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Our print resources are also available to download for free.
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Asthma Action Plans & Symptom Diaries
Child Asthma Action Plans and Child Asthma Symptom Diaries
The Child Asthma Action Plan is a self-management plan for prescribers and health professionals to complete and give to child patients and their parents/caregivers. It includes how to use a spacer, how to clean an inhaler, and actions to take for different stages of asthma – from well, worse to worried. The Child Symptom Diary is for prescribers and health professionals to give to their child patients and their parents/caregivers and is used in conjunction with the Child Asthma Action Plan. This helps parents/caregivers of children with asthma to change the child’s treatment as symptoms change, as shown in the Child Asthma Action Plan.
Child Asthma Action Plan (English)
Child Asthma Action Plan (Te Reo Māori)
Child Asthma Symptom Diary (English)
Child Asthma Symptom Diary (Te Reo Māori)
Adolescent and Adult Asthma Action Plans
Asthma Action Plans may be based on symptoms with or without peak flow measurements. They comprise of either 3 or 4 stages depending on patient and health professionals preference. In the 4 stage plan there is an extra step giving patients the option of increasing the dose of ICS (inhaled corticosteriod). The AIR plan is used only with the single ICS/LABA Maintenance and reliever therapy.
3 Stage Asthma Action Plans (English) (Fillable PDF)
3 Stage Asthma Action Plan (Te Reo Māori)
3 Stage Asthma Action Plan (Samoan)
3 Stage Asthma Action Plan (Simplified Chinese)
3 Stage Asthma Action Plan (Tongan) (Fillable PDF)
4 Stage Asthma Action Plan (English) (Fillable PDF)
4 Stage Asthma Action Plan (Te Reo Māori)
4 Stage Asthma Action Plan (Samoan)
4 Stage Asthma Action Plan (Simplified Chinese)
AIR Asthma Action Plan (English) (Fillable PDF)
AIR Asthma Action Plan (Te Reo Māori)
AIR Asthma Action Plan (Samoan)
AIR Asthma Action Plan (Tongan)
AIR Asthma Action Plan (Simplified Chinese)
COPD Action Plans
The COPD Action Plan is for prescribers and health professionals to complete together with their patients and whanau. It contains actions to take for different levels of symptoms of COPD from ‘normal for me’, ‘I’m unwell’, ‘I’m very unwell’ to ‘emergency’. This action plan contains a breathlessness plan (to be used alongside the more comprehensive Breathlessness Strategies for COPD in Additional Resources below), as well as space to personalise the plan for oxygen and flow rate, and instructions for using a spacer
COPD Action Plan (English) (Fillable PDF)
COPD Action Plan (Te Reo Māori) (Fillable PDF)
COPD Action Plan (Simplified Chinese)
COPD Action Plan (Tongan) (Fillable PDF)
Bronchiectasis Action Plan (adult)
This self-management plan is for adults with bronchiectasis and is to be completed by healthcare practitioners, together with their patients. It helps patients to recognise their symptoms and what to do to manage them by following a simple step-wise ‘traffic light’ action plan.
The Bronchiectasis Action Plan also contains breathing exercises for sputum clearance, a sputum colour chart, a breathlessness and tiredness level score, tips for managing your breathlessness, and additional tips for staying well.
Digital/Fillable Templates
These digital templates are designed to be saved to the healthcare practitioner's computer desktop, then personalised during the patient consultation. The completed action plan can be saved to a patient's medical records and flagged for regular review.
This 'digital' version can be emailed securely to patients/parents/carers via Manage My Health, then easily shared with other family members, school, work, sports coaches etc.
These resources are available in a number of translations.
3 Stage Asthma Action Plans (English) (Fillable PDF)
3 Stage Asthma Action Plan (Tongan) (Fillable PDF)
4 Stage Asthma Action Plan (English) (Fillable PDF)
4 Stage Asthma Action Plan (Tongan) (Fillable PDF)
AIR Asthma Action Plan (English) (Fillable PDF)
Bronchiectasis Action Plan (English) (Fillable PDF) NEW RELEASE
COPD Action Plan (English) (Fillable PDF)
COPD Action Plan (Te Reo Māori) (Fillable PDF)
Child Asthma Action Plan (English) (Fillable PDF)
Child Asthma Action Plan (Te Reo Māori) (Fillable PDF)
Child Asthma Action Plan (Samoan) (Fillable PDF)
Child Asthma Action Plan (Tongan) (Fillable PDF)
Child Asthma Symptom Diary (English) (Fillable PDF)
Child Asthma Symptom Diary (Te Reo Māori) (Fillable PDF)
Guidelines and Quick Reference Guides
The purpose of the Asthma and Respiratory Foundation Guidelines and Quick Reference Guides is to provide simple, practical and evidence-based recommendations for the diagnosis, assessment and management of asthma or COPD in a quick reference format.
Additional Resources
Don’t Get Sucked In (A3 Posters - All options)
Asthma First Aid Poster - 12 years & over (A3 - Te Reo Māori)
Asthma First Aid Poster - 12 years & over (A3 - English)
Asthma First Aid for Children at School Poster (A3 English)
Summer Holiday Asthma and Allergies Checklist
Breathlessness Quick Reference (English)
Breathlessness Quick Reference (Māori)
Breathlessness Strategies for COPD
