Get Asthma Action Plan Ages 0 11 Years Department Of Public

This guide provides clear instructions for users on how to effectively complete the asthma action plan for children aged 0 to 11 years. The plan helps manage asthma symptoms and medication, ensuring proper care for young users.

Follow the steps to properly fill out the asthma action plan.

1. Click ‘Get Form’ button to access the asthma action plan and open it in your selected editing tool.
2. Begin by filling in the patient’s name and birth date in the designated fields. This information is crucial for identifying the individual receiving care.
3. Enter the parent or guardian's contact phone numbers to ensure communication is easy and accessible in case of emergencies.
4. Fill in the provider's phone and fax numbers, or include a stamp if available, for seamless communication regarding the asthma care.
5. Identify the things that trigger your child's asthma by checking the appropriate boxes. Be sure to include any other identified triggers in the 'other' section.
6. Select the severity classification of your child's asthma by checking the most accurate option: severe persistent, moderate persistent, mild persistent, or intermittent.
7. In the 'Go – you’re doing well!' section, check off the assessments that apply, indicating that your child is currently managing their asthma symptoms effectively.
8. List the controller medicine and provide clear directions on how and when to take it to help prevent asthma symptoms.
9. If exercise triggers asthma symptoms, specify what medication to administer during those times.
10. In the caution section, note any early warning signs your child may be experiencing to initiate early management.
11. For the rescue medicine section, enter the appropriate medication and follow the directions provided for use.
12. Complete the sections under 'Danger – get help!' to list medications to use in emergencies, including specific actions to take based on your child's condition.
13. Ensure that appointments with healthcare providers are scheduled as indicated for ongoing management and care.
14. If your child is capable, indicate whether they can self-administer their medication, and ensure proper authorization is supplied.
15. Both parent/guardian and provider signatures are required; ensure these are completed before finalizing the document.
16. Once all information is filled out, review for accuracy, save the document, and choose to download, print, or share as needed.

Complete the asthma action plan online today to ensure effective management for your child.