References

Asthma UK. The Great Asthma Divide. 2019. https://www.asthma.org.uk/support-us/campaigns/publications/survey/ (accessed 16 February 2021)

British Thoracic Society and Scottish Intercollegiate Guidelines Network. SIGN158 British guideline on the management of asthma. 2019. https://www.sign.ac.uk/media/1773/sign158-updated.pdf (accessed 16 February 2021)

Foot H, La Caze A, Gujral G, Cottrell N. The necessity-concerns framework predicts adherence to medication in multiple illness conditions: A meta-analysis. Patient Educ Couns. 2016; 99:(5)706-717 https://doi.org/10.1016/j.pec.2015.11.004

Personal Asthma Action Plans (PAAP) and Self-management Plans. (undated) NHS Education for Scotland. http://www.knowledge.scot.nhs.uk/media/CLT/ResourceUploads/4086431/paapslides.pdf (accessed 16 February 2021)

National Institute for Health and Care Excellence. Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence. 2009. https://www.nice.org.uk/guidance/cg76/chapter/introduction (accessed 16 February 2021)

NHS England. Guidance for GMS contract 2020/21 in England. 2020. https://www.england.nhs.uk/gp/investment/gp-contract/ (accessed 16 February 2021)

Primary Care Respiratory Society. Video: How to complete a personalised asthma action plan. 2019. https://respiratoryacademy.co.uk/resources/how-to-complete-a-personalised-asthma-action-plan-clin/ (accessed 16 February 2021)

Royal College of Physicians. Why asthma still kills. The National Review of Asthma Deaths (NRAD). 2014. https://www.rcplondon.ac.uk/projects/outputs/why-asthma-still-kills (accessed 16 February 2021)

Understanding personal asthma action plans

02 March 2021
7 min read
Volume 32 · Issue 3

Abstract

Personal asthma action plans are an essential tool to keep people with asthma as well as possible. Heather Henry explains the role of the practice nurse in developing them

Personal asthma action plans (PAAPs) are written plans that help people with asthma to self-care and keep themselves as well as possible. PAAPs are usually developed in partnership with the patient or carer in primary care. PAAPs aim to ensure that people with asthma know how to manage their asthma and when to seek help if their condition deteriorates. To manage their asthma adequately at home, patients will need regular education about what asthma is, an understanding of their triggers, how their medications work and managing their devices. The practice nurse can play a key role in developing the PAAP, monitoring asthma control, and subsequently modifying the PAAP if necessary to maintain control of the condition.

Personal asthma action plans (PAAPs) are written plans that explain to the patient the actions to take to manage their asthma. They are an essential tool to keep children, young people and adults with asthma as well as possible. They enable self-care and help parents of younger children to support their child at home. It is also useful for PAAPs to be shared with schools and other family members who may share childcare responsibilities, so they are aware of how to support a child.

PAAPs are normally developed in partnership with the patient or carer in primary care or, occasionally, in the case of more severe asthma, in partnership with a specialist asthma team. It is important that general practice nurses value PAAPs and use them as a tool within consultations to help with education and understanding.

The National Review of Asthma Deaths (NRAD) (Royal College of Physicians, 2014) investigated the clinical records of 195 adults and children who died of asthma between February 2012 and January 2013. One of the many findings was that the patients' understanding of how to manage their asthma and when to seek help was extremely poor. For example, 45% of patients died without seeking medical assistance or before emergency assistance arrived. The knowledge and expertise of health professionals was also poor, with only 23% of the people who died having been given a PAAP.

Register now to continue reading

Thank you for visiting Practice Nursing and reading some of our peer-reviewed resources for general practice nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month