GP MANAGEMENT PLAN - Asthma
,Patient Details:,
- Full Name: John Smith
- Date of Birth: 12/03/1965
- Medicare Number: 1234567890
- Does the patient identify as Aboriginal or Torres Strait Islander: No
- Address: 10 Downing Street, London, SW1A 2AA
- Home Phone: 020 7946 0000
- Mobile Phone: 07700 900000
Date GPMP Completed: 01/11/2024
Date of Previous GPMP: 15/05/2023
Details of Patient's Usual GP:
- Name: Dr. Jane Doe
- Qualifications: MBBS, FRACGP
- GP's Address: 12 Harley Street, London, W1G 9PF
- GP's Phone: 020 7123 4567
- GP's Fax: 020 7123 4568
,Assessment of Patient,
Patient Identified Problems / Health Care Needs:
- Diagnosis: Asthma
- Date of Diagnosis: 10/06/2010
,Medical / Surgical History:,
Patient has a history of seasonal allergies and mild hypertension, managed with medication.
,Medications:,
- Salbutamol inhaler 100mcg, 2 puffs as needed for breathlessness
- Budesonide inhaler 200mcg, 2 puffs twice daily
- Lisinopril 10mg once daily
,Allergies:,
Patient reports allergy to penicillin, causing rash.
,Immunisation History:,
Patient is up-to-date with influenza and pneumococcal vaccinations.
,Smoking History:,
Patient is a non-smoker.
,Planned Review Date:,
01/05/2025
,GPMP Added to the Patient’s Records:,
Yes
,Copy of GPMP Offered to Patient:,
Yes
,Patient Understanding and Agreement:,
"I understand the Management Plan recommendations and agree to the outlined goals."
Patient Signature: [Patient's signature]
Date: 01/11/2024
"I have explained the steps and costs involved, and the patient has agreed to proceed with the service."
GP Signature: [GP's signature]
Date: 01/11/2024
,Current Health Need/Problem:,
Patient experiences occasional asthma exacerbations, particularly during seasonal changes. Current symptoms include mild shortness of breath and wheezing.
,Goal:,
To reduce the frequency and severity of asthma exacerbations, improve lung function, and enhance the patient's quality of life.
,Agreed Action by Health Professionals and Patient,
1. ,General,
- ,Patient's Understanding of the Condition:,
Patient understands their asthma triggers and the importance of using their inhalers correctly. They have been provided with educational materials on asthma management.
2. ,Lifestyle,
- ,Quality of Life:,
Patient reports that their asthma occasionally impacts their daily activities. The Asthma Quality of Life Questionnaire (AQLQ) will be used to monitor the impact of asthma on their quality of life.
- ,Nutrition:,
Patient is encouraged to maintain a balanced diet. Referral to a dietitian is available if needed.
- ,Physical Activity/Exercise:,
Patient is encouraged to engage in regular physical activity, such as walking or swimming, as tolerated. They are advised to use their reliever inhaler before exercise if needed.
- ,Smoking Cessation:,
Patient is a non-smoker. Advice on avoiding exposure to smoke is provided.
3. ,Biochemical,
- ,Spirometry (or other relevant tests):,
Spirometry will be performed every six months to monitor lung function. The FEV1/FVC ratio will be monitored.
4. ,Medication,
- ,Medication Review:,
Medications will be reviewed at each follow-up appointment to ensure correct usage and address any side effects. The patient is educated on the proper use of their inhalers.
- ,Immunisation:,
Patient is up-to-date with influenza and pneumococcal vaccinations.
5. ,Complications,
- ,Monitoring of Health Conditions:,
Patient is advised to monitor their symptoms and seek medical attention if symptoms worsen. They are educated on the signs of an asthma exacerbation.
6. ,Mental Health and Wellbeing,
- ,Depression, Anxiety, and Stress:,
Patient will be assessed for signs of depression, anxiety, or stress at each review. Referral to a psychologist is available if needed.
- ,Social Support and Isolation:,
Patient is encouraged to participate in social activities and support networks to reduce isolation and improve emotional well-being. Contact details for local asthma support groups are provided.
GP MANAGEMENT PLAN - [Condition Name]
,Patient Details:,
- Full Name: [Enter the patient’s full legal name as it appears on official documents.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- Date of Birth: [Enter the patient’s date of birth in the format DD/MM/YYYY.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- Medicare Number: [Enter the patient’s Medicare number.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- Does the patient identify as Aboriginal or Torres Strait Islander: [Enter "Yes" or "No" and clarify if applicable.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- Address: [Enter the patient’s full address, including street, city, and postcode.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- Home Phone: [Enter the patient’s home telephone number.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- Mobile Phone: [Enter the patient’s mobile phone number.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Date GPMP Completed: [Enter the date when the GPMP is prepared in the format DD/MM/YYYY.]
Date of Previous GPMP: [Enter the date of the previous GPMP, if applicable.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Details of Patient's Usual GP:
- Name: [Enter the full name of the patient’s usual GP.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- Qualifications: [List the GP's qualifications, including their degree and certifications.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- GP's Address: [Enter the full address of the GP's practice.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- GP's Phone: [Enter the phone number of the GP's practice.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- GP's Fax: [Enter the fax number of the GP's practice.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
,Assessment of Patient,
Patient Identified Problems / Health Care Needs:
- Diagnosis: [Enter the primary diagnosis or condition being managed.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- Date of Diagnosis: [Enter the date of diagnosis in the format DD/MM/YYYY.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
,Medical / Surgical History:,
[Provide a summary of the patient’s relevant medical or surgical history, including chronic conditions, past surgeries, hospitalizations, and prior treatments.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
,Medications:,
[List all current medications the patient is taking, including medication names, dosages, and frequencies.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
,Allergies:,
[Enter any known allergies or sensitivities the patient has. Specify whether the allergies are related to medications, foods, or other substances.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
,Immunisation History:,
[Provide a summary of the patient’s immunisation history, including relevant vaccinations and the dates of the most recent vaccinations.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
,Smoking History:,
[Document the patient’s smoking status, including pack-years if applicable, or mention if they have never smoked.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
,Planned Review Date:,
[Enter the date for the next review of the GPMP, typically at least 6 months from the completion date.]
,GPMP Added to the Patient’s Records:,
[Enter "Yes" or "No," confirming whether the GPMP has been added to the patient’s records.]
,Copy of GPMP Offered to Patient:,
[Enter "Yes" or "No," indicating whether a copy of the GPMP has been offered to the patient for their records.]
,Patient Understanding and Agreement:,
"I understand the Management Plan recommendations and agree to the outlined goals."
Patient Signature: [Enter patient’s signature, if applicable.]
Date: [Enter the date the patient signed the GPMP.]
"I have explained the steps and costs involved, and the patient has agreed to proceed with the service."
GP Signature: [Enter the GP’s signature or digital confirmation.]
Date: [Enter the date the GP signed or confirmed the plan.]
,Current Health Need/Problem:,
[Describe the patient’s current health needs or concerns, focusing on the condition being managed. Address symptom management, risk factor modifications, or treatment adherence.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
,Goal:,
[State the primary goals for managing the condition, ensuring that goals are measurable and specific. These could include reducing symptoms, preventing exacerbations, improving quality of life, or meeting clinical targets.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
,Agreed Action by Health Professionals and Patient,
1. ,General,
- ,Patient's Understanding of the Condition:,[Describe how the patient’s understanding of their diagnosis and management plan will be ensured. Mention patient education provided during consultations, the use of educational resources, and any follow-up discussions scheduled.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
2. ,Lifestyle,
- ,Quality of Life:,[Describe the tools or assessments used to measure the impact of the condition on the patient’s quality of life, such as specific questionnaires or scales.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- ,Nutrition:,[Outline the plan to ensure the patient maintains a balanced diet. Mention the focus on specific aspects like caloric intake, protein needs, or micronutrients.] [Include referrals to dietitians or nutrition specialists if applicable.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- ,Physical Activity/Exercise:,[Describe the exercise plan for the patient, focusing on improving daily activity levels. Mention any specific recommendations for types of exercises and the frequency of activity.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- ,Smoking Cessation:,[Describe the support plan for smoking cessation, including behavioral therapy, medications (e.g., nicotine replacement therapy), and available resources such as Quitline.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- ,Energy Conservation:,[Explain the energy conservation techniques the patient will be educated on, such as pacing and the use of assistive devices.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
3. ,Biochemical,
- ,Spirometry (or other relevant tests):,[Describe the role of spirometry or other relevant diagnostic tests in monitoring disease progression. Include the frequency of assessments and key measurements such as FEV1/FVC ratios.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
4. ,Medication,
- ,Medication Review:,[State the plan for reviewing the patient’s medications, ensuring proper understanding of correct usage, and addressing any side effects or issues with medication adherence.] [Include any specific changes or adjustments made to the medication regimen and how the patient will be educated on these adjustments.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- ,Immunisation:,[Confirm whether the patient is up-to-date on required vaccinations. Provide dates of the last immunisations and those due next.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
5. ,Complications,
- ,Monitoring of Health Conditions:,[State how the patient’s overall health will be monitored, including any risks associated with treatment or complications from the condition.] [Schedule necessary tests and provide guidance on maintaining overall health through diet, exercise, and lifestyle modifications.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
6. ,Mental Health and Wellbeing,
- ,Depression, Anxiety, and Stress:,[Indicate how the patient will be assessed for signs of depression, anxiety, or stress. Include any specific mental health screening tools used.] [Provide referrals for mental health support, including therapy or counseling if needed.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
- ,Social Support and Isolation:,[Encourage the patient to participate in social support networks to reduce isolation and improve emotional well-being.] [Provide contact details for local support groups or programs available.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
(For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)