ASTHMA MANAGEMENT IN SCHOOL: MAXIMIZE SCHOOL NURSE AS CARE COORDINATOR
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1 ASTHMA MANAGEMENT IN SCHOOL: MAXIMIZE SCHOOL NURSE AS CARE COORDINATOR Christy Haas-Howard, MPH, RN, NCSN, AE-C Asthma Nurse Specialist Colorado Department of Education
2 Reflection
3 School Nurse Bandaids
4 School Nurse Physical Assessments
5 School Nurse Tube Feedings
6 School Nurse Respiratory Care
7 Every Student Succeeds Act States 25% of children have chronic health issues Recognizes the intersection between health and education Refers to Chronic disease management led by school nurses
8 Definition of School Nursing School nursing, a specialized practice of public health nursing, protects and promotes student health, facilitates normal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders that bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potentials. National Association of School Nurses, 2016
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10 Bridge Health Care and Education
11 Providing Care Coordination: Coming Together to Address the Problem School Nurse School Funding/Staffing Child with uncontrolled asthma Public Policy Family/ Caregiver Healthcare Provider Modified from Hollenbach JP, Cloutier MM.. J Allergy Clin Immunol 2014;134:
12 Collaborate to Design Systems School-based asthma management programs to support student success Colorado Step Up Asthma Program Building Bridges for Asthma Care Program Healthy Learner Asthma Program
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14 Five Health-Related Reasons for School Absence - Healthy Schools Campaign
15 Five School-Based Solutions for School Absence
16 School Access Disparities Related to Asthma 36,000 children and adolescents miss school each day because of asthma Asthma is a leading cause of school absenteeism from chronic illness with the highest proportions in low income students Children with asthma missed 3 times more school days and had a 2.7-fold increased risk having a learning disability compared with well children Cicutto L, Gleason M, Szefler SJ. J Allergy Clin Immunol 2014;134:
17 Every Student, Every Day: Toolkit to Address and Eliminate Chronic Absenteeism Chronic absenteeism can lead to poor educational and life outcomes for children, and it can also be an indicator of underlying social, health, or economic challenges facing children, youth, and their families and communities.
18 Asthma Straw Challenge
19 Asthma Number of children who currently have asthma: 6.3 million* Percent of children who currently have asthma: 8.6%* Approximately 69,000 students with asthma in Colorado** Statistics *Summary Health Statistics: National Health Interview Survey, 2014 **Extracted from Colorado Department of Education data
20 In School and Ready to Learn
21 History of School Based Asthma Programs in Colorado
22 Asthma counselors (patient navigators) working with school nurses and students/families with asthma Now in 4 school districts, reaching 32 school communities Developing, Implementing, and Evaluating a School-Centered Asthma Program: Step-Up Asthma Program.J Allergy Clin Immunol Pract Sep-Oct ;4(5): e1. doi: /j.jaip Epub 2016 Jun 7.
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25 Building Bridges Video
26 Healthy Learner Asthma Program
27 Asthma Program Tools-Professional development and forms Applying Best Practice Asthma Care in Schools: A standardized statewide approach Asthma intake form CSACP Inhaler technique checklist IT Workshop for School Nurses Resource Nurse Specialist support through regularly scheduled phone conferences
28 Student information At risk factors-12 mo. Currently uncontrolled asthma-4 weeks Triggers Current meds Statewide Form Colorado Department of Education
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31 Evaluation Outcomes Pre/post assessment (knowledge, skills, and confidence) by nurse Pre/post inhaler technique by nurse Evaluation
32 Health and Educational Outcomes Increase in student s asthma knowledge Measureable skill development of inhaler technique Fewer at risk factors Controlled asthma Presence of Colorado School Asthma Care Plan Decreased absenteeism due to asthma
33 Relationship building Mutual respect Listening Investment of time and resources Trust Feeling of accomplishment Actual progress Fun
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35 School-Based Asthma Management Program - SAMPRO
36 Acknowledgements Dr. Stanley Szefler, Children s Hospital Colorado Melanie Gleason, Children s Hospital Colorado Lisa Cicutto, National Jewish Health Kathy Patrick, Colorado Department of Education Donna Shocks, Denver Public Schools Lynn Jenkins-Nygren, Colorado Department of Education Susan Labonde, Colorado Department of Education Regional Nurse Specialist Team, Colorado Department of Education Colorado Step Up Asthma Program Team, Children s Hospital Colorado Building Bridges for Asthma Care Team, Multiple institutions
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