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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
• 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
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
Agenda
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.
Overview
Ophea Asthma Education Initiative – Communications and Public Education Approach:
RESOURCE/MATERIALS DEVELOPMENT
INTEGRATED COMMUNICATIONS
STRATEGY
INTEGRATION WITH OTHER RESOURCE
CENTRE FUNCTIONS, PRODUCTS AND
SERVICES
PARTNERSHIP BUILDING
Asthma Education Initiative
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
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
• Inflammation of the airways -extra-sensitive or twitchy airways
Causes:• muscles around airways tighten
• lining of the airways becomes swollen
• mucous production increases
Asthma Is…
Asthma Review
Asthma Symptoms include..
• Wheezing• Coughing• Chest tightness• Shortness of breath• Difficulty breathing
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.
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
There are two types of asthma medication:
• CONTROLLERS: also referred to as “preventers”
• RELIEVERS: also referred to as “rescue” medication
Asthma Medication
• 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)
Controllers
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
Relievers
School Policies - DPA
Daily Physical Activity
– WHAT
– WHEN
– WHERE
– WHY
– WHO
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
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.
Planning and Implementing Physical Activity
Pre-Activity
1. KNOW who has asthma
2. WARM UP gradually
3. USE RELIEVER 10-15 mins prior if prescribed
4. KNOW the SYMPTOMS
Pre-Activity continued…
5. ACCESS to medication EASY.
6. KNOW how to handle a situation and how to contact EMS
7. ENCOURAGE and support the student with asthma to participate as fully as possible in all school activities
Planning and Implementing Physical Activity
During Activity
1. DO NOT participate in activity if asthma symptoms present.
2. STOP if symptoms occur until he/she is fully recovered.
3. USE RELIEVER INHALER if necessary
4. REST until fully recovered before they begin participation again.
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.
Planning and Implementing Physical Activity
Post Activity1. NOTE: EIA can occur following activity. Where possible, continue
to monitor the student
2. PRAISE for the student’s efforts.
3. 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.
Planning and Implementing Physical Activity
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?
Asthma Scenarios
What Educators Need to Know: Roles and Responsibilities
• Know who has asthma.
• Know the triggers
• Know who needs assistance.
• Know the emergency plan.
• Know and use preventive measures.
• Communicate with parents
• 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.
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!
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
Public Health: Challenges and Successes Creating Asthma Friendly Schools
Question and Answer Period…
Asthma & Physical Activity
Advocacy Symptoms
Attack
Asthma & Exercise
through
are
are
byPrevention
Triggers
Caused by
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
ResourcesOphea’s Asthma Ed. InitiativeVarious asthma resources specifically targeting the school community for download or FREE to order in Ontario
www.Ophea.net/asthma
The Lung Associationwww.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 [email protected].
Public Health School Asthma Pilot ProjectCreating Asthma Friendly Schools
www.asthmainschools.com
The Asthma SocietyOffers virtual support groups on their website. www.asthma.ca/adults/community
Allergy/Asthma Information Associationwww.aaia.ca
Anaphylaxis Canadawww.anaphylaxis.org
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 * [email protected]
OR
Elizabeth Conti, Public Health School Asthma Project Coordinator * [email protected]