Sample action plan for downloading and printing
Preview
transcribeTranscript
This image shows a Bronchiectasis Action Plan with 3 health status levels indicated by emoji faces:
WELL (Green, happy face):
- Sleeping well
- Eating well
SICK (Orange, sad face):
- Coughing more
- Tired
- Not eating
- More phlegm/mucous
Action: Considering reducing sports/active play if they are out of puff
Action: See your family doctor to get 2 weeks of antibiotics
VERY SICK (Orange, distressed face):
- Coughing lots
- Sore chest
- Lots of phlegm/mucous
- Out of puff/breath
- Fever
Action: Go to your nearest emergency department
Action: Consider taking a break from sports until they are well
The form includes spaces for:
- Patient name
- Physiotherapist name
- Nurse name
- PHYSIO (multiple lines)
- MEDICATIONS (multiple lines)
The bottom of the form shows logos for Auckland Asthma Respiratory Foundation and orthland District Health Board, with a website reference to bronchiectasisfoundation.co.nz.
