Presentation on theme: "Insert presenter Information here"— Presentation transcript:
1Insert presenter Information here MANAGINGASTHMA IN SCHOOLSInsert presenterInformation here
2What’s the big deal? Asthma… Is the most common chronic disease of childrenEffects 1 in 5 children in OntarioIs the leading cause of school absenteeism and emergency room visitsCan be life threatening if not properly controlledIs poorly controlled in >60% of cases
3ASTHMA IS… Inflammation of the airways (extra-sensitive or twitchy airways) 3 changes occur in airways:muscles around airways tightenlining of the airways becomes swollenmucous production increases
4SIGNS OF WORSENING ASTHMA Changes in airways can lead to:CoughingWheezing (not always heard)Chest tightnessShortness of breath
5ASTHMA TRIGGERS Common triggers include: Colds/Respiratory Viruses Airways are supersensitive and react to certain “triggers”A trigger is anything that makes asthma worseTriggers are unique to each child with asthmaCommon triggers include:Colds/Respiratory VirusesExerciseGrass/pollenCold/Hot WeatherDust & dust mitesFurry/feathered petsSmokeAir pollutionStrong smells
6ASTHMA MEDICATIONS Controllers (orange, brown, purple, red) Long-acting, slow working (days to weeks)Usually taken at home every day to control symptomsWill not help during an acute asthma “attack”Relievers: (usually blue)Fast-acting (within 5-10 minutes)Taken to relieve symptoms during an asthma “attack”Taken before exercise, if needed, to prevent onset of symptomsNeed to be accessible at all times
7A CHILD’S ASTHMA IS GETTING WORSE … WHAT DO YOU DO?
81. RECOGNIZE THE SIGNS Coughing (continual) Increased breathing rate Complaining of chest tightnessIncreased use of reliever medicationWheezing (not always heard)Increased restlessness and irritabilityTiredness
92. RESPOND Ensure fast-acting reliever inhaler is given as soon as possible. (Should improve breathing within minutes)Tell the child to breathe slowly & deeply. (Support privacy if child appears anxious)Stay calm! Remain with & reassure the child.
10Minor episodes should not affect a child’s involvement in school 3. FOLLOW-UPMinor episodes should not affect a child’s involvement in schoolWhen they feel better they can return to normal activitiesMedication use should be recordedParent should be notified about the episodeNote: If the child requires the inhaler again in less then 4 hours the parent should be notified to seek medical attention
11SEVERE WARNING SIGNS ANY of the following may be observed: Lips or fingernails become blue or grayBreathing is difficult and fast (>25/min)Can only say 1-3 words between breathsBreathing will involve the whole ribcageVery agitatedORNo improvement within 5-10 minutes after taking reliever inhaler
12THIS IS AN EMERGENCY Call 911 immediately. Tell them you have a child who is experiencing SHORTNESS OF BREATH.Give reliever inhaler immediately.Continue to give reliever inhaler every few minutes until help arrives.Never leave a child who is experiencing serious breathing problems alone.
13Plan ahead…think ASTHMA ! Asthma: Know what it is and who has it.Signs of worsening asthma: Be able to recognize & respond tothem.Triggers: Know what they are and how to reduce them.Have a plan to manage asthma episodes.Medications: Ensure easy access to fast-acting reliever.Access resources.
14THINGS TO CONSIDER DOES YOUR SCHOOL HAVE… A process to identify students with asthma?A process/protocol which allows students easy access to their (emergency) medication?A school-wide process for handling worsening asthma?A process to identify & reduce triggers?A mechanism to communicate & collaborate with families, and health care professionals?