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Marion’s plan

Agreed with Dr Sandhu on 12 July. This is written in your words where we could manage it.

Next review · SeptemberShared with · you, Dr Sandhu, respiratory nurse
  1. Me
    Take the brown inhaler every morning, whether or not I feel breathless.

    Started 12 July. Doing this most days.

  2. Practice
    Send Marion a text when the September blood test is due.

    Scheduled for 8 September.

  3. Me
    Write down anything that makes the breathlessness worse.

    A note on the phone is fine. Bring it to the September appointment.

  4. Practice
    Refer Marion to pulmonary rehabilitation.

    Waiting list is about 10 weeks. We will write when a place comes up.

  5. Not yet
    Decide whether to change the preventer inhaler.

    We agreed to leave this until we see the September results.

If things get worse

  1. Use the blue inhaler and sit upright. Wait ten minutes.
  2. If it does not settle, take the rescue steroids in the kitchen drawer and call the practice.
  3. If you cannot finish a sentence, call 999. Do not wait to see if it passes.