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Questionnaire for Parents Guardians of a Child with Asthma

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Revised 09/2012 LMS 10. I authorize SLC staff to administer the medication as specified to Parent Name Asthma Action Plan Doctor s Name and Number Mild Intermittent Category of Severity Check one Mild Persistent Moderate Persistent Severe Persistent Green Zone Action Steps CONTROLLED No symptoms. Please rate the severity of his/her asthma circle one Not severe 1 2 3 4 5 Severe 3. What triggers asthma in your child Things that cause wheezing Check all that apply Weather cold windy rain Illness F ...

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What is the asthma Foundation asthma Score?

An ACQ score 1.5 indicates poorly controlled asthma. A change in ACQ score of 0.5 is considered the minimal clinically important difference. The Asthma Score is a questionnaire-based tool that can be used to standardise the review of asthma symptoms.

What is ACQ 7 score for asthma?

The ACQ score ranges between 0 (well controlled) and 6 (extremely poorly controlled). Recent studies show that a score of 1.5 or more on the 7-item Asthma Control Questionnaire (ACQ) indicates that a patient has inadequate asthma control.

What is the asthma control questionnaire?

Type of questionnaire-description. A simple questionnaire to measure the adequacy of asthma control and change in asthma control which occurs either spontaneously or as a result of treatment. Number of items. 7 items; 1 week recall (for items on symptoms and rescue inhaler use) Asthma Control Questionnaire (ACQ) - American Thoracic Society thoracic.org assemblies srn questionaires thoracic.org assemblies srn questionaires

What are the ACQ 5 questions?

Q3) In general, during the past week, how limited were you in your activities because of your asthma? Q4) In general, during the past week, how much shortness of breath did you experience because of your asthma? Q5) In general, during the past week, how much of the time did you wheeze? Asthma Control Questionnaire 5 (ACQ-5) | U-Breathe u-breathe.ca wp-content uploads 2020/05 u-breathe.ca wp-content uploads 2020/05

What are the key questions you should ask at an asthma review?

When was your asthma diagnosed? In the last month, have you had any difficulty sleeping because of your asthma symptoms (including cough)? In the last month, have you had your usual asthma symptoms during the day? (cough, wheeze, chest tightness or breathlessness)? How often do you use your blue inhaler? Asthma Annual Review Questionnaire - The Tardis Surgery tardissurgery.co.uk SecureForm tardissurgery.co.uk SecureForm

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What is an asthma ACT score?

A patient self-administred tool for identifying those with poorly controlled asthma. The scores range from 5 (poor control of asthma) to 25 (complete control of asthma), with higher scores reflecting greater asthma control. An ACT score 19 indicates well-controlled asthma.

What is the validated questionnaire for asthma?

ACQ. The ACQ is a questionnaire that consists of six questions on a scale from 0 to 6 of symptoms. The questions are about limitations due to asthma and symptoms in the past week. A lower score corresponds with better asthma control.

What is the standard questionnaire for asthma?

The Asthma Quality of Life Questionnaire (AQLQ) is a 32-point questionnaire covering four domains; symptoms, activity limitation, emotional function, and environmental exposure (Juniper et al. Questionnaires - Severe Asthma Toolkit severeasthma.org.au diagnosis-assessment severeasthma.org.au diagnosis-assessment

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