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Asthma Basics for Schools: Part 2 -- Asthma Goals for School Health

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SLIDE 1: Asthma Basics for Schools: Part 2 -- Asthma Goals for School Health

Developed by the National Asthma Education and Prevention Program (NAEPP)

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SLIDE 2: Asthma Basics for Schools: Part 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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SLIDE 3: Asthma Goals for School Health

  1. Infrastructure & Supportive Policies
  2. Health & Mental Health Services
  3. Asthma Education
  4. Healthy School Environment
  5. Physical Education & Activity
  6. Family & Community Involvement

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SLIDE 4: Goal 1: Infrastructure & Supportive Policies

  • Ensure adequate student health records
  • Establish emergency plan for asthma episodes at school
  • Ensure immediate access to medications during all school activities
  • Encourage policies to allow students to carry and self-administer medications

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SLIDE 5: Goal 1: Infrastructure & Supportive Policies

Establish Emergency Plan for Asthma Episodes at School

Develop school-wide emergency plans/procedures. Include:

  • Respiratory distress treatment protocols
  • Procedures to access students' individualized asthma action plans
  • Plan for students without an individualized plan

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SLIDE 6: Goal 1: Infrastructure & Supportive Policies

Ensure immediate access to medications at all times

  • Allow students to carry and self- administer their asthma medications (per state law)
  • Designated secure storage location for medications that are not being self-carried

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SLIDE 7: Goal 2: Health & Mental Health Services

  • Identify students with asthma
  • Monitor students' asthma
  • Obtain and use a written asthma action plan for all students with asthma
  • Provide full-time nursing services
  • Train, supervise and delegate to health assistants and education staff, as appropriate

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SLIDE 8: Goal 2: Health & Mental Health Services

Identify Students with Asthma

  • Obtain information about asthma diagnosis from school health forms
  • Review student health records
  • Focus particularly on students with poorly controlled asthma.
  • Screening large groups of students for asthma is not recommended.

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SLIDE 9: Goal 2: Health & Mental Health Services

Monitor Students' Asthma

All school staff should:

  • Watch for symptoms of very poorly controlled asthma
  • Use attendance records to monitor absenteeism of students 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 to asthma

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SLIDE 10: Goal 2: Health & Mental Health Services

Obtain and use an asthma action plan for each student with asthma

An action plan includes:

  • Prescribed daily and quick-relief medicines
  • Treatment guidelines for handling asthma episodes
  • Emergency contacts
  • List of things that make the student's asthma worse

The plan should be:

  • Placed in student's health record
  • Shared with appropriate staff
  • Updated annually and as needed

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SLIDE 11: Goal 2: Health & Mental Health Services

  • Consider providing individual case management for students with poorly controlled asthma
  • Use 504 plans or IEPs for students with asthma, as appropriate
  • Facilitate links to child health insurance programs and providers
  • Establish strong links to asthma care clinicians
  • Communication between the student's asthma care clinician, parent, and school staff is vital.

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SLIDE 12: 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 get help
  • Offer asthma education programs

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SLIDE 13: Goal 3: Asthma Education

For all students, teach them:

  • about lung health
  • what asthma is
  • how to support classmates with asthma
  • what to do if a classmate has an asthma episode

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SLIDE 14: Goal 3: Asthma Education

For parents and guardians of students with asthma:

  • Provide education and resources to help their children better manage their asthma at school and home.
  • Communicate any problems/changes you see at school.

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SLIDE 15: Goal 3: Asthma Education

For faculty and staff, provide annual professional development on:

  • Asthma basics & emergency response
  • What different staff can do to make their school asthma-friendly

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SLIDE 16: Goal 4: Healthy School Environment

Adopt and enforce tobacco-free policy that prohibits tobacco use at all times, on all school property, by all people, and for all school activities

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SLIDE 17: Goal 4: Healthy School Environment

Eliminate or reduce exposure to things that make asthma worse by using good housekeeping and maintenance practices

  • Use integrated pest management techniques to control pests
    • Use least toxic products available
  • Keep temperature and humidity at appropriate settings
    • Maintain HVAC systems
    • Dry up damp and wet areas immediately
  • Consider removing furred and feathered animals

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SLIDE 18: Goal 5: Physical Education & Activity

  • Encourage full participation when student is well
  • Allow pretreatment and/or warm-up before physical activity
  • Ensure student access to quick-relief medication during activity
  • Provide modified activities as needed

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SLIDE 19: Goal 6: Family & Community Involvement

  • Encourage communication among school, home and health care providers
  • Encourage active parent, student, and community participation in school activities
  • Work with local community asthma programs

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SLIDE 20: Asthma Resources For School 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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SLIDE 21: Questions and Answers

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