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Pediatric Associates Asthma Action Plan 2016-2025 free printable template

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ASTHMA ACTION PLANPediatric AssociatesDateNameAgeProviderASTHMA SEVERITY:Intermittently PersistentModerate PersistentSevere PersistentSTABLE (CONTROLLED) No Cough or Wheeze Normal Activity No Night SymptomsMANAGEMENT (what to do)Daily Medication:START OF SYMPTOMS Cold, Cough, Mild Weeknight Cough, Tight ChestCough with ExerciseMANAGEMENT (what to do)Continue taking daily medicine Anand:If no improvement
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How to fill out Pediatric Associates Asthma Action Plan

01
Gather personal and emergency contact information.
02
Identify the child's asthma triggers and how to avoid them.
03
List the child's medications, including dosage and frequency.
04
Define the action steps for daily management of asthma.
05
Outline the symptoms that indicate worsening asthma.
06
Specify the steps to take for mild symptoms.
07
Detail the response for moderate to severe symptoms.
08
Include emergency contact numbers and steps for an asthma attack.

Who needs Pediatric Associates Asthma Action Plan?

01
Children diagnosed with asthma.
02
Parents and guardians of children with asthma.
03
Caregivers who manage the health of a child with asthma.
04
School nurses and teachers who care for students with asthma.
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Your asthma action plan will include your medicines and instructions for what to do when you are feeling well, what to do when you have asthma symptoms and what to do when your asthma symptoms are getting worse. It should include the names of your medicines, how much to take and when to take it.
An asthma action plan (or management plan) is a written plan that you create with your child's doctor to help control your child's asthma. The goal of an asthma action plan is to reduce or prevent flare-ups and emergency department visits.
Keep your child's action plan where you can see it Stick it on the fridge, or pin it to a noticeboard. Ask your child's GP or asthma nurse for a digital copy so you can save it on your phone. That way it's always easy to find when you need it.
This could include teachers, school nurses, and after school care staff. Asthma Action Plans also tell school and other caregivers about your child's asthma. This could include teachers, school nurses, and after school care staff.
Your asthma action plan should include: Factors that make your asthma worse, "asthma triggers" Medicines you take to treat your asthma with specific names of each medicine. Symptoms or peak flow measurements (if used) that indicate worsening asthma.
A written asthma action plan (WAAP) is recommended for patients with partly controlled asthma, patients with uncontrolled asthma, and patients with a history of severe asthma [4]. The physician can also discuss with their patients how to adjust medications in certain situations and when to seek early medical attention.

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The Pediatric Associates Asthma Action Plan is a personalized document that outlines how to manage a child's asthma. It includes instructions on daily management, triggers to avoid, how to recognize worsening symptoms, and steps to take in case of an asthma attack.
The Pediatric Associates Asthma Action Plan is typically filed by parents or guardians of children diagnosed with asthma, in collaboration with their healthcare provider to ensure proper management.
To fill out the Pediatric Associates Asthma Action Plan, a healthcare provider will work with the child's parents to complete specific sections such as the child's personal information, asthma triggers, daily medications, and emergency plans based on the child's individual needs.
The purpose of the Pediatric Associates Asthma Action Plan is to provide a clear and concise strategy for managing a child’s asthma, ensuring the child receives appropriate care and minimizing the risk of asthma exacerbations.
The Pediatric Associates Asthma Action Plan must include the child's name, age, medications (including dosages), known asthma triggers, peak flow meter readings, a plan for recognizing and responding to worsening symptoms, and emergency contact instructions.
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