The Asthma Toolkit for School Aged Children for Providers: Prevention and Management

By: Amy Cullen RN, SAPRN, Paige Gross, RN, SAPRN, Lauren McDonald, RN, SAPRN, Katie O’Donnell, RN,

SAPRN, & Lauren Walters, RN, SAPRN

Introduction

This toolkit was designed with the audience intended for use kept in mind. In today’s era of healthcare, many providers are working overtime to keep up with the demands of their daily schedules and large patient panels. The idea of taking extra time from one’s busy schedule to read many pages of information surrounding the use of a new toolkit may not seem realistic or desirable to a busy healthcare provider, thus, we have attempted to make this toolkit as user friendly and efficient as possible for the busy healthcare provider caring for school aged asthmatic patients. With high efficiency and ease and simplicity of use, it is hoped these qualities will increase provider interest for education on and implementation of this toolkit within their daily practice. The purpose of this toolkit is to provide resources for healthcare providers and school nurses that will support them in improving pediatric patients and their caregiver’s asthma self-management skills, awareness of environmental risk factors, and preventing and managing asthma attacks. With improvement in these realms, it is hoped childhood absenteeism in the Manchester, NH school system will decrease and overall quality of life for asthmatic patients and their families will be improved.

Table of Contents

Instructions on how to use toolkit

Additional resources

Asthma 5 Question Assessment

How to use Inhaler and Peak Flow Meter

Initial Survey questionnaire

Medication charts for providers

What is Asthma?

1

2

3

4

5

6

7

8 Additional resources cont.

• For the Provider:– Toolkit Instructions

• For the School:– Becoming Involved

How to Use ToolKitSchool involvement

Initial Survey

A thorough exam should be done on initial visit. Example of what initial visit should entail:

New Encounter

The Patients will then be given the same survey at 6 months, 12 months and 2 years and comparison of their scores will be made.

Assesment: Providers

Re- Evaluation

The Practitioner is to obtain initial screening on all patients with asthma before initiating the tool kit. This will provide a base line score and help indicate if the patient is benefitting from the toolkit.

Survey

21

MaineHealth

5 Question Asthma Assessment

1 The 5 Question Asthma Assessment should be used with every office visit in a patient with asthma. This will help guide the practitioner if the patients asthma is under control or changes need to be made.

5 Question Asthma Assessment

2

• Medicine Chart• Medicine Picture Chart• Inhaled Asthma Medications

Medication Charts

MaineHealth, American Lung Association

PEAK FLOW METER: FOR YOUNG CHILDREN ENCOURAGE BLOWING BUBBLES. THIS IS SAME ACTION AS PEAK FLOW, PLUS IS A FUN INTERACTION.

CHART: Peak flow chart: what should they be at Ah! Asthma and How To Use a Peak Flow Meter

English:http://www.youtube.com/watch?feature=player_embedded&v=BbONuRXJdr0

Spanish:http://www.youtube.com/watch?feature=player_embedded&v=NdFstn28hWM

Inhaler with SpacerInhaler in Mouth

1

Inhaler without Spacer

English:http://www.youtube.com/watch?feature=player_embedded&v=nmvhFSnlRGE

Spanish:http://www.youtube.com/watch?feature=player_embedded&v=31l5BZXSmRk

English:http://www.youtube.com/watch?feature=player_embedded&v=Lx_e5nXfi5w

Spanish:http://www.youtube.com/watch?feature=player_embedded&v=TFexVujeJVk

32

How To Use Inhalers

http://www.mayoclinic.com/health/asthma/MM00399

CDC, Mayo clinic, MaineHealth, Childrens Hospital and Clinics of Minnesota

• Fast Fact for Kids• You Can Control Your Asthma• Parents: Asthma Attacks• Animated Asthma Education for Kids• Have Asthma• Dusty the Goldfish- English and

Dusty The Goldfish- Spanish

What Is Asthma

United States Environmental Protection Agency 2004, NIH 2007, CDC, E-Learning for Kids

For parents:What Do You KnowEducational ResourcesSterois Use and GrowthAll About Nebulizers

For those caring for child with Asthma:Asthma Action PlanWarning Signs

For Providers:Asthma Basics

Additional Resources

1

2

3

AIM 2013, Healthcare South 2002, NHLBI 2007

• PROVIDERS:• -Asthma Point of Care 360: FREE• -STAT ASTHMA: NHLBI/ EPR 3: FREE• -iGuidelines: (Children's Mercy Hospital): FREE

• CHILDREN:• -Kids Beating Asthma: FREE• -Breathe Easy Asthma Timer: FREE• -Asthma USA: FREE• -Asthma Buddy: FREE• -AsthmaSense: FREE• -Allergy, Asthma & Sinus Center: FREE• -Propeller Health (Asthmapolis): FREE• -AsthmaTrack (1.99)• -AsthmaMD ($4.99)• -Breathe Easy Asthma Steps ($5.99)

Additional Resources: Multi-Media Applications

References

• American Lung Association. (2009) Asthma Medicines Chart. Retrieved from http://www.lung.org/lung-disease/asthma/

• Asthma Initiative of Michigan (AIM), 2013. Retrieved from www.getasthmahelp.org• CDC. (2013). Asthma. Retrieved from http://www.cdc.gov/asthma/• Elliot Hospital Health System (n.d) Asthma Assessment Questions. Manchester, NH:

Elliot Hospital.• Healthcare South. (2002). Massachusetts Asthma Action Plan. Retrieved from

www.healthcaresouth.com/pages/asthmaaction2002.pdf • MaineHealth (2013). Ah! Asthma. Retrieved from

http://www.mainehealth.org/mh_body.cfm?id=364• NHLBI Guidelines for the Diagnosis and Management of Asthma (2007). Classifying

Asthma Severity and Initiating Treatment in Youth less than 12 years of Age and Adults. Retrieved from www.nhlbi.nih.gov/guidelines/asthma/09_sec4_it_12.pdf

• National Heart Lung and Blood Institute, NIH (2007). So You Have Asthma. Retrieved from www.nhlbi.nih.gov/health/public/lung/asthma/have_asthma.pdf

• United States Environmental Protection Agency. (2004). Dusty the asthma goldfish and his asthma triggers (EPA 402-F-04-008). Retrieved from http://www.epa.gov/asthma /publications.html

THANK YOU!

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