Asthma Action Plan

Since asthma exacerbations in adolescence can lead to emergency room visits, hospitalizations, missed school and diminished health status, there was an evident need for effective asthma management for this population (Quaranta et al., 2014). Unfortunately, these rural adolescents with asthma, and their families, had difficulty determining when their asthma was poorly controlled; and unless the asthma symptoms were disruptive to family life, there was often little motivation for these individuals to seek medical care, thus increasing the risk of poor outcomes (Quaranta et al., 2014, p. 99). According

I met the community outreach programmer Ms. Lisa and I discussed with her about an appropriate evidence-based practice. Ms. Lisa said that there is not education program in Taney County Health Department for asthmatic people. Thus, she asked me to find a successful evidence-based practice, which has been applied in the other Counties or States

One strategy that has shown to improve medication compliance and outcomes for patient with asthma is the provision of Asthma Action Plans (AAP). The Asthma Action Plan or AAP is widely recognized as the best tool for asthma self-management and has been demonstrated to improve outcomes for asthmatics. The AAP is a detailed plan that describes medications and treatments, how to control asthma, and how to address worsening asthma. The plan also describes when to call the doctor or go to the emergency room. The plan breaks down the severity of symptoms and treatment by color helping those with limited language skills and low health literacy the ability to understand the asthma treatment plan. (Nepaul et al.,

In the research study, "A qualitative exploration of asthma self-management beliefs and practices in Puerto Rican families," Martin et. al. (2010) explored the nature and dynamics of asthma management within Puerto Rican families. The rationale for this specific focus on Puerto Rican families is cited within the study, wherein a 2002 survey determined that Puerto Rican children suffered the most from asthma compared to other ethnic groups in the United States, such as Mexican, white Americans, and African American children (p. 464). This quantitative finding from a relevant literature became the foundation of the authors' study. However, it is worthy to note that the authors opted to develop the study from the qualitative perspective, specifically, using the in-depth interview (IDI) and focus group discussion (FGD) methods.

Asthma is the most common chronic disease in children (Kahn and Boskey). Childhood asthma is when the lungs and airways become inflamed when something comes in contact to trigger it. There are different objects or activities to trigger a child’s asthma and if not treated appropriately it can cause an asthma attack. This disease can outbreak from a cold or any respiratory infection. Daily symptoms can interfere with a child’s asthma like a cold, sports, school, or play ("Childhood Asthma."). In the United States, it is estimated that approximately 5 million children under the age of 18 have this disease. In 1993 alone, asthma was the reason for almost 200,000 hospital stays and about 340 deaths under the age of 25 (Kahn and Boskey). Normally children will outgrow this disease by the time they

Nicholas and his colleagues found in their study that the children asthma prevalence in East Harlem was about 4 times that of the national prevalence. Specifically, African American children had 3 times higher asthma prevalence. (Nicholas, 2005) Asthma is the leading cause of emergency room evaluations, pediatric hospitalizations, and school absenteeism in New York City (Corburn, Osleeb, & Porter, 2006)

Mom is very open to the asthma education. However she had specific requests regarding her availability. She visits the Hospital for Special Care (see attached) everyday where her son is currently staying. In addition, she needs to be available to care for her other three children after summer camp, and she wanted the education completed before her son returns home from the hospital. Lastly, we do not need an environmental conducted as Chris has already completed one.

Asthma affects 1 in every 12 Americans. According to the American Academy of Allergy Asthma & Immunology, Asthma is affects “About 1 in 9 (11%) non-Hispanic blacks of all ages and about 1 in 6 (17%) of non-Hispanic black children had asthma in 2009, the highest rate among racial/ethnic groups.” As a mother of child with asthma, I know how scary it can be to deal with asthma attacks and learning how to treat the symptoms and minimize risk factors.

Putting on AIRS is a free program for residents of Connecticut who have a diagnosis of asthma, and who may benefit from a home visit by a Certified Asthma Educator and an Environmental Specialist. Darlene had a home visit on March 4th. Enclosed you’ll find the signed release of information which permits the program to make available the summary of the visit. In addition, find the Asthma Control Test (ACT), taken from the Measures of Asthma Assessment and monitoring document page 67; “Patient Self-Assessment” (EPR-2 1997) that her mom completed at the time of

Although, towards the end (July/August) it became dismantled as a result of other projects Yale New Haven residency program adapted. However, open communication remains between the residents and Pediatric Chiefs and the program coordinator. The collaboration provided the pediatric residents and interns’ opportunity to acquire knowledge about Community Public Health Programs. With the primary goal of introducing the residents and interns to a broad range of public health programs they can refer their patients to. This system offered the residents, and interns an introduction to the connection of public health and medicine. With the end result demonstrating the importance of community agencies and medical providers need to partner to address the burden of asthma. The Region had 5 residents/interns come through this reporting period, The residents have reported that given this opportunity to see first-hand how the program works, whether within the home or through individual discussion, that it has helped in aiding to understand the challenges families face as they strive to manage the asthmatic’s symptoms. Furthermore, they describe a broader understanding of the various environmental obstacles families are confronted when managing their asthma. For

Healthy People 2020 (HP) has set a goal to “promote respiratory health through better prevention, detection, treatment, and education efforts.” One focus is to reduce asthma deaths among children and adults under age 35 years (Healthy People 2000, 2017). HP also recognizes that asthma has many components that can be classified as either genetic or environmental. They are working to both to improve the quality of life for those who suffer from asthma as to reduce the strain ill place on societal recourses. Assessing living situations for environmental triggers is one evidence based practice that can be initialized and then to make modifications that immediately impact the health of an asthma sufferer. Secondly, making sure medical supervision

Avoiding and controlling asthma triggers is important in every phase of the intervention process in order to manage the disease. However, many times because of lack of awareness and education, asthma

Asthma is a chronic condition that affects a lot of patients on my pediatric floor. As a nurse I constantly educate patients and their parents on ways to prevent asthma attacks, identify triggers, and how to handle the medication regimen. A specific family that came to mind was a family of 5. My patient was 8 years old and suffered from frequent asthma attacks due to allergic asthma. She lived at home with her mom, dad, two sisters and two cats. She played soccer and video games for fun.

A screening template can be developed that can assist the nurse in performing a thorough assessment of an asthmatic patient. This questionnaire should be at an appropriate education level and question should be simple and direct. The questions should focus on the presence or absence of symptoms, activity limitations, exacerbations, missed workdays, and frequency of use of prescribed medications.

3. What components of the patient’s asthma management plan should be monitored during a home visit?