Transcript Asthma Care At Childcare Provided by: Generously supported by the Robert Wood Johnson Foundation.

Asthma Care At
Childcare
Provided by:
Generously supported by the Robert Wood Johnson Foundation
Asthma Facts
•Most common chronic disease in childhood
•Almost 9 million American children have asthma.
(Over 100,000 in Wisconsin)
•Children under 6 have the highest rate for hospital
admissions.
•#1 reason children are admitted to Children’s
Hospital of Wisconsin
•Asthma is the number one cause of school absences.
Causes of Asthma
There is no single reason for the onset of asthma
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•Heredity
•Exposure to environmental tobacco smoke
•RSV (Respiratory Syncytial Virus) during infancy
•Too much or not enough exposure to triggers
•Air pollution
Goals of Asthma Management
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No asthma symptoms during day or night,
including cough. Sleep through the night.
Best possible lung function
No missed school or work
No hospital or ER visits
Few side effects from medicines
Satisfied with asthma care
What is Asthma?
-Inflammation (swelling)
-Mucous Production (snot)
- Bronchospasm (muscle
tightness)
Early Warning Signs
Cough
 Mood Changes
 Change in facial
appearance
 Breathing changes
 Verbal complaints
 Itchy chin or neck
 Itchy, watery, or glassy
eyes
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Runny nose
Head stopped up
Sneezing
Dark Circles under eyes
Getting out of breath
Chest hurts
Symptoms of Asthma Flare-up
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Cough
Wheeze
Shortness of breath
Chest tightness
Retractions
Signs that Medical Help is Needed
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Changes in color (fingernails/lips turn blue/gray)
Skin between the ribs is pulling in (retractions)
Nostrils open wider - nasal flaring.
Grunting
Additional Signs that
Infants Need Medical Help
•Breathing rate increases to over 40
breathes/minute while infant is sleeping.
(Count breathes for 15 seconds X 4)
•Trouble feeding or feeding stops
•Cry changes in quality (softer and shorter)
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THINGS THAT MAKE ASTHMA WORSE
EVERYONE IS DIFFERENT
Activators/Triggers
Cockroaches
•Control spills, food mess, and leaks
•Use baits
Dust Mites
•Use pillow and mattress covers
•Damp dust
•Wash bedding in hot water
Animal Dander
•No pets is best
•Keep pets out of sleeping area
Activators/Triggers
Tobacco Smoke
•Be careful of secondhand smoke
•Wash hands, use mouthwash
Pollens and Air Pollution
•Midday = high levels
•Use air conditioning, not fans
Molds
•Clean mold with bleach solution
•Plant soil is a source
•Check outdoor, plastic toys and equipment
Wood Smoke
Activators/Triggers
Strong Odors
•Perfumes, scented candles, cleaning products
Colds and Infections
•Wash hands frequently
•Encourage yearly flu shots
Exercise
•Plan warm up activities
•Allow for pre-medication
Weather
•Sudden changes in temperature
•Cover nose and mouth in cold weather
ASTHMA
1- Inflammation
2- Mucous
Production
3- Bronchospasm
Long-Term, Control Medications
Decrease the inflammation/swelling
Advair
Quick Relief Medications
Loosens your muscles & stops the wheezing
Albuterol for Nebulizer
Spacers
Without Spacer
©1998,
Respironics Inc.
With Spacer
Why Control Asthma?
M. Zacharisen
Is the Asthma in Control?
Does the child need a "quick-relief inhaler" more
than TWO TIMES A WEEK?
 Does the child wake up at night with asthma more
than TWO TIMES A MONTH?
 Does the family refill the "quick-relief inhaler"
more than TWO TIMES A YEAR?
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Rules of TwoTM is a registered trademark of the Baylor Health Care System.
Break – Out
Sessions
Asthma Care Plans –
Pass the Baby
Tell you what medicines a child needs and when
those medicines should be given.
 List early warning signs and symptoms.
 Should be on-hand for all children with all asthma
severities.
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REMEMBER
To prevent & control an asthma
episode:
•Develop & follow an asthma care plan.
•Plan ways to reduce the child’s contact with
triggers.
•Treat symptoms early.
•Be prepared for any changes in symptoms.
•Know when a doctor’s help is needed & get
help right away.
Flare-ups DO NOT have to be a crisis!
Have an Asthma Plan for your child care setting...
Flare-ups DO NOT have to be a crisis
Good parent - teacher communication is essential
 Keep asthma care plan handy
 Know where medicine is so you can get it quickly when it is
needed
 Know how to give medicine before a flare-up happens
 Stay Calm
 Seek medical help when needed
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Thanks!
Planning Committee:
ABC’s for Childcare Project
Amatullah Mahmoud
American Lung Association of Wisconsin
Children’s Health Education Center
Children’s Hospital of Wisconsin
Mary’s Family Daycare
Portia’s Loving Childcare