Adult Checklist

Pediatric Checklist

The PACNJ Asthma Visit Checklist is a one-page two-sided
form to document asthma assessment and monitoring
at each patient visit.

National Heart, Lung. And Blood Institute National Asthma
Control Initiative, a Program of the National Institutes of Health
,
offers resources for health care professionals to reinforce the
implementation of the National Asthma Education and Prevention
Program’s (NAEPP) latest Guidelines for the Diagnosis and
Management of Asthma (EPR-3)
.

The EPR-3’s companion Guidelines Implementation Panel (GIP)
Report: Partners Putting Guidelines into Action
prioritized six
clinical practice recommendations:

  • Use inhaled corticosteroids to control asthma.
  • Use written asthma action plans to guide patient self-management.
  • Assess asthma severity at the first visit to determine initial treatment.
  • Assess and monitor asthma control at each follow-up visit and adjust treatment if needed.
  • Schedule follow-up visits at periodic intervals.
  • Control exposure to allergens and irritants that worsen the patient’s asthma.

The PACNJ Asthma Visit Checklists can help you
in the goal of asthma control for your patients with asthma.