Name asthma action plan, for children 6 years or older. Create an asthma action plan american lung association. Using a written asthma action plan makes it easier for you to measure whether your asthma is under control and it lets you know exactly what. Cdc resources chronic obstructive pulmonary disease copd. Management of asthma in children and adults objective the objective of this clinical practice guideline cpg is to provide evidencebased practice recommendations for the treatment of asthma. An asthma action plan is an important tool to share with caregivers of children with asthma, including daycare providers, schools and aftercare programs. Once you are diagnosed with asthma, it is very important that you work closely with your hcp to control your asthma. Connect with us 1200 first street, ne, washington, dc 20002 phone. This plan is an update to the second state asthma plan, released in 2011, and is considered to.
This asthma treatment plan is meant to assist, not replace, the clinical decisionmaking equir d to m individual patient needs. Connecticut department of health asthma action plans in pdf and word formats. Be aware of your asthma triggers and avoid them when possible. Take your longterm controller medicine every day and use your quickrelief rescue medicine as directed by your doctor. An asthma action plan is a tool to help selfmanage asthma and is developed with the patient, caregiver and doctor. Please complete attached asthma action plan from american lung association, or submit a current plan already on file in physician office. Asthma is the leading cause of longterm illness in children. The information contained in this document is for educational use only. The american lung associations asthma basics course is a free onehour interactive online learning module designed to help people learn more about asthma. This child has the knowledge and skills to selfadminister quickrelief medicine at school or daycare with approval of the school nurse. In 2015, the american lung association received a competitive award from the centers for disease control and preventions cdc national center for environmental health to track asthma guidelinesbased care in state medicaid programs for the 23 cdcfunded national asthma control program states.
Asthma and allergy foundation of america aafa home. This plan helps guide your selfmanagement decisions with the goal of preventing and controlling your asthma attacks. American lung association asthma action plan printable pdf. Ucare minnesotas asthma action program 24hour nurse line. You can also talk about your action plan with a certified asthma educator or certified respiratory educator, a healthcare professional with special training in asthma management. Guidelines for the diagnosis and management of asthma. If student stays in red zone, begin emergency plan. The washington asthma initiative and the washington state department of health support the plan. American lung associationnationwide 18005864872 toll free. The colors of a traffic light will help you use your asthma medicines. It should not be used as a substitute for professional medical advice, diagnosis or treatment. Asthma action plan mild intermittent mild persistent moderate persistent severe persistent colds exercise animals other 1. Create an asthma management plan american lung association an asthma action plan is a written, individualized worksheet that shows you the.
Perform spirometry at baseline and at least every 1 to 2 years for patients 5 years of age. Please complete attached asthma action plan from american. I should continue using my normal medications as directed by my doctor, and remeasure my peak flow every weeks months. The cpg discusses categories of asthma, the importance of an asthma action plan, common triggers and core symptoms, and behavioral health implications. American lung association asthma clinical research centers.
You and your hcp will write an action plan that you will follow to treat your symptoms and improve your breathing. Lung health foundation helping ontarians breathe easier. Select your location to view local american lung association events and news near you. May 01, 2009 guidelines for the diagnosis and management of asthma. Cough, wheeze, chest tightness, or shortness of breath, or. Many people with asthma are allergic to the dried droppings and remains of cockroaches. Asthma is a chronic condition affecting your lungs that can be controlled, but that can cause death if not kept under control.
Asthma basics offered by the american lung association, this is a free onehour interactive online learning module for frontline healthcare professionals like school nurses, chws and others who want to learn about asthma. Copd and asthma american academy of family physicians. Asthma action plan unitedhealthcare community plan. This test will provide a score that may help your doctor determine if your childs asthma treatment plan is working or if it might be time for a change. Assess asthma control at every visit by selfadministered standardized test or verbal history. 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. The pediatricadult asthma coalition of new jersey is sponsored by the american lung association of the midatlantic.
Asthma is a chronic disease that is episodic, meaning that it can come and go. With asthma, the inside wall of the tubes airways that carry air in and out of the lungs become swollen. Study of asthma and nasal steroids stan u01 hl08946401a2 dixon and u01 hl0089510101a2 wise version 2. You can also talk about your action plan with a certified asthma educator or certified respiratory educator, a healthcare professional with special training in. The american lung association s asthma basics course is a free onehour interactive online learning module designed to help people learn more about asthma. The sampro tm advocates four components to integrate schools, and specifically school nurses, within the asthma care team. Medication administration website resources links are current as of february, 2020 administering medication at school. View, download and print american lung association asthma action plan pdf template or form online. The american lung association of the mid atla ntic alama, he pediatrica dult asthma.
Perform skin or blood allergy tests for all patients with persistent asthma. The regional asthma management and preventionramp has asthma action plans in english, spanish, chinese and vietnamese. Asthma and allergy foundation of america 1235 south clark street suite 305, arlington, va 22202 phone. Take your longterm control medicine even when you dont have symptoms. Asthma action plan, for children 6 years or older, continued doctor doctors phone number. Decide who should have a copy of your plan and where he or she should keep it. Asthma action plan association of clinicians for the. Pacnj asthma treatment plan the pediatric adult asthma. Asthma action plan for adults american lung association. The course links to resources including an overview of medication devices and demonstration videos. The plan reflects input from many members of the copd community, including patients, caregivers, health care. Asthma action plan america breathing easier pdfpdf 1.
Patientcentered asthma care minnesota department of health. 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. Maintaining good daytoday asthma control is the key to keeping symptoms at bay and preventing asthma attacks. The american lung association s asthma basics program is offered as a selfpaced online learning module or an inperson workshop and designed to help people learn more about asthma. Trouble walkingtalking due to shortness of breath 3. Asthma action plan national heart, lung, and blood institute. Person is hunched over person is struggling to breathe chest and neck muscles pull in with breathing 2.
Peak flow measurement is a quick test to measure air flowing out of the lungs. It is one of the most common longterm diseases of children, but many adults have it, too. Children with asthma have swollen inflammation, sensitive airways that lead to episodes of trouble breathing. An asthma action plan is a personalized worksheet that lays out the steps you should take if an attack gets work. The american lung association does not endorse any specific commercial product. Asthma action plan adapted from the american lung association. May 31, 2019 an asthma action plan is a tool to help selfmanage asthma and is developed with the patient, caregiver and doctor. The good news is that you can find support to help.
My asthma action plan name date doctor doctors phone number symptoms my breathing is normal. You can learn more about asthma action plans pdf icon pdf 7 kb external icon from the national heart, lung, and blood institute. Download the printable school asthma action plan pdf. American lung association asthma guidelinesbased care.
Every person with asthma needs to have a personalized asthma action plan. The lung health foundation is dedicated to ending gaps in the prevention, diagnosis, and care of lung disease in canada. Allergens animal dander some people are allergic to the flakes of skin or dried saliva from animals with fur or feathers. About the asthma plan this updated version of the washington state asthma plan reflects the current landscape of asthma care and management in washington. The american lung association recommends that the providers select this action for all patients. 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. The american lung association of the midatlantic alama, the. A written asthma action plan encourages selfmanagement of asthma.
Cdc collaborated with the national institutes of health and other federal agencies to develop the copd national action plan a patientcentered road map for addressing copd, one of the most urgent health concerns facing americans. The program is ideal for frontline healthcare professionals, such as school nurses or community health workers, as. This course is ideal for frontline healthcare professionals, such as school nurses or community health workers, as well as individuals with asthma, parents of children with asthma, and co. We invest in the future by driving groundbreaking research, and we give patients and their families the programs and support they need today. Contact physician if using quick relief more than 2 times per week. Cdcs asthma action plan includes print, electronic, and computer based plans in english and spanish. If student improves to yellow zone, send student to doctor or contact doctor. Childhood asthma control test for children 4 to 11 years old. Date hospitalemergency department phone number green zone doing well no cough, wheeze, chest tightness, or shortness of breath during the day or night can do usual activities and, if a peak flow meter is used, peak flow. Symptoms of asthma include wheezing, shortness of breath, chest pain and tightness and coughing. Sit down with your doctor to develop an asthma action planand follow it.
Mayo clinic tobacco quitline 18886425566 toll free medication tips. 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. The american lung associations asthma action plan is available in different font sizes in english and spanish. If you have asthma, work with your healthcare provider to create a plan with instructions for early treatment of your asthma symptoms.
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