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An Asthma Action Plan is a written, individualized worksheet that shows you the steps to take to keep your asthma from getting worse. It also provides guidance on when to call your …

(Example of action plan template for budesonide/formoterol. A similar action plan could be constructed for other ICS/formoterol formulations, eg, mometasone/formoterol) My SMART …

Everyone with asthma should have an Asthma Action Plan in writing. This plan provides information and instructions on how you can manage your asthma. It includes: If you do not …

My SMART Asthma Action Plan Traffic light colors can help you use your asthma medicine. Patient: MRN: Doctor: Date: Green Zone—Doing Well! Prevent asthma symptoms every day …

Work with your care provider to complete your asthma action plan. Keep a hard copy at home and keep a digital copy on your phone. Give a copy to a family member. Personal best peak flow: …

asthma medicine(s) and monitoring your breathing. Make sure to bring all your medicines and devices to each visit with your primary care provider or pharmacist to check for correct use, or …

Asthma care involves long-term, regular monitoring and a custom action plan. With the help of your health care provider, use this worksheet to write down your plan to monitor your asthma …

HOW TO USE THE ASTHMA ACTION PLAN: Top copy (for patient): Enter specific medication information and review the instructions with the patient and/or family. Educate patient and/or …

The following are examples of written asthma action plans that can be used for development of written asthma action plans with people with asthma. For an electronic fillable asthma action …

FOR EXTREME TROUBLE BREATHING/SHORTNESS OF BREATH GET IMMEDIATE HELP! CALL your doctor NOW. GO to the hospital/emergency department or CALL for an ambulance …

The following links show two examples of asthma action plans. One is in a leaflet format and the other is a pocket guide which you can carry with you. NHS Lothian Asthma Action Plan [pdf]

An asthma action plan is an individualized, step-by-step document you create with your doctor that will help you understand how to best treat your asthma symptoms before they get worse. …

Assess asthma control at every visit by self-administered standardized test or verbal history. Perform spirometry at baseline and at least every 1 to 2 years for patients >5 years of age. …

Jan 7, 2025 · The action plan would include the treatment that the patient is taking for his asthma such as the type of medication he takes and the frequency he observes in taking them, a plan …

This Asthma Action Plan is adapted from the Asthma Action Plan created by the National Institutes of Health. •Symptoms are same or worse after 24 hours in the Yellow Zone OR •Very …

Jul 31, 2024 · Asthma Action Plans are battle plans written by pulmonologists, allergists, and other related healthcare practitioners to help asthmatics combat the severity of their asthma!

order to keep asthma well controlled and to intervene when needed to regain control. Physicians, Nurse Practitioners, Physician Assistants, Nurses and Medical Assistants complete Asthma …

Call 911 or go to the nearest emergency room and bring this form with you! I give permission to the doctor, nurse, health plan, and other health care providers to share information about my …

Mar 10, 2025 · 1. Performance Improvement Action Plan. A performance improvement action plan is designed for employees who are experiencing difficulty meeting job expectations. This plan …