Constantly giggling have a talent for ge7ng into trouble. Riley has an allergy to peanuts Exposure at lunch started to show symptoms on the playground

Transcription

1 Teaching Students to Manage their Life- Threatening Allergies and Asthma Sally Schoessler, MSEd, BSN, RN, AE- C Director of Educa;on Allergy & Asthma Network Meet R iley and Jake! Constantly giggling have a talent for ge7ng into trouble Riley has an allergy to peanuts Exposure at lunch started to show symptoms on the playground Riley knew what to do Jake had been taught too Because the boys knew what to do a tragic outcome didn t occur Together, we can work to What We end the needless death and Believe suffering due to asthma, allergies and related condilons. 1

2 Outreach EducaLon Advocacy Research Leading nalonal nonprofit advocalng FOR the PATIENT Founded in 1985 Grassroots organizalon Fulfill our mission by working with leading experts in the field Building palent- centered collaboralve care teams Pathophysiology, Prevalence & Impact OVERVIEW OF ALLERGIES AND ASTHMA 2

3 3/8/19 On average: 1 2 students in every classroom, in every school in our country are at risk for a life- threatening reaclon to a food allergy A Quick View of Allergy/Anaphylaxis Pathophysiology PrevenEon Goals School Nurse intervenlons in place Policies and Procedures MedicaLon Care Planning Staff Training (food label reading) Student EducaLon Emergency Care Protocols Emergency Care Plans Availability of Epinephrine Stock Epinephrine Staff Response 3

4 3/8/19 Successes Allergy Care in the School Se7ng Awareness raised Resources available Epinephrine auto- injectors Stock epinephrine Challenges Time for educalng students & staff AdministraLve buy- in Funding & resources Number of school nurses A Quick View of Asthma Pathophysiology 4

5 Bronchospasm Asthma Noisy part of asthma SensiLve airways Lghten and constrict Airflow is blocked Coughing, wheezing InflammaEon Quiet part of asthma InflammaLon and swelling Can t feel this happening Shortness of breath, restricted airflow RouEne Care Doctor s Orders Asthma AcLon Plan MedicaLons (Know what they take at home) Goals Staff Training Student EducaLon (straw demonstra;on) Asthma AcEon Plan Green Zone Yellow Zone Red Zone Families oken don t understand how to use the plan Successes Asthma Care in the School Se7ng High level of awareness Resources available School nurses are comfortable caring for students with asthma Challenges Need for Stock Albuterol Low level of understanding of how to use inhaler, nebulizer Environmental triggers bus idling 5

6 Developmental Stages, Daily Management & Empowerment SELF MANAGEMENT FOR STUDENTS Developmental Stages TheoreLcal milestones What is normal? Physical EmoLonal Social CogniLve Could add: Moral, Cultural, Spiritual Moving through developmental stages Preschool years 3 5 years: Parents provide care, helping the child to learn about his or her body and roulnes of daily life (such as carrying medicalons) 6

7 Asthma Preschool Self- Care Skills Tell parents or responsible adults when it gets hard to breathe Follow the adult s instruclons for treatment Allergies Tell parents or responsible adults when an allergic reaclon occurs Follow the adult s instruclons for treatment Moving through developmental stages Early Elementary School 6 7 years: Parents and adult care givers help the child navigate separalon from parents Asthma Early Elementary Self- Care Skills Learn to trust care givers beyond parents Learn to communicate asthma symptoms to teachers & caregivers Know where their medicalons are at home and school Allergies Learn to trust care givers beyond parents Learn to communicate allergy symptoms to teachers & caregivers Know where their medicalons are at home and school 7

8 3/8/19 Moving through developmental stages Upper Elementary School 8 11 years: Child focuses on peers and establishing friendships Parents clarify responsibililes outside of the home safety rules & social elquere Asthma Upper Elementary Self- Care Skills Recognize symptoms of asthma Know what daily and quick relief medicalons they have Independently request or use emergency medicalon appropriately Allergies Recognize symptoms of an allergic reaclon Know when to get help Independently request emergency medicalon Moving through developmental stages Middle School years: Parents provide framework for increased independence & learning life skills Discuss strategies for more complex tasks 8

9 3/8/19 Asthma Middle School Skills Develop medicalon roulne with parental supervision Carry medicalons if appropriate Seek medicalon before exercise if needed Allow for increasingly independent care wherever possible Allergies Carry medicalons if appropriate Know allergens and how to avoid them including reading food labels Learn to assess environment for safety Allow for increasingly independent care wherever possible Moving through developmental stages High School years: Students need assistance in making choices on avoiding exposures & managing symptoms Working towards independent care Asthma High School Skills Take responsibility to take medicalons Be able to idenlfy inhalers & their aclon Take the lead in managing symptoms Know when to seek help Allergies Take responsibility to avoid allergens Carry epinephrine responsibly Know when & how to administer emergency medicalon Know when to seek help 9

10 What to Have in Your Office TEACHING RESOURCES FOR SCHOOL NURSES Allergy & Asthma Network Understanding Guides Health Literacy Level - 6th grade Allergy & Asthma Network Posters 10

11 Allergy & Asthma Network Resources Free download on website: Outreach è Special PublicaLons CHEST FoundaLon & Network Younger Children's Fact Sheet ASTHMA: TAKE ACTION. TAKE CONTROL. WHAT IS ASTHMA? If you have asthma, the tubes that bring air into the tiny air passages in your lungs get too tight, which makes it hard to breathe. When you have trouble breathing, you could be having an asthma flare. TAKE ACTION Many different triggers can cause an asthma flare. You should learn about the things that make you sick so you can stop an asthma flare before it happens. YOU MIGHT... Have trouble breathing Z Z Feel squeezing in your chest TAKE CONTROL 1 Tell your doctor or caregiver when it s hard to breathe. 2 Your doctor can help you make an Asthma Action Plan so you won t have as many asthma flares. YOUR ASTHMA MIGHT BE DIFFICULT TO CONTROL IF: u u u You feel symptoms of asthma 2+ times a week Your asthma wakes you up 2+ times a month You run out of quick-relief medicine 2+ times a year 3 Feel tired Practice your action plan with your caregivers. A good asthma action plan means you should be able to do everyday activities without any problems breathing Sleeping Smoke or dirty air Allergens in the air Hard exercise Feeling very happy or very sad Z DID YOU KNOW? Walking BECAUSE OF... Have coughing or wheezing fits 4 Asthma shouldn t hold you back! If you still have trouble breathing, talk to your doctor or caregivers. To learn more about managing your asthma symptoms, visit chestnet.org/asthma and AllergyAsthmaNetwork.org/asthma Playing Outside This asthma awareness campaign is supported in part by grants from Boehringer Ingelheim and GlaxoSmithKline. Asthma.chestnet.org CHEST FoundaLon & Network Teen & Youth Fact Sheet Asthma.chestnet.org 11

12 3/8/19 Portals for Parents, Teens & Kids Portal for Educators Teacher s guides Age appropriate informalon Useful tools videos, Q & A seclons, arlcles Open Airways for Schools American Lung AssociaLon Curriculum available Co- teach InteracLve Teaches children with asthma ages 8 to 11 how to detect the warning signs of asthma, avoid their triggers and make decisions about their health What are YOUR ideas? Ideas for Teaching Individual student Individual student with parent Nurses with parents evening session Lunch Bunch Aker school Lme Newslerer arlcles Post Lps on bulleln board 12

13 Educated Students = Empowered Students = PosiEve Health Outcomes Children need to learn how to care for their chronic condilons When they do, they can self- manage & react quickly in emergencies Can have posilve outcomes like Riley! Sally Schoessler, MSEd, BSN, RN, AE- C Director of EducaLon Allergy & Asthma Network sschoessler@allergyasthmanetwork.org 13