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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Goal 2: Health &Mental Health Services
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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Goal 2: Health &Mental Health Services
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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Goal 2: Health &Mental Health Services
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
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