Three intervention John can use to make the school district “asthma friendly” include providing asthma education, providing environmental pollution safety for school, and promoting collaboration between schools and families about asthma prevention. First, John should start with asthma education to encourage parents of children with asthma to seek health care providers for developing an asthma management plan. Second, he should encourage parents not to smoke inside their homes and school staff should not smoke in school grounds. He should also recommend schools for yearly pest control, banned smoking around the school properties and school bus, and promote a clean air system inside each school by controlling moistures to reduce mold and using fans and/or opening window to help the airflow. Third, he should recommend collaboration between school staff and parents about asthma preventions. …show more content…
Parents and school staff should know some basic asthma interventions to reduce asthma problems, such as vacuuming classrooms and house daily, keeping bedding covers clean, improving ventilation to reduce dust mites, and keeping classrooms and house dry to reduce
A 10 year old boy presents with his mother to the Emergency Room in respiratory distress. The mother reports he developed nasal congestion and sore throat 24 hours prior, then a cough a few hours previously. Over the past 2 hours he has complained of chest pain and has been breathing rapidly. His mother administered a unit dose of albuterol via the nebulizer and then a second dose 5 minutes later. He showed no signs of improvement. She reports he has had two similar episodes in the past year. Your examination reveals an afebrile child with a respiratory rate of 40 breaths/minute, oxygen saturation of 88% by pulse oximetry, and a heart rate of 130 beats/min. You note that his radial pulse becomes weak in amplitude with inspiration. His blood pressure is normal but his capillary refill is sluggish at 6 seconds. He appears drowsy and is using accessory chest muscles to breathe. You hear faint inspiratory wheezes and no breath sounds during expiration.
Chris reported that his asthma is under control and his school has his asthma action plan.
One health promotion on asthma is being able to create an asthma friendly home. I would suggest to the parents to following things: low-pile carpeting on staircase, fresh filtered air ventilation system, moisture-removing fans, HEPA filter vacuum, and walk-off doormats
The MDI may be placed in the mouth with the lips sealed around it, placed 1 to 2 inches away from the opened mouth, or attached to a spacer or holding chamber with the end of the device placed in the mouth and the lips sealed around it.
This case-study shows that many factors like wood smoke, soot, exhaust, cockroaches, herbicides and pesticides, farm crops and animals ultimately increase the risk of childhood asthma. The number of siblings were not shown to be a significant risk factor, but attendance at a day care before the age of four months was shown to increase the child’s risk of asthma. In my opinion, I see all of the factors that were used in this study as being very common and obvious risks to increasing asthma. I have had asthma my whole life and most of those factors affect how I breathe. In saying that, I believe at early exposure to certain things will also affect how the children’s breathing and increase the risk of
At various stages of asthma, preventative measures can be used to control or alleviate the symptoms associated with this disease. Education is an important component to every intervention phase, particularly in primary prevention, because the patient is encouraged to be proactive with their personal health in order to avoid and control the triggers. Prescribed medication, such as an inhaler, and an action plan that is individualized to the specific care of a particular patient is essential in the secondary prevention phase. Finally, in the tertiary prevention phase, the care is directed not only at the common asthmatic symptoms and triggers but also at the complications that result from long-term suffering of this disease. This paper focuses on environmental factors which trigger asthma, with specific focus on children from infancy to 16 years of age in low-income housing, and how the appropriate measure can minimize the triggers and symptoms. The New York City Housing Authority (NYCHA) is the example we will use.
Asthma Case Study Questions 1.How have the factors that trigger an asthma attack changed since the 1900s? As a researcher, how would you put together the clues given here to explain the emerging epidemic? 2.Why do you think Europeans-and especially the English- are most affected by asthma? Responses 1.Asthma triggers have greatly increased since the 1900’s due to more pollutants in the air and all around us. Denser CO2 emissions, those of industrial complexes, cities and highways full of cars have skyrocketed in the last few decades leading to an massive growth in those with asthma.
Communication barriers exist between parent, school nurse, and healthcare provider. School staff feel unprepared for asthmatic attacks, especially since they are not told which students have a condition. No policies or protocols are in place to guide staff in what to do when a situation occurs. Staff are unsure when a student is responsible enough to be self-reliant. Limitations include, not having a representative sample from all the school districts. Also, only two healthcare providers answered questionnaires and they were from the same medical centers hosting study. In addition, participants were paid $30 for their time, which could influence who
The aim of policy is raise awareness of asthma and its management within our community and providing a safe and healthy environment in which people at risk of Asthma can participate equally in all aspects of services. In addition, they take actions to provide a clear set of guidelines and expectations to be followed with regard to the management of asthma. For instance, they provide Asthma Emergency Kits in facilities to be stored and display Asthma First Aid posters in each room. All the staff in the center should administer first aid according to the individuals Asthma Action Plan or assist them to follow this plan if they are capable of administering themselves. If the staff lack an Asthma Action Plan, it is significant to administer asthma
Discuss the prevalence of asthma in certain patient populations that you might see in primary care. Asthma is chronic airway inflammation disorder that is characterized by persistent episodes of wheezing, breathlessness, chest tightness, and non-productive cough, mainly at night and in the early morning. The inflammation of the airway results from physical, chemical, and pharmacologic stimulus, which causes bronchial hyper-responsiveness, constriction of the airways, edema of airway wall, and chronic airway remodeling (Cash, 2014). Asthma occurs at all ages, with about 50% of all cases developing during childhood and another 30% before age 40. In the United States, it is estimated that 25 million people have asthma and the prevalence continues to increase (McCance, & Huether, 2014). Previously, asthma was considered
In an article by morbidity and mortality weekly, it states that, “Guidelines issued by the National Asthma Education and Prevention Program (NAEPP) specify essential components of asthma management, including patient education, objective monitoring of symptoms, and avoiding asthma triggers.” (MMWR, 2007). People with asthma should have proper management to prevent further damage to their bodies. Asthma management plan should be a person’s first priority and it is also a best management plan to prevent symptoms. Making a management plan can be done by yourself just keeping your triggers in mind. An effective plan should allow you to live an active life without having asthma symptoms, exercise without complications, a good sleep at night, attend
Mediation measures, for example, encasing sleeping pads and cushions with dust parasite impermeable cases, evacuating rugs, and more incessant cleaning of garments, floors, and upholstered furniture can lessen introduction of conceivably harmful contaminants inside the home (Wu, F., & Takaro, T. 2007). Humid conditions within the home are breeding grounds for mold, so having a dehumidifier and frequently replacing the filters can greatly prevent mold from forming. It is extremely pertinent to express to parents the dangers smoking can have not only to themselves, but also the harm of inhaling second hand smoke. According to the CDC, tobacco smoke-including secondhand smoke- is one of the most common asthma triggers and about 40% of children who go to the emergency room for asthma live with smokers (CDC, 2006). Pamphlets about these triggers and interventions will be handed out at both the educational seminars and on the mobile health vehicle. As a team we will encourage keeping these posted within the classrooms and within the family
On the 11 October 2010 I gave birth to a healthy baby boy named Trey
Asthma is the leading cause of illness among elementary aged and adolescence students. The Centers for Disease Control and Prevention (CDC) states asthma is one of the leading causes of school absenteeism (2013). Asthma friendly schools are those schools that make the effort to create and support a safe learning environment for asthmatic students. School nurses have initiated policies and procedures helping children successfully manage their asthma. Successful school-based asthma programs have been researched looking at the best ways to manage asthma in schools.
Despite evidence of asthma, the current clinical practice resists to recognize the association of asthma and the treatment of one, encourages the improvement of the other, and vice versa. These findings emphasize the importance of medical education in the evaluation and concomitant treatment of asthma. Two observational studies have shown recently that the treatment of allergic rhinitis in asthmatic patients with rhinitis reduces the need for emergency services and hospitalizations due to asthma.