Transcription of Asthma Control Test (ACT) is
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All ofthe time2 More thanonce a day24 or morenights a week23 or moretimes per day2 Not controlled at all11111 Most ofthe timeOnce a day 2 or 3 nightsa week1 or 2 timesper dayPoorlycontrolled2 Some ofthe time3 to 6 timesa weekOnce a week2 or 3 timesper weekSomewhatcontrolled33333A little ofthe timeOnce or twicea weekOnce or twiceOnce a weekor less Wellcontrolled44444 None of the timeNot at allNot at allNot at allCompletelycontrolledTOTALSCORE555552. During the past 4 weeks, how often have you had shortness of breath?3. During the past 4 weeks, how often did your Asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?4. During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?5. How would you rate your Asthma Control during the past 4 weeks?1. In the past 4 weeks, how much of the time did your Asthma keep you from getting as much done at work, school or at home?
Include the ACT score in your patient’s chart to track asthma control. References: 1. US Department of Health and Human Services, National Institutes of Health, National Heart, Lung and Blood Institute. Expert Panel Report 3: Guidelines for the Diagnosis and
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