|"What worries you most about your asthma?"
"What do you want to get done at this visit?"
"What activities does your asthma keep you from doing?"
"What do you expect from treatment?"
"What medicines have you tried?"
"Do you take your quick-relief inhaler more than two times a week?"
"Do you awaken at night with asthma symptoms more than two times a month?"
"Do you refill your quick-relief inhaler more than two times a year?"
"What other questions do you have for me today?"
Complete Asthma Control Test (ACT) at each visit.
The Rules of Two is a registered trademark of the Baylor Health Care System.
|What is asthma?
A chronic lung disease. The airways are very sensitive. They become inflamed and narrow, making breathing difficult.
Asthma treatments: two types of medicines may be needed:
- Long-term control: medicines that prevent symptoms, often by reducing inflammation
- Quick relief: Fast-acting medicine to stop attacks, making breathing easier
Bring all medicines and devices to every appointment
When to seek medical advice.
Provide appropriate telephone number.
The Asthma Control Test (ACT) is a validated objective measurement of the level of asthma control:
- A score of 20 and above is consistent with well-controlled asthma.
- A score of 16-19 is consistent with not well controlled asthma.
- A score of 15 and below is consistent with very poorly controlled asthma
|Inhaler and spacer use.
Check performance every visit (ask patient to bring medication and devices to every visit)
Self-monitoring skills that are part of an Asthma Action Plan:
Use of a simple, written Asthma Action Plan.
- Recognize intensity and requency of asthma symptoms
- Review the signs of deterioration and the need to reevaluate therapy:
-Waking at night with asthma
- Increased medicine use
- Decreased activity tolerance