Impact on the Provision of Pre-school Wheeze Action Plan on the Quality of Care in Children less than 6 years old with Wheezing

INTERVENTION: Children who are less than 6 years old who present with wheezing to the Emergency Department, or admitted to Children’s ward or Paediatric Short Stay Unit, will be recruited by medical or nursing staff. Each child will then be randomly assigned to provision of either Asthma Action Plan (AAP) or Pre‐school Wheeze Action Plan (PSWAP). Discharge instructions will be given according to the action plan each child has been assigned to. The discharging medical or nursing staff will then answer a 5‐minute questionnaire to determine satisfaction and ease of discharge instructions. The family of each child will be contacted at 2 weeks, 6 weeks, and then 3 months via telephone to answer a 5‐minute questionnaire to determine parent satisfaction & understanding of their child’s condition in relation to the action plan, as well as adherence to the action plan. CONDITION: Asthma Preschool wheeze Viral induced wheeze PRIMARY OUTCOME: Patient satisfication with using the written plan for administering salbutamol for wheeze symptoms assessed via telephone questionaire at 2 weeks, 6 weeks and 3 months following enrollment in study. ; ; Questionaires were designed specifically for this study. Patient understanding in administering treatment for wheeze symptoms assessed via telephone questionaire at 2 weeks, 6 weeks and 3 months following enrollment in the study. ; ; Questionaires were designed specifically for this study. ; ; The rates of hospital presentation for symptoms of wheeze based on parental reports of presentation SECONDARY OUTCOME: Administration of oral steroids based on parental reporting through telephone questionaire at 2 weeks, 6 weeks and 3 months following enrollment in the study. ; ; Questionaires were designed specifically for this study. Medical or nursing staff satisfaction of providing education for wheeze symptoms by questionaire post administering plan and education. ; ; Questionaire was designed specifically for this study. INCLUSION CRITERIA: Children less than 6 years of age Presents with primary complaint of wheezing Present to The Northern Hospital Emergency Department, Paediatric Short Stay Unit, or Children’s Ward.