This care plan should be reevaluated at least annually and more often if necessary to help control the patients changing condition. Make sure children take their medicines as their health care providers suggest. Services as meeting the requirements of the new jersey law. Create an asthma action plan american lung association. In addition to summarizing the burden of asthma, the plan provides goals, objectives, action steps and measures for success. Symptoms are same or worse after 24 hours in the yellow zone or very short of breath or quickrelief asthma medicines have not helped or cannot do usual activities work, play peak flow meter if used. Asthma action plan english georgia department of public. While there is no cure for asthma, it can be managed by working with a healthcare provider to develop a plan to avoid asthma triggers and use medication properly. Electronic, fillable pdf versions of asthma action plans. The zones correspond to the colors of a traffic light. Georgia school nurse news georgia department of education. The goal of asthma selfmanagement is to achieve better health through controlling and preventing asthma attacks.
An asthma action plan is an important tool to share with caregivers of children with asthma, including daycare providers, schools and aftercare programs. Every person with asthma needs to have a personalized asthma action plan. For more information contact the asthma society of canada at. Apr, 2020 minnesota department of healths interactive asthma action plan is a computerbased program that uses information entered by the healthcare provider to create a personalized plan for each patient. It can help you make quick decisions in case you are not able to think clearly during an attack. Gibson and powell confirmed that using a written asthma action plan improves health outcomes for persons with asthma. The good news is that you can find support to help. Peak flow meter as applicable including peak flow zones g. If your child doesnt have an asthma action plan, talk to his doctor about getting one. An asthma action plan is a written plan that tells you what asthma medicine to take every day and how to treat an asthma attack. A critical aspect of the diagnosis and management of asthma is the precise. Our library includes some of the many different written asthma action plans available. Asthma is a chronic disease that is episodic, meaning that it can come and go.
By 2018 educate at lease 500 providers on naepp guidelines. Green zone doing well breathing is good no coughing, wheezing, chest tightness, or shortness of breath during the day or night, and able to do usual activities work, play, and exercise, and peak flow is more than. Perform skin or blood allergy tests for all patients with persistent asthma. In addition to the academy and dhmhs recommendation for using the asthma action plan, a study published in thorax by drs. My asthma action plan childrens healthcare of atlanta. Asthma action plan everyone with asthma should have a written asthma action plan. Allergens animal dander some people are allergic to the flakes of skin or dried saliva from animals with fur or feathers. For students to carry their inhaler in school, your health care provider must check off approval at the bottom of the pacnj asthma treatment plan. Electronic, fillable pdf versions of asthma action plans click below to open forms. Asthma action plan for older children childrens healthcare of atlanta. The georgia asthma control program carries out statewide activities to implement the 20202024 strategic plan for addressing asthma in georgia, the coordinated federal action plan to reduce racial and ethnic asthma disparities, and national asthma control programs goals.
A copy of the plan should be with your childs school, day care center, babysitter, coach, grandparent and anyone else that helps take care of your child. Asthma treatment plan student parent instructions the pacnj asthma treatment plan is designed to help everyone understand the steps necessary for the individual student to achieve the goal of controlled asthma. If you would like more information on illinois asthma program, please contact the illinois department of public health at 2177823300. The pacnj asthma treatment plan is the only written plan. If you have asthma, work with your healthcare provider to create a plan with instructions for early treatment of your asthma symptoms. This brochure provides an asthma action plan that will help you learn the steps to selfmanage your asthma so you can live a life as symptomfree as possible. Asthma action plan national heart, lung, and blood institute. Illinois department of public health asthma action plan. How to use an asthma action plan develop your plan. Perform spirometry at baseline and at least every 1 to 2 years for patients 5 years of age. By 2018 increase the number of children ever receiving and asthma action plan from providers 43% to 50%. Asthma in georgia asthma is a chronic lung disease that affects an estimated 16. Improve coverage and reimbursement for comprehensive asthma care. Connect with us 1200 first street, ne, washington, dc 20002 phone.
Plan to stay for observation at the emergency room for at least 4 hours. The 20202024 strategic plan to address asthma in georgia has outlined. I should continue using my normal medications as directed by my doctor, and remeasure my peak flow every weeks months. An asthma action plan allows you and your healthcare provider to create a personalized program for managing your asthma. Promote and increase of national asthma education and prevention program naepp a.
Fill it in with your doctor so you can answer these questions. If you do not have an asthma action plan, download and print this form. These tools for asthma control were created following the evidencebased guidelines. Work with your doctor to make an asthma action plan for you or your child. Asthma is getting worse cough, wheeze, chest tightness, or shortness of breath, or waking at night due to asthma, or can do some, but not all, usual activitiesorpeak flow. Asthma action plans national asthma council australia. The aim of an asthma action plan is to help the person with asthma andor their carer take early action to prevent or reduce the severity of an asthma attack. The asthma action plan includes information related to treatment regimes and patient selfmanagement. Floridas state asthma plan the florida asthma plan 20092014 is a fiveyear strategic plan that will serve as the detailed blueprint for addressing asthma in florida. Asthma action plan for georgia coastal health district. A list of the persons triggers and how to avoid them, instructions for taking asthma medicine, information on what to do during an asthma episode, instructions on when to call a doctor, and. Decrease asthma related emergency department visits, hospitalizations and deaths. Cobb county school district 514 glover street marietta, ga. You can find the georgia department of public healths recommended asthma action plan online at s.
An action plan is based on zones that are defined by your symptoms, your peak flow, or both. For children with multiple food allergies, consider providing separate action plans for different foods. Symptoms are same or worse after 24 hours in the yellow zone or very short of breath or quickrelief asthma medicines have not helped or cannot. My asthma action plan name date doctor doctors phone number symptoms my breathing is normal.
Take this to your doctor here is your asthma action plan. Your action plan tells you what to do when you are in each zone. Patient education action plan all patients with asthma should have a written asthma action plan that incorporates all aspects of their asthma care. If i am not back in the green zone within one hour, then i should. Your asthma action plan fill this in with your gp or nurse the stepbystep guide that helps you stay on top of your asthma name and date. It has sections for information about medicines, how to know when your symptoms get worse and what to do in an emergency. It will help them understand how to recognize and handle an asthma attack. Use the schoolaged asthma action plan, asthma action plan for home and school that includes language for schoolaged children to selfcarry their asthma inhaler in school.
Asthma and allergy materials for patients and caregivers. This asthma action plan is adapted from the asthma action plan created by the national institutes of health. Assess asthma control at every visit by selfadministered standardized test or verbal history. To download straight to your computer, right click and choose save target as. A team approach, which includes the member, pcp, a certified asthma educator, and a pulmonary specialist when appropriate is the ideal delivery model for the effective and. Immediate action is required when the abovenamed student exh ibits any of the following signs of an asthma attack. Asthmafriendly childcare centers department of public health. If you or your child has asthma that requires daily treatment, it is important to have an asthma action plan. Medication checklist adapted from the authorization of emergency treatment form developed by the mount sinai school of medicine. You can use it as a strategy to identify when your asthma may be flaring up and how to manage your asthma when it gets out of control.
The asthma action plan chosen should be appropriate for the persons age, treatment regimen, asthma severity, culture, language, literacy level, and ability to selfmanage. Asthma action plan english georgia department of public health. May need pretreatment before exercise or strenuous activity. My asthma action plan times per day every day take only noas needed see below starting in yellow zone or before excercise times per day every day times per day every day 2 puffs 46 puffs 1 nebulizer treatment gargle or rinse mouth after use special instructions when i am doing well be careful ask for help asthma triggers check all that. Strategic plan for addressing asthma in georgia 202018. A written asthma action plan encourages selfmanagement of asthma. This plan has information and instructions on how to manage your asthma. An example of an asthma action plan is attached to this clinical practice guideline. The georgia asthma program is also seeking a vendor to facilitate the. The georgia asthma program seeks grantees prepared to lead the georgia asthma program in the development of a strategic plan to clarify its mission, identify the priorities, and set strategic goals and objectives to address the burden of asthma in georgia. All members with asthma should have a written asthma action plan, evaluated at least annually, which incorporates all aspects of their asthma care. Repetitive cough shortness of breath chest tightness wheezingretractions inability to speak in sentences. Pacnj asthma treatment plan the pediatric adult asthma. The asthma action plan will be written by a respiratory therapist as part of the education plan.
Pdf asthma action plancpg version with self management tips. The asthma action plan may be based on symptoms andor peak expiratory flow pef measurements and is individualised according to the pattern of the persons asthma. In an effort to reduce the burden of asthma among children, adults and families, the work of the georgia asthma control program gacp is guided by program objectives featured below. Green zone doing well breathing is good no coughing, wheezing, chest tightness, or shortness of breath during the day or night, and able to do usual activities work, play, and exercise, and peak flow is. Doing well no cough, wheeze, chest tightness, or shortness of breath during the day or night. Asthma action plans also tell school and other caregivers about your childs asthma. Asthma management in schools childrens healthcare of atlanta. Before taking this form to your health care provider, complete the top left section with. Many people with asthma are allergic to the dried droppings and remains of cockroaches. Strategic plan for addressing asthma in georgia 202018 6.
Asthma action plan library national asthma council australia. A sample symptomsbased asthma action plan developed by georgia asthma control. Work with parent or childs doctor to create an asthma action plan, and share this plan with your childs school nurse. Call our friendly helpline nurses mondayfriday, 9am5pm 0300 222 5800.684 1014 487 312 947 995 1294 1321 381 471 612 1066 148 1039 1411 1547 1622 564 1154 1393 1303 35 1155 1160 1191 1111 705 593 254 1066 93 514 147 1486 1131 1552 1660 939 314 980 939 531 914 1472 764 605 1198 1370 938 935