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Improving Childhood Asthma Outcomes: A School Nurses’ Arsenal

Improving Childhood Asthma Outcomes: A School Nurses’ Arsenal. Montana Asthma Control Program, Montana Department of Public Health and Human Services. What is asthma?. Chronic disease No Cure Can be CONTROLLED Two components of the disease: Underlying Inflammation (Silent component)

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Improving Childhood Asthma Outcomes: A School Nurses’ Arsenal

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  1. Improving Childhood Asthma Outcomes: A School Nurses’ Arsenal Montana Asthma Control Program, Montana Department of Public Health and Human Services

  2. What is asthma? • Chronic disease • No Cure • Can be CONTROLLED • Two components of the disease: • Underlying Inflammation (Silent component) • Muscle tightening (During attack)

  3. How is asthma controlled? • RESCUE MEDICATION • Taken in RESPONSE to symptoms • Used during an attack • Should be available at school • Relax the smooth muscle squeezing the airway • Safe, effective

  4. How is asthma controlled? • CONTROLLER MEDICATIONS • Taken to PREVENT symptoms • Reduce Inflammation • Address the silent component of the disease • Taken daily, usually at home • Most common=Inhaled Corticosteriods • Safe, effective

  5. How is asthma controlled? ENVIRONMENTAL CONTROL: Reduce exposure to things that trigger attacks

  6. The problem of asthma in MT

  7. The problem of asthma in MT

  8. The problem of asthma in MT

  9. The problem of asthma in MT

  10. What can be done to improve asthma outcomes?

  11. Allow students easy access to their inhalers Create a school wide protocol for handling an asthma episode Identify and reduce common asthma triggers Enable students with asthma to participate in activities Educate staff parents and students about asthma Collaborate with families, students, staff and health providers What can be done to improve asthma outcomes? 7 Identify students with asthma

  12. How is Montana doing? • Survey of school administrators in Montana, in 2008 at the beginning of asthma resource guide roll out and after 4 years of the project

  13. How is Montana doing?

  14. How is Montana doing?

  15. How is Montana doing?

  16. How is Montana doing?

  17. How is Montana doing?

  18. How is Montana doing?

  19. What are the barriers?

  20. What are the barriers?

  21. What are the barriers?

  22. Montana School Nurses • Montana Association of School Nurses Survey, 2009 • 81 RN School Nurses, full-time and part-time • 26 RN Public Health Nurses – 1 hr/wk or more spent in schools • Total = 62.5 FTE RN School Nurses in Montana • 144,000 Students in Montana Public Schools

  23. Montana School Nurses • CDC recommended school nurse to student ratio: 1:750 • Ratio in Montana: 1: 2304

  24. Montana Counties without a School Nurse

  25. Do school nurses matter? YES!

  26. Mobilizing School Nurses for Asthma • Montana Asthma Control Program’s School Nurse Mini Grant Project • Available since 2010

  27. What is this program? • A program to enable school nurses in Montana to work towards creating asthma friendly schools • Provides grant money to school nurses to carry out projects • Five projects that nurses may choose from: • School Staff Training • Partnering with Parents • Assessing Asthma Friendly School Policies and Procedures • Home Environmental Assessments • Teaching an Asthma Self-Management Curriculum\ • Plus design your own!

  28. Who is eligible for this program? • School nurses working in elementary, middle, and high schools throughout the state of Montana • School nurses are defined as: nurses employed or contracted by a school, school district, or local public health department to provide school nursing services • Includes: LPNs, RNs, Nurse Practitioners

  29. How do I apply? • Individual application: One nurse carrying out one projects, award = $500 • Group application: Three or more nurses carrying out larger version of project: $1500

  30. How do I apply? • Choose one of the five projects • School Staff Training • Partnering with Parents • Assessing Asthma Friendly School Policies and Procedures • Home Environmental Assessments • Teaching an Asthma Self-Management Curriculum

  31. School Staff Training

  32. School Staff Training

  33. School Staff Training

  34. School Staff Training

  35. How do I apply? • Choose one of the five projects • School Staff Training • Partnering with Parents • Assessing Asthma Friendly School Policies and Procedures • Home Environmental Assessments • Teaching an Asthma Self-Management Curriculum

  36. Partnering with Parents

  37. Partnering with Parents

  38. How do I apply? • Choose one of the five projects • School Staff Training • Partnering with Parents • Assessing Asthma Friendly School Policies and Procedures • Home Environmental Assessments • Teaching an Asthma Self-Management Curriculum

  39. Assessing Asthma Friendly School Policies and Procedures

  40. Assessing Asthma Friendly School Policies and Procedures

  41. Assessing Asthma Friendly School Policies and Procedures

  42. How do I apply? • Choose one of the five projects • School Staff Training • Partnering with Parents • Assessing Asthma Friendly School Policies and Procedures • Home Environmental Assessments • Teaching an Asthma Self-Management Curriculum

  43. Home Environmental Assessments

  44. Home Environmental Assessments

  45. How do I apply? • Choose one of the five projects • School Staff Training • Partnering with Parents • Assessing Asthma Friendly School Policies and Procedures • Home Environmental Assessments • Teaching an Asthma Self-Management Curriculum

  46. Teaching an Asthma Self-Management Curriculum

  47. Teaching an Asthma Self-Management Curriculum

  48. How do I apply? • Choose one of the five projects • School Staff Training • Partnering with Parents • Assessing Asthma Friendly School Policies and Procedures • Home Environmental Assessments • Teaching an Asthma Self-Management Curriculum • Create your own! –eg Breathe Mobile in Billings

  49. How do I apply? • Fill out the application-starting May 2012 • The application is available online: • www.asthmamontana.com

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