Get the free Asthma Action Plan - Healthy London Partnership

Asthma Action Plan Name: DOB: Hosp. NR: Weight: on Best Peak Flow:Triggers: viral infections daily TREATMENT Preventer TreatmentRESCUE (Reliever) TREATMENT(Color BLUE)If you/your child get(s) symptoms

How to fill out asthma action plan

How to fill out asthma action plan

1. To fill out an asthma action plan, follow these steps:
2. Start by gathering all the necessary information, including the person's name, date of birth, and contact information.
3. Consult with the person's healthcare provider to understand their specific asthma management needs and any specific instructions for the action plan.
4. Divide the action plan into different sections based on the severity levels of asthma symptoms, such as green zone (well-controlled), yellow zone (caution), and red zone (medical alert).
5. Clearly articulate the signs and symptoms associated with each zone, along with the corresponding actions that should be taken.
6. Provide clear instructions on when and how to use medications, including dosage and frequency.
7. Include emergency contact information, such as the person's healthcare provider and local emergency services.
8. Consider including additional information, such as triggers to avoid, peak flow meter measurement instructions, or any special considerations based on the person's individual circumstances.
9. Review the completed action plan with the person and their caregiver, ensuring they understand its contents and how to follow it.
10. Keep a copy of the action plan in a readily accessible location, such as at home, school, or work.
11. Regularly review and update the action plan as needed, in consultation with the healthcare provider.

Who needs asthma action plan?

1. Anyone with asthma can benefit from an asthma action plan.
2. This includes:
3. - Children and adults with diagnosed asthma.
4. - Individuals experiencing asthma symptoms, even if undiagnosed.
5. - People with a history of asthma attacks or emergency room visits due to asthma.
6. - Those who require daily asthma medications or use inhalers frequently.
7. - Individuals with known triggers that can worsen asthma symptoms, such as allergies or exercise.
8. An asthma action plan helps individuals understand and manage their asthma better, ensures timely response during worsening symptoms, and improves overall asthma control.

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What is asthma action plan?

An asthma action plan is a written document that outlines how to manage asthma on a day-to-day basis and also provides guidance on what to do during an asthma attack.

Who is required to file asthma action plan?

Individuals with asthma, especially those who have frequent symptoms or severe asthma, are required to have an asthma action plan.

How to fill out asthma action plan?

Asthma action plans can be filled out with the help of a healthcare provider who can provide guidance on medication use, symptom monitoring, and emergency response steps.

What is the purpose of asthma action plan?

The purpose of an asthma action plan is to help individuals manage their asthma effectively, recognize symptoms early, and know what steps to take in case of an asthma attack.

What information must be reported on asthma action plan?

An asthma action plan typically includes information on daily medication use, symptom monitoring, peak flow readings, and emergency contact information.