Great job, with evaluating case study number 1. The first question regarding any additional questions for Rick? You may want to consider asking, if Rick has any new exposures with an animal or pet? Along with do you have any known allergies? Allergies can attribute to exacerbations.
Your asthma treatment plan focusing on pharmacological and non-pharmacologic focus intuitively patient centered as well as supporting patient autonomy. Excellent job! In your post, you mention keeping an asthma diary, which is a helpful in recognizing triggers Rick may not have known otherwise.
In regards to patient education, Rick would benefit from teach back demonstration (provider demonstrating and then patient demonstrating back) on how to use inhaler