Managing Asthma in Schools: Lessons Learned and Recommendations

Difficulties arise due to lack of clinicians, lack of family involvement, lack of family perception that asthma can seriously impact their child's school activities, lack of family perception that their child's asthma can be better controlled, transportation issues, and the cost and availa...

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Bibliographic Details
Published in:The Journal of school health 2006-08, Vol.76 (6), p.340-344
Main Authors: Wheeler, Lani S., Merkle, Sarah L., Gerald, Lynn B., Taggart, Virginia S.
Format: Article
Language:English
Subjects:
Administrator Education
Asthma
Asthma - therapy
Care and treatment
Caregivers - education
Caseworker Approach
Child
Communication (Thought Transfer)
Community Relations
Control
Disease management
Family Involvement
Health care
Humans
Inservice Training
Medical Services
Nurses
Nursing
Parents
Parents & parenting
Patient Care Team - organization & administration
Patient Education as Topic - methods
School Districts
School Health Services
School Nurses
School Nursing - education
School Nursing - methods
School Personnel
School Policy
Self Management
Student health services
Students
Success
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Summary:Difficulties arise due to lack of clinicians, lack of family involvement, lack of family perception that asthma can seriously impact their child's school activities, lack of family perception that their child's asthma can be better controlled, transportation issues, and the cost and availability of medications or health care.21-24 Furthermore, significant school resources, including school nursing time, may be needed to get appropriate forms and quick-relief medications to the school and to encourage coordination among the school, the family, and the family's health care clinician. However, population-based case-detection programs (what some call "school-wide screening") have not been shown to improve health outcomes; efforts to accurately detect students with asthma or probable/undiagnosed asthma are time and resource consuming, yield questionable results, and do not detect many more students with significant morbidity than simple case identification systems.26-30 Schools should be more concerned with poorly controlled asthma than under0 diagnosis.28,30-32 Given that school resources are typically limited, current efforts should seek to identify and intervene with students who are experiencing significant morbidity.33-35 These students can be identified by a school nurse or other school personnel based on the number of health room visits, school absences, 911 calls, times sent home because of asthma, or discussions with teachers.
ISSN:0022-4391
1746-1561
DOI:10.1111/j.1746-1561.2006.00125.x