhalers and spacers. Your healthcare provider should demonstrate the correct technique and provide written instructions for reference.
06
Keep a record of your symptoms and triggers. This may include a diary where you track your peak flow readings, symptoms experienced, and any potential triggers encountered.
07
Review and update your asthma medical management plan regularly, especially if there are changes in your symptoms or overall asthma control. Be sure to consult with your healthcare provider for any necessary adjustments.
08
Share your asthma medical management plan with your family members, friends, and/or coworkers, so they are aware of how to assist you during an asthma emergency.
09
Keep a copy of your asthma medical management plan readily accessible, whether it's in your home, at work, or on your electronic devices, to ensure it can be easily referenced when needed.
10
If you have any questions or concerns about filling out your asthma medical management plan, don't hesitate to reach out to your healthcare provider for guidance and clarification.
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What is asthma medical management plan?
The asthma medical management plan is a written document that outlines an individual's asthma treatment, medication, and action plan for managing asthma symptoms and attacks.
Who is required to file asthma medical management plan?
Asthma medical management plan is typically required for individuals diagnosed with asthma, particularly children in schools and employees in workplace settings.
How to fill out asthma medical management plan?
Asthma medical management plan can be filled out by healthcare providers in collaboration with the individual with asthma, detailing their specific triggers, medication dosage, emergency contact information, and action plan.
What is the purpose of asthma medical management plan?
The purpose of asthma medical management plan is to ensure that individuals with asthma receive appropriate treatment, medication, and support in managing their condition, and to provide a standardized protocol for handling asthma emergencies.
What information must be reported on asthma medical management plan?
Asthma medical management plan must include individual's medical history, prescribed medications, dosage instructions, emergency contact information, and step-by-step action plan for managing asthma symptoms and attacks.
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