The Vital Role of the School Nurse in Managing Asthma

Abstract

Since asthma is the most common noncommunicable chronic childhood disease in the United States, school nurses will encounter students with this health condition. The purpose of this article is to present the school nurse as the leader in directing the management of a student’s chronic health condition at school. This article provides a table of resources and discusses many aspects of asthma management, including utilization of the student’s asthma action plan, student-specific school accommodation needs, the importance of developing individualized healthcare plans, providing education to school staff related to asthma management and determining of the family and student knowledge level, as well as strategies to minimize exacerbations. The article also explores school nurse opportunity to advocate for emergency asthma medication access as a part of emergency preparedness. School-based asthma management can be complex and school nurses have a pivotal role in asthma management in a school.

Keywords

asthma school nurse medication adherence stock albuterol

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References

Allergy and Asthma Network. (2020a). Access to safe, effective and affordable medications and treatment options. https://allergyasthmanetwork.org/advocacy/access-to-medications-for-people-with-allergies-and-asthma

Allergy and Asthma Network. (2020b). Laws to protect those with asthma and allergies. https://allergyasthmanetwork.org/advocacy/laws-to-protect-people-with-asthma-and-allergies

American Academy of Allergy, Asthma & Immunology. (2020). Asthma triggers and management. https://www.aaaai.org/Tools-for-the-Public/Conditions-Library/Asthma/Asthma-Triggers-and-Management-TTR

Amin

Soliman

McIvor

Cave

Cabrera

(2020). Understanding patient perspectives on medication adherence in asthma: A targeted review of qualitative studies. Patient Prefererence and Adherence, 14, 541-551. https://doi.org/10.2147/PPA.S234651

Centers for Disease Control and Prevention. (2018). Controlling asthma in schools. https://www.cdc.gov/asthma/controlling_asthma_factsheet.html#:~:text=All%2050%20states%20 have%22passed,to%20treat%20emergency%20asthma%20attacks

Centers for Disease Control and Prevention. (2020). Common asthma triggers. https://www.cdc.gov/asthma/triggers.html#:~:text=Sinus%20infections%2C%20allergies%2C%20pollen%2C,also%20trigger%20an%20asthma%20attack

Centers for Disease Control and Prevention. (2021). Strategies for protecting K-12 school staff from COVID-19. https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/k-12-staff.html#strategies-controlling-exposures

Everhart

R. S.

Corona

Mazzeo

S. E.

Dempster

K. W.

Schechter

M. S.

(2020). School nurses’ perspectives on components of asthma programs to address pediatric disparities. Journal of Pediatric Psychology, 45(8), 900-909. https://doi.org/10.1093/jpepsy/jsaa039

Makhinova

Barner

J. C.

Brown

C. M.

Richards

K. M.

Rascati

K. L.

Rush

Nag

(2021). Examination of barriers to medication adherence, asthma management, and control among community pharmacy patients with asthma. Journal of Pharmacy Practice, 34(4), 515-522. https://doi.org/10.1177/0897190019840117

10.

McCaughey

R. A.

McCarthy

A. M.

Maughan

Hein

Perkhounkova

Kelly

M. W.

(2020). Emergency medication access and administration in schools: A focus on epinephrine, albuterol inhalers, and glucagon. Journal of School Nursing. Advance online publication. https://doi.org/10.1177/1059840520934185

11.

McClure

Catrambone

Carlson

Phillippi

(2020). Maximizing the role of the nurse: strategies to address gaps in asthma care in schools. Journal of Pediatric Nursing, 53, 52-56. https://doi.org/10.1016/j.pedn.2020.05.003

12.

McQuaid

E. L.

(2018). Barriers to medication adherence in asthma: The importance of culture and context. Annals of Allergy, Asthma & Immunology, 121(1), 37-42. https://doi.org/10.1016/j.anai.2018.03.024

13.

National Association of School Nurses. (2017). Chronic health conditions (students with): The role of the school nurse. https://www.nasn.org/nasn/advocacy/professional-practice-documents/position-statements/ps-chronic-health

14.

National Association of School Nurses. (2018). The role of the 21st century school nurse. https://www.nasn.org/nasn/advocacy/professional-practice-Documents/position-statements/ps-role

15.

National Association of School Nurses. (2019). Emergency preparedness. https://www.nasn.org/nasn/advocacy/professional-practice-documents/position-statements/ps-emergency-preparedness

16.

National Heart, Lung, and Blood Institute. (2014). Managing asthma: A guide for schools. https://www.nhlbi.nih.gov/files/docs/resources/lung/NACI_ManagingAsthma-508%20FINAL.pdf

17.

O’Rourke

Zimmerman

Platt

Pappalardo

A. A.

(2020). Preventing asthma emergencies in schools. Pediatrics, 145(4), Article e20191995. https://doi.org/10.1542/peds.2019-1995

18.

Riley

I. L.

Jackson

Crabtree

Riebl

Que

L. G.

Pleasants

Boulware

L. E.

(2021). A scoping review of international barriers to asthma medication adherence mapped to the theoretical domains framework. Journal of Allergy and Clinical Immunology Practice, 9(1), 410-418, e414. https://doi.org/10.1016/j.jaip.2020.08.021

19.

Russell

A. F.

Kagan

O. S.

Huber

M. M.

(2020). Parent perspectives on food allergy management and safety during the COVID-19 pandemic. Journal of Food Allergy, 2(2), 142-151. https://doi.org/10.2500/jfa.2020.1.200033

20.

Schoessler

Winders

(2016). Enhancing asthma medication delivery: Spacers and valved holding chambers. NASN School Nurse, 31(4), 200-201. https://doi.org/10.1177/1942602X16646593

21.

Shaker

M. S.

Oppenheimer

Grayson

Stukus

Hartog

Hsieh

E. W. Y.

Rider

Dutmer

C. M.

Vander Leek

T. K.

Kim

Chan

E. S.

Mack

Ellis

A. K.

Lang

Lieberman

Fleischer

Golden

D. B. K.

Wallace

Portnoy

Mosnaim

Greenhawt

(2020). COVID-19: Pandemic contingency planning for the allergy and immunology clinic. Journal of Allergy and Clinical Immunology Practice, 8(5), 1477-1488, e1475. https://doi.org/10.1016/j.jaip.2020.03.012