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Asthma care plan for education and care servicesPhoto of student (optional)CONFIDENTIAL: Staff are trained in asthma first aid (see overleaf) and can provide routine asthma medication as authorized
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How to fill out asthma care plan for

01
To fill out an asthma care plan, follow these steps:
02
Start by writing down the patient's personal information, including their name, age, and contact details.
03
Specify the patient's asthma triggers, such as pollen, smoke, or exercise.
04
Outline the patient's asthma symptoms, including coughing, wheezing, shortness of breath, and chest tightness.
05
Include the names and doses of the medications the patient needs to take for asthma control, such as rescue inhalers or daily preventive medications.
06
Indicate the frequency and timing of medication administration.
07
Include emergency contact information, including the name and phone number of the patient's primary care physician and any other emergency contacts.
08
Add any additional instructions or notes from the healthcare provider, such as specific actions to take during an asthma attack or recommendations for avoiding triggers.
09
Make sure to review the completed care plan with the patient and their family to ensure understanding and compliance.
10
Remember to update the asthma care plan as needed, especially if there are any changes in the patient's condition or medication regimen.

Who needs asthma care plan for?

01
An asthma care plan is needed for individuals who have been diagnosed with asthma or have a history of asthma symptoms.
02
This includes children and adults who experience recurrent wheezing, coughing, shortness of breath, or chest tightness.
03
Asthma care plans are particularly important for individuals with moderate to severe asthma, as these individuals may require daily medication and have a higher risk of asthma attacks.
04
Furthermore, individuals with asthma who have had previous emergency room visits or hospitalizations due to asthma should have a care plan in place to better manage their condition and prevent future exacerbations.
05
It is also beneficial for schools, childcare centers, and other institutions to have a copy of the asthma care plan for children with asthma to ensure proper management and emergency response, if needed.
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Asthma care plan is for helping individuals manage their asthma symptoms and treatment effectively.
Individuals diagnosed with asthma or parents/guardians of children with asthma are required to file asthma care plans.
Asthma care plans can be filled out by healthcare providers, with input from the individual or their parents/guardians.
The purpose of asthma care plans is to provide guidance on managing asthma symptoms, medications, triggers, and emergency actions.
Asthma care plans should include medication details, trigger avoidance strategies, symptoms monitoring instructions, and emergency contact information.
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