School Health Nurse Asthma Modules

A 4-part series for School Health Nurses on the assessing, responding, and managing student cases of asthma.

Overview of Asthma​ - This learning module provides basic information on asthma including symptoms, effects, and risk factors.
  • Define and describe the pathophysiology of asthma;
  • Predict the physiological consequences of poorly controlled asthma;
  • Explain the burden of asthma and the disparities in the impact of asthma by neighborhoods in New York City;
  • Challenge at least 5 asthma myths.

Assessment of Asthma - This learning module describes the five steps in conducting an effective asthma assessment.

  • Perform an initial visual assessment and differentiate between normal and abnormal presentations;
  • Describe a focused history;
  • Perform respiratory auscultation assessment, describe various breath sounds and distinguish between normal and abnormal breath sounds;
  • Appraise respiratory status and recognize abnormal vital signs;
  • Identify asthma triggers;
  • Distinguish between controlled and not controlled asthma;
  • Determine appropriate clinical disposition.

Responding to an Asthma Episode in the Medical Room - This module covers three key factors in each response including assessing if the child is in respiratory distress, if they have a medication administration form on file, and if they have a documented asthma diagnosis.

  • Explain the appropriate disposition of a student experiencing respiratory symptoms according to history and presentation;
  • Determine course of action whether child is in respiratory distress or not;
  • Administer treatment as per asthma medication administration form (MAF) on file.

Case Management of Students with Asthma - This learning module describes the four goals of case management and standards of care, when they should be intensified, how they can be applied to a school setting, and finally, how to build and maintain collaborations to improve health outcomes.

  • Define nursing case management;
  • Explain the minimal standards of care for case managing all students with asthma;
  • Discuss criteria for intensifying case management in students with asthma;
  • Identify specific modifiable risk factors in asthma;
  • Describe specific interventions to modify risks and improve asthma mortality and morbidity.