asthma action plan pdf

Asthma Action Plan PDF. An Asthma Action Plan is your instructions on how to manage your asthma and what to do if you do have a flare-up or asthma attack.

How An Action Plan Can Help You Treat Asthma And Allergic Reactions Asthma And Allergy Foundation Of America

Your asthma action plan Fill this in with your GP or nurse The step-by-step guide that helps you stay on top of your asthma Name and date.

. Date Name Next of kin Next of kins contact number Emergency contact number asthmaie MY ASTHMA MEDICINE My daily controller medication My controller inhaler is. The PDF version can be saved as a patient education. Printed by Authority of the State of Illinois. If you havent made one yet.

This Asthma Action Plan is adapted from the Asthma Action Plan created by the National Institutes of Health. By continuing to use our website you are agreeing to our privacy policy. Asthma Action Plan Name School DOB Health Care Provider Providers Phone ParentResponsible Person Parents Phone Additional Emergency Contact Contact Phone Asthma Severity see. Intermittent Mild Persistent Moderate Persistent Severe.

If you can print out a copy to take to your GP or asthma nurse. Log in to your signNow account. A range of action plans are. If you would like more information on Illinois asthma program please contact the Illinois Department of Public Health at 217-782-3300.

The colors of a traffic light will help. Severity Classification. A range of action plans are available on the website please use the one that best suits your patient. Symptoms are same or worse after 24 hours in the Yellow Zone OR Very.

Book an asthma appointment with your GP or asthma nurse. The plan is based on frequency and severity of symptoms andor results of peak flow. Asthma care involves long-term regular monitoring and a custom action plan. An Asthma Action Plan also called a management plan is a written plan that you develop with your doctor to help control your asthma The Asthma Action Plan AAP lists all medications.

In order to add an electronic signature to an asthma action plan print out follow the step-by-step instructions below. Asthma is considered a life-threatening unpredictable disease. To order more Asthma Action Plans visit the National Asthma Council website. This brochure provides an Asthma Action Plan that will help you learn the steps to self-manage your asthma so you can live a life as symptom-free as.

At the appointment talk. With the help of your health care provider use this worksheet to write down your plan to monitor your asthma. Day NightWeekend Emergency Contact. Quick relief of asthma symptoms unless your doctor has told you to do this.

To order more Asthma Action Plans visit the National Asthma Council website. This site uses cookies. Call our friendly helpline. ASTHMA ACTION PLAN Name.

Print and take this sample action plan with you to your next appointment to start a discussion. Asthma care must be personalized. It can occur anytime posing a grave threat to the patients life. Download an asthma action plan here.

Having a written Asthma Action Plan helps you self. The asthma action plan chosen should be appropriate for the persons age treatment regimen asthma severity culture language.