Asthma Basic for Schools Part 2. NIH

8/2/2019 Asthma Basic for Schools Part 2. NIH

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Asthma Basics for SchoolsPart 2

Presentation Overview

Asthma Goals for School Health

Infrastructure & Supportive Policies Health & Mental Health Services Asthma Education Healthy School Environment Physical Education & Activity Family & Community Involvement

Asthma Resources


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1. Infrastructure &Supportive Policies

4. HealthySchool

Environment

2. Health &Mental Health

Services

3. AsthmaEducation

6. Family &Community

Involvement

5. Physical

Education &Activity


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Goal 1: Infrastructure &

Supportive Policies

Ensure adequatestudent health

records

Ensure immediateaccess to medications

during all school

activities

Establish

emergency planfor asthma

episodes at school

Encourage policiesto allow studentsto carry and self-

administer

medications


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Goal 1: Infrastructure &Supportive Policies

Establish Emergency Planfor Asthma Episodes atSchool

Develop school-wide emergencyplans/procedures. Include: Respiratory distress treatment

protocols Procedures to access students

individualized asthma actionplans

Plan for students without an

individualized plan


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Goal 1: Infrastructure &

Supportive PoliciesEnsure immediate accessto medications at all times

Allow students to carry andself- administer their asthmamedications (per state law)

Designated secure storagelocation for medications thatare not being self-carried


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Goal 2: Health &Mental Health Services

Identify students withasthma

Monitor students asthma

Obtain and use a writtenasthma action plan for allstudents with asthma

Provide full-time nursing

services Train, supervise and

delegate to healthassistants and education

staff, as appropriate


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Goal 2: Health & Mental Health

ServicesIdentify Students with Asthma

Obtain information about asthma

diagnosis from school health forms

Review student health records

Focus particularly on students withpoorly controlled asthma.

Screening large groups of studentsfor asthma is not recommended.


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All school staff should:

Watch for symptoms of verypoorly controlled asthma

Use attendance records tomonitor absenteeism ofstudents with asthma

Use health room records to

monitor: Medication logs Asthma-related sick

visits to the health room Number of days sent

home from school due toasthma

Monitor Students Asthma


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An action plan includes:

Prescribed daily and quick-reliefmedicines

Treatment guidelines for handling

asthma episodes

Emergency contacts

List of things that make the studentsasthma worse

The plan should be:

Placed in students health record

Shared with appropriate staff

Updated annually and as needed

Obtain and use anasthma action plan for

each student withasthma


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Consider providing individual casemanagement for students withpoorly controlled asthma

Use 504 plans or IEPs forstudents with asthma, asappropriate

Facilitate links to child healthinsurance programs and providers

Establish strong links to asthmacare clinicians

Communication between thestudents asthma care clinician,

parent, and school staff is vital.


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Goal 3: Asthma Education

For students with asthma,the school nurse should:

Teach and monitor correct

inhaler techniques Teach how students can

monitor their asthma

Teach when and how to gethelp

Offer asthma educationprograms


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Goal 3:

Asthma EducationFor all students, teach

them:

about lung health what asthma is how to support

classmates with

asthma what to do if aclassmate has anasthma episode


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Goal 3: Asthma Education

For parents and guardiansof students with asthma:

Provide education andresources to help theirchildren better managetheir asthma at school and

home. Communicate anyproblems/changes you seeat school.


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Goal 3:

Asthma EducationFor faculty and staff,provide annual professional

development on: Asthma basics &

emergency response

What different staff cando to make their schoolasthma-friendly


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Goal 4: Healthy SchoolEnvironment

Adopt and enforce

tobacco-free policy that

prohibits tobacco use atall times, on all school

property, by all people,

and for all schoolactivities


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Goal 4: Healthy SchoolEnvironment

Eliminate or reduce exposure to things that makeasthma worse by using good housekeeping andmaintenance practices

Use integrated pest management techniques to control

pests

Use least toxic products available

Keep temperature and humidity atappropriate settings

Maintain HVAC systems

Dry up damp and wet areas immediately

Consider removing furred and feathered animals


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Goal 5: Physical Education& Activity

Encourage full participationwhen student is well

Allow pretreatment and/orwarm-up before physicalactivity

Ensure student access to quick-relief medication during activity

Provide modified activities asneeded


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Goal 6: Family &Community Involvement

Encourage communicationamong school, home andhealth care providers

Encourage active parent,student, and communityparticipation in school

activities

Work with local communityasthma programs


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Asthma Resources ForSchool Health

National Asthma Education and

Prevention Program (NAEPP)Website and Materials www.nhlbi.nih.gov/about/naepp/index.htm www.nhlbi.nih.gov/health/public/lung/index.htm#asthma www.nhlbi.nih.gov/health/prof/lung/index.htm

CDC School Asthma Website and Materials www.cdc.gov/HealthyYouth/asthma www.cdc.gov/HealthyYouth/asthma/publications www.cdc.gov/HealthyYouth/SHI


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Questions and Answers

Documents

Asthma Basic for Schools Part 2. NIH