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Asthma: What YOU Need to Know

Asthma: What YOU Need to Know. Daily Physical Activity and Asthma Education in Ontario Schools Provided by Ophea in partnership with the Public Health School Asthma Pilot Project. Objectives.

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Asthma: What YOU Need to Know

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  1. Asthma: What YOU Need to Know Daily Physical Activity and Asthma Education in Ontario Schools Provided by Ophea in partnership with the Public Health School Asthma Pilot Project

  2. Objectives • To educate workshop participants with need to know information regarding daily physical activity (DPA) and asthma awareness; • To inform Physical Health Promoters of Ophea’s Asthma Education Initiative and Public Health School Asthma Pilot Project resources

  3. Agenda Agenda • Asthma Initiatives Overview • Asthma Review • School Policies • Students with Asthma • Planning and Implementing Physical Activities • What you need to know about asthma and physical activity • Q & A

  4. Initiative Overview • Ophea’s (Ontario Physical and Health Education Association) Asthma Education Initiative is designed to increase the skills and knowledge of educators about asthma management and prevention in schools. • Managed by Ophea Curriculum and School-Based Health Resource Centre in support of the Ontario Asthma Plan of Action, funded by the Government of Ontario.

  5. Overview Asthma Education Initiative Ophea Asthma Education Initiative – Communications and Public Education Approach: RESOURCE/MATERIALS DEVELOPMENT INTEGRATED COMMUNICATIONS STRATEGY PARTNERSHIP BUILDING INTEGRATION WITH OTHER RESOURCE CENTRE FUNCTIONS, PRODUCTS AND SERVICES

  6. Initiative Overview • Partners - Asthma Society, The Lung Association, Anaphylaxis Canada, Allergy/Asthma Information Association and the Public Health School Asthma Pilot Project. • The Public Health School Asthma Pilot Project (PHSAPP) works with community agencies, school boards, and administrators to develop educational materials, activities, recommendations and guidelines related to asthma prevention and control in schools. The Creating Asthma Friendly Schools Resource Kit is available online at www.asthmainschools.com

  7. Asthma Review • >15% of children in Ontario have asthma • Leading cause of hospitalizations in children and school absenteeism • >50% have poor control of the disease • 80% of asthma deaths could be prevented with proper education • Asthma and anaphylaxis commonly co-exists in children

  8. Asthma Is… • Inflammationof the airways -extra-sensitive or twitchy airways Causes: • muscles around airways tighten • lining of the airways becomes swollen • mucous production increases

  9. Asthma Review Asthma Symptoms include.. • Wheezing • Coughing • Chest tightness • Shortness of breath • Difficulty breathing

  10. Magic Minute In the next 60 seconds, write down as many examples of asthma triggers as you can. Your goal is to identify at least 5. Hint: A trigger is any thing or condition that causes inflammation in the airways, which then leads to asthma symptoms.

  11. Asthma Triggers Asthma triggers are things that make people’s asthma worst. They can include things such as • Exercise • Cold Air • Dust Mites • Pets • Colds or flu • Mould

  12. Asthma Medication There are two types of asthma medication: • CONTROLLERS: also referred to as “preventers” • RELIEVERS: also referred to as “rescue” medication

  13. Controllers • Controls asthma symptoms • Decreases and prevents swelling of the airways • Can take days to weeks of regular use to work effectively • Usually given 2 times a day- in the morning and night time • Various colours (orange, purple, brown, red)

  14. Relievers A rescue medication-usually blue in colour: • Provides relief quickly, within minutes • Relaxes the muscles of the airways • Is taken only when needed or prior to exercise/activity if indicated • Needs to be accessible at all times

  15. School Policies - DPA Daily Physical Activity • WHAT • WHEN • WHERE • WHY • WHO

  16. School Policies - Asthma • Many schools do not have asthma policies in place currently • PHSAPP is focusing on Policy and Procedures development at School Board level • Draft in Hamilton and Halton

  17. Overview of Students with Asthma and Physical Activities What is Exercise-Induced Asthma (EIA)? • One of the most common triggers • Symptoms may occur during or after vigorous physical activity • Common in cold environments and during high pollen count days. • Use the “reliever” inhaler 10-15 minutes prior to exercise if indicated by a physician.

  18. Planning and Implementing Physical Activity Pre-Activity • KNOW who has asthma • WARM UP gradually • USE RELIEVER 10-15 mins prior if prescribed • KNOW the SYMPTOMS

  19. Planning and Implementing Physical Activity Pre-Activity continued… 5. ACCESS to medication EASY. • KNOW how to handle a situation and how to contact EMS • ENCOURAGE and support the student with asthma to participate as fully as possible in all school activities

  20. Planning and Implementing Physical Activity During Activity • DO NOT participate in activity if asthma symptoms present. • STOP if symptoms occur until he/she is fully recovered. • USE RELIEVER INHALER if necessary • REST until fully recovered before they begin participation again.

  21. Planning and Implementing Physical Activity 5. If symptoms do not improve and student’s condition worsens… • This is an emergency situation: • Call 911, wait for the ambulance, DO NOT drive the • student. • Give the reliever inhaler immediately. • Continue to give the reliever inhaler every few minutes • until help arrives. • Contact parents.

  22. Planning and Implementing Physical Activity Post Activity • NOTE: EIA can occur following activity. Where possible, continue to monitor the student • PRAISE for the student’s efforts. • MONITOR use of inhaler over time. Inform the parent if the student uses their reliever medication: • More than 3 times a week for symptomatic relief (not counting pre-exercise medication used before physical activity.) • During activity, even though they pre-medicated prior to physical activity. • More than every 4 hours.

  23. Asthma Scenarios A parent has sent a letter to you explaining that their child has exercise induced asthma and must take 2 puffs of their inhaler prior to any exercise. You have the student do this; however after ten minutes of exercise, the student wants to take more. What should you do?

  24. What Educators Need to Know: Roles and Responsibilities • Encourage students to participate in activities to the best of their abilities. • Encourage students to carry their own inhaler medication with them at all times. • Provide opportunities for students to learn about asthma. • Know who has asthma. • Know the triggers • Know who needs assistance. • Know the emergency plan. • Know and use preventive measures. • Communicate with parents

  25. What Public Health Reps Need to Know Advocate • for opportunities to learn about asthma. • to have a school wide process in place and emergency plan for handling worsening asthma. • for opportunities to identify and reduce common asthma triggers. • access to information to help in creating asthma friendly schools. • the expectation that children with asthma will participate in activities. • how and use preventive measures to allow participation in exercise and/or physical activity and….Integrate Asthma Key Messages into your PH resources!

  26. Think, Pair, Share • For one minute, THINK about how you can apply this knowledge to the work you do with schools/youth. • Divide yourselves in PAIRS • SHARE your ideas with a partner; do they have anything to add? • Volunteers can share with the group

  27. Public Health: Challenges and Successes Creating Asthma Friendly Schools Question and Answer Period…

  28. Asthma & Physical Activity Prevention Caused by Triggers

  29. Resources • What Educators Need to Know about Daily Physical Activity and Asthma • 4-15 copies of the folder, which include an Asthma/DPA poster, were distributed to all Ontario elementary schools (English and French) in January 2007. Currently only available to schools/school boards

  30. Resources Public Health School Asthma Pilot Project Creating Asthma Friendly Schools www.asthmainschools.com The Asthma Society Offers virtual support groups on their website. www.asthma.ca/adults/community Allergy/Asthma Information Association www.aaia.ca Anaphylaxis Canada www.anaphylaxis.org Ophea’s Asthma Ed. Initiative Various asthma resources specifically targeting the school community for download or FREE to order in Ontario www.Ophea.net/asthma The Lung Association www.on.lung.ca The Lung Association also provides a FREE asthma information telephone helpline where you can obtain advice and general information from a Certified Asthma Educator, through Ontario’s Asthma Action Helpline. Call 1-800-668-7682 you can also e-mail a Certified Asthma Educator at info@on.lung.ca.

  31. Evaluation and Thank You Please take a minute to complete the evaluation. Any additional questions, please contact Mélanie Guertin, Ophea’s Asthma Education Initiative Projects Leader * melanie@ophea.org OR Elizabeth Conti, Public Health School Asthma Project Coordinator * lconti@hamilton.ca

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