Presentation on theme: "MANAGING Insert presenter Information here www.asthmainschools.com ASTHMA IN SCHOOLS."— Presentation transcript:
MANAGING Insert presenter Information here ASTHMA IN SCHOOLS
Asthma… Is the most common chronic disease of children Effects 1 in 5 children in Ontario Is the leading cause of school absenteeism and emergency room visits Can be life threatening if not properly controlled Is poorly controlled in >60% of cases Whats the big deal?
ASTHMA IS… ASTHMA IS… Inflammation of the airways (extra-sensitive or twitchy airways) 3 changes occur in airways: muscles around airways tighten lining of the airways becomes swollen mucous production increases
SIGNS OF WORSENING ASTHMA Changes in airways can lead to: Coughing Wheezing (not always heard) Chest tightness Shortness of breath
ASTHMA TRIGGERS Airways are supersensitive and react to certain triggers A trigger is anything that makes asthma worse Triggers are unique to each child with asthma Common triggers include: Colds/Respiratory Viruses Exercise Grass/pollen Cold/Hot Weather Dust & dust mites Furry/feathered pets Smoke Air pollution Strong smells
ASTHMA MEDICATIONS Controllers (orange, brown, purple, red) Long-acting, slow working (days to weeks) Usually taken at home every day to control symptoms Will 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 symptoms Need to be accessible at all times
A CHILDS ASTHMA IS GETTING WORSE … WHAT DO YOU DO?
1. RECOGNIZE THE SIGNS Coughing (continual)Coughing (continual) Increased breathing rateIncreased breathing rate Complaining of chest tightnessComplaining of chest tightness Increased use of reliever medicationIncreased use of reliever medication Wheezing (not always heard)Wheezing (not always heard) Increased restlessness and irritabilityIncreased restlessness and irritability TirednessTiredness
2. RESPOND Ensure fast-acting reliever inhaler is given as soon as possible. (Should improve breathing within 5-10 minutes) Tell the child to breathe slowly & deeply. (Support privacy if child appears anxious)Tell the child to breathe slowly & deeply. (Support privacy if child appears anxious) Stay calm! Remain with & reassure the child.Stay calm! Remain with & reassure the child.
3. FOLLOW-UP Minor episodes should not affect a childs involvement in school When they feel better they can return to normal activitiesWhen they feel better they can return to normal activities Medication use should be recordedMedication use should be recorded Parent should be notified about the episodeParent should be notified about the episode Note: If the child requires the inhaler again in less then 4 hours the parent should be notified to seek medical attention
SEVERE WARNING SIGNS ANY of the following may be observed: Lips or fingernails become blue or grayLips or fingernails become blue or gray Breathing is difficult and fast (>25/min)Breathing is difficult and fast (>25/min) Can only say 1-3 words between breathsCan only say 1-3 words between breaths Breathing will involve the whole ribcageBreathing will involve the whole ribcage Very agitatedVery agitatedOR No improvement within 5-10 minutes after taking reliever inhaler
THIS IS AN EMERGENCY 1.Call 911 immediately. Tell them you have a child who is experiencing SHORTNESS OF BREATH. 2.Give reliever inhaler immediately. 3.Continue to give reliever inhaler every few minutes until help arrives. Never leave a child who is experiencing serious breathing problems alone.
Plan ahead…think ASTHMA ! A sthma: Know what it is and who has it. S igns of worsening asthma: Be able to recognize & respond to them. T riggers: Know what they are and how to reduce them. H ave a plan to manage asthma episodes. M edications: Ensure easy access to fast-acting reliever. A ccess resources.
THINGS TO CONSIDER DOES YOUR SCHOOL HAVE… A process to identify students with asthma? A process to identify students with asthma? A process/protocol which allows students easy access to their (emergency) medication? A process/protocol which allows students easy access to their (emergency) medication? A school-wide process for handling worsening asthma? A school-wide process for handling worsening asthma? A process to identify & reduce triggers? A process to identify & reduce triggers? A mechanism to communicate & collaborate with families, and health care professionals? A mechanism to communicate & collaborate with families, and health care professionals?
ASTHMA RESOURCES Ontario Lung Association Lung Association Asthma Action Helpline Asthma Society Society Creating Asthma Friendly SchoolsCreating Asthma Friendly Schoolswww.asthmainschools.ca