FARE's new Food Allergy Action Plan

[MandCmama]

My first is that I do not like it. I don't care for the graphics- they seem too distracting. OTOH, I do like the inclusion of instructions for Auvi-q. I'd add a link here, but I'm at work and such feats aren't possible

[twinturbo]

Links put it downpage somewhere I'm too lazy to link to. I'm unsure how to use it for MFA considering not all allergens are an automatic epi. Egg would be wait and see even for known ingestion. Peanut, that would be epi even if you think he might have eaten a trace amount.

[lakeswimr]

I think I like it.  It isn't our plan, though.  Our plan calls for the epi for anything other than localized hives with known or suspected ingestion.  I have failed to epi sometimes in situations the new plan would call for watch and wait or Benadryl and those symptoms seem more moderate to my non-MD self.  I like how it treats GI symptoms, unlike the old plan that didn't treat GI seriously enough IMO. 

[LinksEtc]

Links put it downpage somewhere I'm too lazy to link to.

Emergency Action Plan from the Food Allergy and Anaphylaxis Network

[lakeswimr]

I'm looking at it more and I think it could be a bit confusing with the check boxes at the top but I think that is the only way to make it work for all possible plans regarding giving the epi with known ingestion, etc.

[LinksEtc]

http://foodallergybitch.blogspot.com/2013/08/new-food-allergy-action-plan-from.html

[my3guys]

http://www.foodallergy.org/document.doc?id=234

They've changed it again since I printed the forms at the beginning of the school year.  Thoughts?

[Macabre]

How did they change it?

[my3guys]

The forms I sent to school at the end of August had slightly different wording of options when to give epi and different descriptions of symptoms.  They've now added pictures for body symptoms and I think further simplified when to give epi.

[LinksEtc]

I'm unsure how to use it for MFA considering not all allergens are an automatic epi. Egg would be wait and see even for known ingestion. Peanut, that would be epi even if you think he might have eaten a trace amount.

They could solve this issue pretty easily .... Have something like this up top, above those boxes ...


"Allergy to: ________________________"


"Give epinephrine for ANY symptoms if the following allergen(s) was/were likely eaten (extremely reactive): _____________________________________________"


"Give epinephrine BEFORE symptoms if the following allergen(s) was/were definitely eaten (extremely reactive): ___________________________________________"



*****************************

I love making forms better.  I would love to be part of a team that develops allergy/asthma forms for real.

[LinksEtc]

Another thing I wish they'd change ....

On items like this:

Throat
tight, hoarse, trouble breathing/swallowing

add an "or" in there

Throat
tight, hoarse, or trouble breathing/swallowing

[LinksEtc]

It doesn't make sense to me for them to have this wording

Or a comination of mild or severe symptoms from different body areas.

inside of the "severe symptoms box" if they really want us to look at mild symptoms also.

[CMdeux]

I'm unsure how to use it for MFA considering not all allergens are an automatic epi. Egg would be wait and see even for known ingestion. Peanut, that would be epi even if you think he might have eaten a trace amount.

They could solve this issue pretty easily .... Have something like this up top, above those boxes ...


"Allergy to: ________________________"


"Give epinephrine for ANY symptoms if the following allergen(s) was/were likely eaten (extremely reactive): _____________________________________________"


"Give epinephrine BEFORE symptoms if the following allergen(s) was/were definitely eaten (extremely reactive): ___________________________________________"



*****************************

I love making forms better.  I would love to be part of a team that develops allergy/asthma forms for real.

This most closely resembles the old-old-OLD forms from FAAN.

I know, because I still have one of those somewhere-- I remember going over it with Nancy Ott in about 2000.

[LinksEtc]

Hmmm ... that was before dd was born so I'm not familiar with that form.

I wonder why they changed it.  It just seems there needs to be a place to write in the relevant allergens for those with MFA of different severities.

[CMdeux]

I think it was to streamline it for caregivers.  I do remember that it was confusing for daycare providers.  Different rules for different allergens, different rules for different symptoms, etc.

  Unfortunately, this is a decision tree that can only BE simplified just so much before it becomes too overgeneralized to use for some people.