Attempting to Use a District-Wide Asthma Case Identification System for Asthma Prevalence

The Anne Arundel County public school system serves 75,000 students in grades pre-K to 12, 17% of whom qualify for free and reduced-price lunch, and includes 116 schools-77 elementary schools, 19 middle schools, 12 high schools, 2 centers of applied technology, 3 special education centers, 1 alterna...

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Bibliographic Details
Published in:The Journal of school health 2006-08, Vol.76 (6), p.219-222
Main Authors: Wheeler, Lani S., Boyle, Susanne
Format: Article
Language:English
Subjects:
Adolescent
Asthma
Asthma - epidemiology
Case studies
Child
Child, Preschool
Cross-Sectional Studies
Diagnosis
Elementary schools
Health aspects
Humans
Maryland - epidemiology
Nurses
Nursing
Nursing Records - statistics & numerical data
Parents & parenting
Population Surveillance
Prevalence
Prevalence studies (Epidemiology)
Public Schools
School Health Services
School Nurses
School Nursing - statistics & numerical data
Students
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Summary:The Anne Arundel County public school system serves 75,000 students in grades pre-K to 12, 17% of whom qualify for free and reduced-price lunch, and includes 116 schools-77 elementary schools, 19 middle schools, 12 high schools, 2 centers of applied technology, 3 special education centers, 1 alternative high school, 1 middle school learning center, and 1 center for emotionally impaired students. The nurses (1) supervise medication administration and peakflow monitoring carried out by trained health assistants, (2) teach about asthma and preventing symptoms at school, (3) provide case management as needed, (4) perform annual asthma health appraisals for all students with current asthma, and (5) educate students by leading Open Airways for Schools groups in elementary schools and using Quest for the Code and Power Breathing in secondary schools. The case identification system uses information from annual emergency cards, school entry physical examination forms, medication administration forms, and health room visits to identify students with health needs in schools.1 Our school nurses use the system to identify students who need school health services and asthma education, but the system's implementation varies across schools.
ISSN:0022-4391
1746-1561
DOI:10.1111/j.1746-1561.2006.00100.x