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This document is a personal asthma action plan to help individuals manage their asthma. It contains sections to fill out personal information, medications, and guidelines for managing asthma symptoms
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How to fill out my asthma action plan
How to fill out My Asthma Action Plan
01
Obtain a copy of the My Asthma Action Plan template from a healthcare provider or download it online.
02
Fill in your personal information at the top, including your name, date of birth, and contact details.
03
Identify and list your asthma triggers in the designated section.
04
Record your medications, including dosages and the frequency of use.
05
Note your symptoms and peak flow meter personal best readings.
06
Set up an action plan for daily management, including routine medication schedules.
07
Define what to do in case of worsening symptoms or an asthma attack – this includes urgent actions to take.
08
Ensure to keep the plan accessible and share it with family, friends, or caregivers.
09
Review and update the plan regularly or as directed by your healthcare provider.
Who needs My Asthma Action Plan?
01
Individuals diagnosed with asthma.
02
Parents or guardians of children with asthma.
03
Caregivers or guardians involved in managing asthma care.
04
Teachers or school personnel responsible for students with asthma.
05
Anyone involved in the healthcare or support of someone with asthma.
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What is My Asthma Action Plan?
My Asthma Action Plan is a written plan developed by a healthcare provider that outlines specific instructions for managing asthma symptoms, medications, and action steps to take in case of worsening symptoms or an asthma attack.
Who is required to file My Asthma Action Plan?
Individuals diagnosed with asthma, their parents or guardians (in the case of minors), and healthcare providers involved in their care are responsible for filling out and maintaining My Asthma Action Plan.
How to fill out My Asthma Action Plan?
To fill out My Asthma Action Plan, individuals should consult with their healthcare provider to include personal asthma triggers, medications, daily management strategies, and emergency contact information. It's essential to clearly indicate how to recognize worsening symptoms and the appropriate actions to take.
What is the purpose of My Asthma Action Plan?
The purpose of My Asthma Action Plan is to provide individuals with a clear and structured approach to manage their asthma effectively, helping to reduce the risk of severe symptoms and enhancing overall control of the condition.
What information must be reported on My Asthma Action Plan?
My Asthma Action Plan must include personal asthma triggers, a list of medications (including dosage and frequency), instructions on how to use inhalers or nebulizers, personal best peak flow measurements, an action plan for responding to worsening symptoms, and emergency contact information.
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