"Is Advair Dangerous?"
http://asthmaallergieschildren.com/2015/05/25/is-advair-dangerous/


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Tweeted by @chadhayesmd

"Breathing Better: The Parent's Guide to Asthma Management"
http://www.chadhayesmd.com/breathing-better-the-parents-guide-to-asthma-management/

http://www.thoracic.org/patients/patient-resources/resources/asthma.pdf


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JACI study shows inhalers may not protect

asthmatic children from pollution

Long-term, randomized, placebo controlled study examines lung function and metropolitan air pollutants

http://www.aaaai.org/about-the-aaaai/newsroom/news-releases/asthma-pollution.aspx#.VaXVBy_yGoQ.twitter

Quote"From a public health standpoint, this means that controller medications should not be assumed to be sufficient as a preventative measure on days with high pollution levels. Better policy for pollution control is necessary and children who have asthma should continue avoiding outdoor activities on days of high pollution levels," co-author Paul V. Williams, MD, FAAAAI and a director of ASTHMA, Inc. Clinical Research Center said.

Asthma Symptoms in Kids
https://www.care.com/a/asthma-symptoms-in-kids-20150515112118



Follow this Asthma Blog!
http://www.longwoodpeds.com/post/follow-this-asthma-blog/

Taking Asthma Care to School

http://www.k12.wa.us/healthservices/pubdocs/AsthmaManual.pdf

Tweeted by @AllergyKidsDoc

QuoteLove this study/approach! Telephone coaches improve children's #asthma treatment medx.cc/335179665 Many parents need ongoing support

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"Telephone coaches improve children's asthma treatment"
http://medicalxpress.com/news/2014-11-children-asthma-treatment.html

QuoteA novel program at Washington University School of Medicine suggests that peer trainers who coach parents over the phone on managing their children's asthma can sharply reduce the number of days the kids experience symptoms.

Tweeted by @Aller_MD

"Seeking the best information for controlling asthma"
http://www.medicalnewstoday.com/releases/285124.php?utm_content=buffer1bee9&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer

&


"GINA Report, Global Strategy for Asthma Management and Prevention"
http://ivancevichmd.blogspot.com/2015/05/gina-report-global-strategy-for-asthma.html

http://www.ginasthma.org/local/uploads/files/GINA_Report_2015.pdf

http://aaaai.execinc.com/videos/conditions-and-treatments/Asthma-Videos/what-are-asthma-and-anaphylaxis-action-plans.asp

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"Preventing Asthma Episodes and Controlling Your Asthma"
http://www.aafa.org/page/asthma-prevention.aspx

QuoteFor people with asthma, having an asthma management plan is the best way to prevent symptoms. An asthma management plan is something developed by you and your doctor to help you control your asthma, instead of your asthma controlling you.

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Tweeted by @AllergyKidsDoc

"Asthma Care - Tools4U"
http://www.nationwidechildrens.org/asthmacare

Do Written Asthma Action Plans Improve Outcomes?
John M. Kelso, MD
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851179/pdf/ped.2016.0634.pdf


I'd be interested in seeing some allergists/pulmos comment on this.  From a patient perspective, my opinion is that all asthma patients should be given an asthma action plan. 

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PUBLIC RELEASE: 13-MAY-2016
Is a written asthma action plan for children necessary?
MARY ANN LIEBERT, INC./GENETIC ENGINEERING NEWS
http://www.eurekalert.org/pub_releases/2016-05/mali-iaw051316.php

QuoteJohn M. Kelso, MD, Scripps Clinic (San Diego, CA), states that an asthma action plan is essentially the same for all children--use albuterol for symptoms and call if it is not helping--and can be conveyed orally to parents and caregivers in the home and school settings.

  My dd has been managed by many docs over the years & I can say with certainty that the plans have not been the same.  For instance, she currently has 3 different inhalers with very specific use instructions (1 is an additional controller to be added in yellow zone) ... she has a pill ... she has related GERD instructions ... she has pretreat before exercise instruction ... symptom severity explanation and instructions ... little things like rinsing the mouth after meds & the doc and I used shared decision making to add food allergy instructions in the asthma plan comment section to address the risk of anaphylaxis being mistaken for asthma.  My plan is unique & customized to my dd ... there is no way that I would not want this written out in a formal plan.  My dh & other caregivers are not usually with me at appointments to receive asthma education ... having a written plan lets me bring them up to speed very quickly.

When dd was 1st diagnosed and was not yet managed by a pulmo, I was not given a plan ... yet I basically wrote one out for myself in my sloppy handwriting after listening to the doc ... the asthma education given to me at that time, I do not think, was so good & we had lots of urgent care / ER visits.

For school, our asthma plan has doc approval that dd is able & allowed to self-carry and self-admin her asthma meds ... I'd have to verify, but I believe that state law comes into play regarding this issue requiring a doc's signature.

Oh my gosh, this issue is so complicated ... I hope that docs don't stop giving their patients asthma action plans.



ETA - So many things to consider ...

Patients are given so many papers at doc appointments.  Were they just handed the plan ... or was it stressed that they should put it somewhere like the fridge where it can be seen every day, put a copy in your purse, etc ... was it stressed that this plan was important?  There are so many plan formats ... some might work better than others ... I think, this would have to be studied in depth before making the suggestion to ditch asthma plans altogether.  You know I have a thing for forms ... it would be my pleasure to help design better asthma plans that would better meet patient needs ... just sayin.



------------------------------------------



"A Low-Literacy Asthma Action Plan to Improve Provider Asthma Counseling: A Randomized Study"
H. Shonna Yin, Ruchi S. Gupta, Suzy Tomopoulos, Alan L. Mendelsohn, Maureen Egan, Linda van Schaick, Michael S. Wolf, Dayana C. Sanchez, Christopher Warren, Karen Encalada, Benard P. Dreyer
http://pediatrics.aappublications.org/content/early/2015/11/30/peds.2015-0468

QuoteProviders who used the low-literacy plan were more likely to use times of day (eg, Flovent morning and night, 96.7% vs 51.7%, P < .001; odds ratio [OR] = 27.5; 95% confidence interval [CI], 6.1–123.4), recommend spacer use (eg, Albuterol, 83.6% vs 43.1%, P < .001; OR = 6.7; 95% CI, 2.9–15.8), address need for daily medications when sick (93.4% vs 34.5%, P < .001; OR = 27.1; 95% CI, 8.6–85.4), use explicit symptoms (eg, "ribs show when breathing," 54.1% vs 3.4%, P < .001; OR = 33.0; 95% CI, 7.4–147.5).

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Re: Standard Protocol for "Asthma Action Plans"

&

Re: Standard Protocol for "Asthma Action Plans"

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The 'vicious cycle' of personalised asthma action plan implementation in primary care: a qualitative study of patients and health professionals' views
http://bmcfampract.biomedcentral.com/articles/10.1186/s12875-015-0352-4

QuoteProfessionals infrequently review/update PAAPs with patients; patients with out-dated PAAPs do not value or use these; professionals observing patients' lack of interest in PAAPs do not discuss these. Patients observing this do not refer to their plans and perceive them to be of little value in asthma self-management.

QuoteBreaking this vicious cycle to create a healthcare context more conducive to PAAP implementation requires a whole systems approach with multi-faceted interventions addressing patient, professional and organisational barriers.

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http://www.cdc.gov/asthma/actionplan.html

QuoteAll people with asthma should have an asthma action plan. An asthma action plan (also called a management plan) is a written plan that you develop with your doctor to help control your asthma.

http://700childrens.nationwidechildrens.org/autumn-asthma-attacks/

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Tweeted by @Allergy
"Asthma Action Plan Improves Outcomes"
http://tinyurl.com/kukqr5q

&

"Top Asthma Articles for January 2015"
http://tinyurl.com/kl5cen7


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"Was the Doctor Right About Your Child's Asthma Diagnosis?"
http://health.usnews.com/health-news/patient-advice/articles/2016-05-19/was-the-doctor-right-about-your-childs-asthma-diagnosis

QuoteOne confounding factor in getting it right is that there's no gold standard for diagnosing asthma, says Dr. Elizabeth Matsui, a professor of pediatrics at the Johns Hopkins University School of Medicine, who chairs the American Academy of Pediatric's Section on Allergy and Immunology. "There's no blood test that tells you, this is asthma," adds Dr. Erwin Gelfand, chair of pediatrics at National Jewish Health in Denver.

@DrVes

"Only 15% of YouTube videos for asthma education discussed all steps of correct inhaler use"
http://allergynotes.blogspot.com/2014/10/only-15-of-youtube-videos-for-asthma.html?utm_content=buffer1561d&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer

Tweeted by @AllergyEducator

"Solving the mystery of why colds cause asthma attacks"
http://www.medicalnewstoday.com/articles/283337.php