Individualized Healthcare Plan
Medical Diagnosis:
Asthma
Brownsville ISD: Health Services
Student Name:
DOB:
School Nurse:
Date of IHP:
.
Home Campus:
NURSING DIAGNOSIS
STUDENT GOALS
PLAN OF ACTION
1. Potential for Ineffective airway
clearance associated with chronic
inflammation causing bronchoconstriction
and excessive mucus production.
1. The student will participate in
monitoring own asthma and share findings
with her parent and healthcare provider.
1. Monitor student for any of the following
signs/symptoms of asthma:
 Persistent coughing
 Clearing throat
 Difficulty breathing, talking
 Audible wheezing
 Decreased breath sounds and
wheezing by auscultation
 Flaring nostrils
 Chest retractions
 Anxiety, apprehension, panic
 Ashen color, circum-oral cyanosis
School Nurse, staff, office personnel ongoing
2. If noted, or student complains of
symptoms:
 Student will be sent to Nurse’s office
for medication administration as
ordered by health care provider.
Classroom teacher as needed.
2. The student will adhere to asthma
management plans to attain and maintain
good asthma control with minimal reliance
on quick-relief medication.
3. The student will have needed asthma
medication available and easily accessible.
4. The student will increase ability to
identify and manage environmental
triggers.
BY WHOM/WHEN
__________________________________
 Student will carry and selfadminister medication as ordered by
health care provider.
Student – if appropriate
__________________________________
4. Ensure student’s quick-relief medication
is easily and quickly available to student
and that school personnel know exactly
where student’s medication and supplies
are kept in the school.
5. If symptoms still do not improve in
_____ minutes ,
 Contact parent/guardian for
instructions
 Call 911 emergency rescue services
School nurse , other personnel as needed
EXPECTED OUTCOMES
The student made an independent
decision with the support of her family and
loved ones and is carrying out the plan
successfully.
Asthma Health Care Plan
NURSING DIAGNOSIS
2. Risk for activity intolerance related to
exacerbation of symptoms associated with
exercise-induced bronchospasm.
3. Risk for noncompliance with treatment
regimen associated with knowledge deficit
about asthma.
STUDENT GOALS
1. Student will participate fully in normal
school and day-care activities, including
sports and exercise.
1. The student will increase their
understanding of the link between
adherence to the asthma management
plan and a decreased risk of long-term
harm to airways.
2. The student will increase their
awareness of factors that both promote
and interfere with compliance with asthma
treatment and strategies to help manage
barriers to compliance.
PLAN OF ACTION
BY WHOM/WHEN
1. Assist teachers to plan for
accommodations as needed including:
 Use of inhaler and warm-up
activities before exercise
 Adapting PE activities during asthma
episodes, during recovery from
exacerbations, or upper respiratory
tract infections, on days when
allergens are severe, or for adverse
weather considerations (e.g.
extremely cold or windy days)
 Making up school work missed
during exacerbations.
1. Educate student about asthma and self
management and about importance of
adherence to asthma management plans
to avoid exacerbations and possible longterm harm to airways.
School Nurse, staff, office personnel ongoing
2. Assist student to identify motivators for
self-care activities and factors that might
interfere with compliance (e.g. side effects
of medication, peer pressure).
School Nurse/Counselor – ongoing
Classroom teacher as needed.
EXPECTED OUTCOMES
Student participates in developing a plan
for asthma care at school, including the
use of inhaler before exercise (if ordered),
adapting physical education activities due
to exacerbations, upper respiratory
infections, severe allergy days, weather;
field trips; and making up school work due
to asthma episodes.
Student actively participates in physical
activities at school, with modifications
made as needed.
School Nurse
Student will demonstrate a good
attendance pattern.
Student identifies at least 3 factors that
foster compliance with asthma self-care
plans.
Student identifies 3 factors that might
interfere with compliance with asthma
self-care plans.