Asthma Action Plan

QualityTool

Asthma Action Plan

Description

Patients can use this template with their doctor to help manage their asthma on a daily basis and during an attack. It also includes a list of possible asthma triggers and ways to avoid them.

This action plan is divided into color-themed zones with which the health care provider can indicate specific instructions for when the patient is doing well (green), getting worse (yellow), or needs medical assistance (red). Each section lists the following types of information:

  • Signs and symptoms to help the patient determine his or her condition
  • Space for the provider to record information on:
    • Peak flow
    • Medications to be taken
    • When to seek medical care

Developer:

National Heart, Lung, and Blood Institute (U.S.)

Funding Sources:

National Institutes of Health; U.S. Department of Health and Human Services

History

Release Date: 2004
Review Date: 2007
Recent Summary: April 2009
Original Summary: December 2004
Last Updated: 07/27/09

QualityTool Classification

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