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FIGURE 23a. EMERGENCY DEPARTMENT ASTHMA DISCHARGE PLAN EMERGENCY DEPARTMENT ASTHMA DISCHARGE PLAN Name: was seen by Dr. on / / Take your prescribed medications as directed do not delay! —term treatment
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How to fill out emergency departmentasthma discharge plan

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How to Fill Out an Emergency Department Asthma Discharge Plan:

01
Obtain the necessary forms: Ask the healthcare provider or hospital staff for the official emergency department asthma discharge plan form. It may also be available online for download.
02
Gather personal information: Fill in your personal details such as your name, date of birth, address, and contact information. This is important for identification purposes and for future communication.
03
Provide medical history: Include any relevant medical history, including previous asthma attacks, hospitalizations, medications currently being taken, and any known allergies. This will help healthcare professionals understand your asthma management needs better.
04
Document current medications: List all medication you are currently taking for asthma, including inhalers, oral medications, and any other prescribed medications. Specify the dosage, frequency, and how each medication is administered.
05
Specify emergency contacts: Provide contact information for at least two emergency contacts who can be reached in case of an asthma emergency. Include their names, phone numbers, and their relationship to you.
06
Outline asthma triggers and symptoms: Detail your known asthma triggers, such as dust, pollen, or exercise, and describe the symptoms you experience during an asthma attack. This will help healthcare providers identify potential triggers and develop the appropriate treatment plan.
07
Discuss the asthma action plan: If you have an established asthma action plan, include a copy of it in the discharge plan. This document outlines specific steps to be taken during different asthma scenarios and may prove valuable for emergency medical personnel.

Who Needs an Emergency Department Asthma Discharge Plan?

01
Individuals with asthma: Anyone who experiences asthma symptoms, has a history of asthma attacks, or has been diagnosed with asthma may need an emergency department asthma discharge plan. This plan ensures proper management of asthma symptoms during a hospital visit and provides the necessary information for appropriate follow-up care.
02
Patients recently discharged from the emergency department: Patients who have visited the emergency department for an asthma-related issue should have an asthma discharge plan. This plan helps to outline further care instructions and helps prevent future exacerbations.
03
Caregivers, family members, or close contacts: Individuals responsible for the care of someone with asthma, such as parents, spouses, or close family members, should also be familiar with and have access to the emergency department asthma discharge plan. This allows them to provide appropriate support and follow the prescribed actions in case of an asthma emergency.
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Emergency departmentasthma discharge plan is a plan created for patients who have been treated for asthma in the emergency department, outlining the follow-up care and instructions for managing their condition.
The healthcare provider or hospital staff who treated the patient for asthma in the emergency department is required to file the discharge plan.
The plan should be filled out with details of the patient's treatment, medication instructions, follow-up appointments, and any other recommendations for managing asthma.
The purpose of the plan is to ensure that the patient receives proper care and follow-up after being treated for asthma in the emergency department, ultimately improving their health outcomes.
Information such as treatment received, medication prescribed, follow-up instructions, and contact information for healthcare providers must be included in the discharge plan.
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