Region 6

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

Throughout my 17 years as a pediatric nurse practitioner, I have had the opportunity to work in a variety of settings including a primary care office, a mobile asthma unit, and an asthma specialist office. Each of these experiences has been stimulating, educational, and inspiring.

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

This results in Hispanics Americans living in very tightly-knit segregated urban communities, in older housing, and lack access to healthcare that can contribute to asthma exacerbation (Bhan et al., 2015). In the State of Connecticut there is a program called, Putting on AIRS or Asthma Indoor Risk Strategies. This program designed to assess environmental risk in the homes for asthmatic children and families. The hope is to reduce the frequency of asthma-related events by identifying environmental triggers. A public health nurse experienced in asthma management, conducts asthma education in the home. There is also an assessment for environmental asthma triggers in the home such as roach infestation or mold. The program follows participants over a six-month time frame, and has been shown to significantly improve outcomes for asthmatics (Nepaul et al.,

In this paper, I will explore asthma prevalence of children living in New York City. Asthma is an existing serious public health concern in inner cities and urban environments. Especially children with asthma from low SES families or minority groups face difficulties accessing health care, receiving high-quality continuous care, and preventative education. In other words, there is a disparity in the asthma prevalence and care in New York City.

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.

CPS Region 3 (Denton): Implementing a program based home for adolescent mothers in the child welfare system

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

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

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. Provide a quick snapshot of your less developed country. Population, history, cause of its poverty, environmental or political factors influencing the country’s health status.

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

In the United States, the principal source of pediatric primary care are the pediatricians, and the family ARNPs and the pediatric ARNPs in the clinic and urgent care. As the frontline providers of preventive health care for children, these clinical providers address the needs of children in daycare, school, and local community settings (Kuo, Etzel, Chilton, Watson & Gorski, 2012). The development and expansions of Medicaid, the funding and reauthorization of the State Children’s Health Insurance Program (CHIP), and the recent implementation of the Patient Protection and Affordable Care Act (ACA) have combined to ensure more American children have more health coverage than at any other time in our country’s history (Children’s Health Fund,

Education is vital when battling the pervasiveness of asthma among ethnic minorities in the United States because the majority of deaths linked to asthma are preventable by educating asthmatics and their families. Disturbingly, every day 11 people die due to asthma in the United States (CDC, 2012). According to the National Heart, Blood, and Lung Institute (2007), through the implementation of asthma management programs, individuals can learn how to control symptoms and decrease chances of hospitality. These programs are available and help patients reach health goals through intensive monitoring of symptoms, educating asthmatics regarding self-management, and providing medications when necessary (Rance, 2011). However, these programs are extremely