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