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IntroductionThis essay is about Jo a nine year old girl who brought in emergencydepartment by her mother early in the morning because of exacerbation ofher asthma After medications and nursing care Jo is feeling better andready to discharge It is important to have current asthma action planAAP for Jo and her family before discharge from hospital In thisessay I am going to discuss the importance of developing current asthmaaction plan and the factors which I need to consider when I would bedeveloping asthma action plan for Jo and her family Jo reported thatshe does not like to use her Ventolin inhaler at school because one ofthe boys in her class tease her when she takes inhaler and it makes herfeel like she is different from other students So in this essay I amgoing to critically reflect on the impact of this bullying behaviour onJos health status and what kind of education I can provide to Jo andher family to reduce the impact of Jos asthma on her daily lifeImportance of asthma action plansBorgmeyer and her colleagues 2005 p24 defined asthma action plans asan individualized written care plan developed by individuals healthcare provider which provide instructions for how to respond to bothchronic and emergency situation of asthma according to patient signs andsymptoms and personal triggers AAPs should be developed by the personwith asthma their carer and together with their doctor Individual hospital emergency departments issue a temporary action planwhich is different than community based asthma action plan in terms ofemergency treatment In case of acute exacerbation of asthma inhospital if the child is above 6 years 12 puffs of salbutamol shouldbe given every 20 minutes for one hours whereas in community Fourpuffs reliever one puff at a time with four breaths after each puffWait four minutes and then repeat Temporary AAP is valid up to 2 weeksafter discharge Patient and carer should see patients generalpractitioner GP within two weeks to develop a new asthma action
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