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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Urgent Care

Advisor

Dr. Tom Colletti

Abstract

ABSTRACT

Purpose: This research examines the use of Asthma Action Plans (AAPs) in pediatric patients. First, to define what an AAP is and why it should be used in the management of pediatric asthmatic patients. Next, to examine different types of AAPs such as Written Asthma Action Plans (WAAPs) or Electronic Asthma Action Plans (EAAPs) and determine which format is most effective. The correct use of AAPs depends on prescriber adherence and patient compliance. Limitations to both providers and patients decreases effective use of AAPs. The barriers that prevent AAPs from being used are examined and solutions for better use are proposed.

Methods: An advanced PubMed literature search was conducted using the terms “asthma action plan” AND “pediatrics.” Filters of “within five years” and “full text” were also used. The relevant articles to the topic were used as the basis for this research paper.

Results: AAPs are recommended for use in pediatric asthmatic patients. Research and new ideas are being conducted and developed to assist in greater education for pediatric asthmatic patients. This includes proper understanding and correct use of an individualized AAP. The use of technology allows providers to create AAPs faster with a hope that utilization will continue to increase. School and community-based asthma management appear to improve the use of AAPs and increase asthma control. In addition, the use of pharmacists and other medical professionals to assist providers in creating AAPs and providing asthma education is another promising concept that is being developed. Correct use of AAPs is an imperative step to mitigate the negative effects of asthma.

Conclusion: The use of AAPs decreases morbidity and mortality in pediatric asthmatic patients. To increase utilization of AAPs, barriers to patients and providers must be decreased. To increase patient access and education, school and community-based asthma management is being developed. AAPs are now recommended to be given to patients even in emergency medicine settings. The use of an EAAP that is developed through an electronic medical record (EMR) is a time saving device. Different healthcare providers, such as pharmacists and nurses, can aid in asthma education. Overall, there are several developing factors to increase the efficient and effective use of AAPs. This is important and promising research for proper asthma control.

Keywords: Asthma, Asthma Action Plans, Written Asthma Action Plans, Electronic Asthma Action Plans, Pictorial Asthma Action Plans (PAAP), Asthma Passport

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