Review of Literature
Following is a comprehensive analysis of the articles selected from databases to help answer the posited PICOT question. The search produced eight articles that were most applicable to the implementation of asthma education in school settings. Further, the articles gave invaluable information to answer the writer’s PICOT question. Not only are education interventions mentioned in the selected articles, other modes to decrease absenteeism among school-aged children were discussed in detail. The synthesized information supports the benefits of implementing school-based education to reduce absenteeism and increased disease management.
The benefit of school-based programs in reducing absenteeism and improving asthma control is the common theme among the articles written about the subject. Basch (2014) highlights the exemplary approaches to control asthma. Suggestions include implementation of support and management systems, school health and mental health services, asthma education, physical education, and healthy school environments. The study, utilizing a thorough literature review, outlines the prevalence and disparities among youth with asthma. It further illustrates the direct relationship between poorly controlled asthma and the effects on academic achievement. According to Basch, poor asthma control affects cognition, school connectedness and absenteeism.
Research states that school-based interventions significantly improves asthma management,
Asthma is a serious problem nationwide. It is also a significant problem in the state of Massachusetts, especially in communities in Boston. However, according to Harvard School of Public Health and NIEHS Center for Environmental Health, Roxbury and North Dorchester are highly noticeable hotspots (Backus, Terrell, Wool, & Straubel, 2012, p. 23). For the purpose of this paper, the main focus will be on asthma cases in
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.,
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)
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
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.
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 affecting the respiratory system and has a considerable impact on both individuals and a population. Everybody is susceptible to asthma, some more than others, depending of a variety of factors including, age, sex, geographical location and income. Asthma is particularly prevalent in younger children and the elderly and while it can be fatal, most people have mild cases of asthma that are relatively easy to treat. The condition mainly impacts an individual’s physical ability to contribute to a community.
An experimental study by Kintner, Cook, Marti, Allen, Stoddard, Harmon, Gomes, Meeder, and Van Egeren (2015), supported the effectiveness of instituting an asthma program on self-management behaviors. The convenience sampling method was used to determine the sample size which included caregivers, ages 19-69 years old, of 205 4th and 5th grade students, diagnosed with asthma, from 23 elementary schools. The methods included two groups, single-blinded, cluster randomized trial, of a longitudinal design study. A 39-item survey was distributed to caregivers, four times over two years.
Asthma – asthma is a very common condition in schools. The symptoms are wheezing and coughing. Most children will carry an inhaler with them and handle the condition well but when children have an asthmatic attack which is not helped by an inhaler medical help is sought out immediately.
I have chosen the article entitled, “Asthma Control, Education, and the Role of the Respiratory Therapist” because asthma is very thought-provoking and one of the main diseases that a respiratory therapist works with. Also, the information in this article can be extremely helpful used while in the workforce, by learning about all the symptoms, diagnosis, current testing and the overall background of the disease is all very helpful information.
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.
Recent research strongly suggests that well-designed programs are having significant effects on student behaviors (Learning Point Associates). Children who have too much free time after school without parental vision need to be involved in after-school programs. There are many negative influences children could be exposed to in different social environments. Drugs, alcohol, tobacco, sex, and violence are just a few examples in a large category of negative influences
Childhood asthma impacts scores of youngsters and their families. In fact, the bulk of kids develop respiratory illness before the age of