-Asthma Education

Question 1

-Asthma Education

Answer 1

-Definition, a serious chronic disease affecting the airways. A condition in which a person’s airway becomes swollen, inflamed, narrowed while producing extra mucus making it difficult to breathe and reducing airflow in and out of the lungs. Making asthma an obstructive disease

	-2 Categories, intrinsic (non allergic) and extrinsic (allergic)

	-Exacerbation/ Flares caused by triggering, smoke, dust, mites, mold, cold air, exercise..etc

Question 2

Kentucky Asthma Rates

Answer 2

-Ky 3rd highest rate in US

		-10.6% 11 years and younger

		-11.8% high school students

		-18.6% adults in Ky (32% are smokers)

Question 3

Nationwide Asthma Rates

Answer 3

-25.5 million asthma sufferers in US

		-Most common among Afriacan Americans

		-Highest incidence- Lower socioeconomic status and lower education level

		-Death rate among children, increase with age

		-Females 9.3% more likely after puberty

		-2017 estimated 11.4 million had an asthma attack

Question 4

-Cost Kentucky

Answer 4

-Ky nearly 400 million/ year in medicaid funds

	-$62 million on hospital admissions in 2018

	-Estimated 50 deaths yearly

Question 5

Cost Nationwide

Answer 5

-Nationwide- Ranked 28th among most prevalent disease

	-4000 asthma related deaths

Question 6

-Kentucky Strategic Plan

Answer 6

-1.Establish a sustainable and ongoing surveillance system that monitors the burden of asthma in kentucky

-2.Develop and disseminate information obtained from surveillance system

-3. Use the most current data to identify target population and direct strategic planning

-4.Promote and implement best practice guidelines for the diagnosis, treatment, and management of asthma in KY

-5. Provide individuals diagnosed with asthma the education, skills, and resources needed to manage their disease effectively

-6. Increase awareness and understanding of asthma among the public and health care professionals

-7. Ensure that all children diagnosed with asthma in schools and licensed child care facilities receive optimal care at facility

Question 7

-Asthma Facts

Answer 7

-78% of Parents and 84% of adult patients state that asthma has a negative impact on their lives

-61% of patients and 73% of parents report that they alter their lives by limiting activities, find it difficult to sleep through the night, miss school or work, and make unplanned trips to the doctor or ER.

-70% of parents and patients agree that the whole family is affected by one members asthma, nearly 50% say asthma limits the range of activities th family can do together

-When asked to name a controller medication for asthma, 73% of adult patients and 79% of parents actually named a fast acting “rescue” medication

Question 8

-Why Teach

Answer 8

-Pervious statistics

-Studies shown to be effective in improving asthma outcomes if we spend more times teaching

-Produces behavior that modifies patient outcomes and/ or minimizes exposure to their “Triggers”

Question 9

-Asthma Medication Side Note

Answer 9

-Cromolyn Sodium or Intal, helps prevent asthma but can be dangerous if taken during an episode

Question 10

-Where to Teach

Answer 10

-Schools

-Physician Clinics

-Hospitals

-Community Programs

-Asthma Camps

Question 11

-What to Teach

Answer 11

-Disease- Anatomy and physiology for non professional

	-What happens- Airway narrowing, inflammation, recognition of symptoms and early intervention

	-Causes (Triggers) different for everybody, allergies, avoidance strategies, definition of well-controlled

Question 12

-What to Teach

Answer 12

-Types of medication, control vs. rescue meds and proper administration

-Written action Plan, diary, to focus on “triggers” daily monitoring of peal flow, what to do if, X,Y,Z happens

-Identify and address concerns

Question 13

-Control of Triggers

-Tobacco Smoke

Answer 13

-Quit if smoke
-Smoke free environment (car and house)

Question 14

-Control of Triggers

-Animal Dander

Answer 14

-Keep animal with fir out of thee house if possible

	-Keep the pet out of the bedroom and keep the door closed to sleeping quarters of asthma patient

	-Remove carpet and furniture upholstered in cloth if possible

Question 15

-Control of Triggers
-Dust Mites

Answer 15

-Encase mattress in special dust mite free cover

	-Encase pillows in special dust mite free cover or wash every week in hot water or cool water/ bleach

	-Reduce indoor humidity to <60%

	-Do not sleep on cloth covered cushions or furniture

	-Reduce carpets from bedroom and form concrete floors(hardwood or tile is better)

	-Stuffed toys

		-Keep off of bed

		-Place in freezer for a minimum of 8 hours or dryer for 10 minutes

Question 16

-Control of Triggers

-Cockroaches

Answer 16

-Keep all food out of bedroom

-Keep food and garbage on closed containers

-Use poison bates, traps, powders,etc

Question 17

-Control of Triggers

-Vacuum cleaning

Answer 17

-Try to get someone else to do it once or twice a week if you suffer from asthma

-If do it yourself, use a dust mask or a vacuum cleaner with a HEPA filter

Question 18

-Control of Triggers -Indoor mold

Answer 18

-Fix leaking faucets, pipes

-Clean moldy surfaces

-Dehumidify basements

Question 19

Control of Triggers -Pollen and outdoor mold

Answer 19

-Try keeping windows closed

-Stay indoors during the midday and afternoon

-Talk to doctor about anti-inflammatory meds before allergy season starts

Question 20

Control of Triggers -Smoke, strong odors, and sprays

Answer 20

-If possible, do ot use wood burning stoves, kerosene heaters, fireplaces, unvented gas stoves, or heater

-Try to stay away from strong odors ( perfumes,talc powders, hair spray,etc.)

Question 21

Control of Triggers -Others

Answer 21

-Cold air, cover nose and mouth with a scarf

-Other meds, tell doctor about all meds including any over the counter meds taken

Question 22

-Correct use of MDI

Answer 22

-Shaking the inhaler

-Use of spacer/ holding chamber

-Only active inhaler once for each inspiration

-Hold breath as you count to 10 slowly

-Wait one to two minutes between puffs

-clean inhaler/ spacer as needed

-Know when to replace

Question 23

-Medications

Answer 23

-Long term control meds

	-Reduce inflammation

	-Must be taken daily

	-Do not expect quick relief

	-Inhaled corticosteroids, cromolyn sodium, antileukotrienes, some LABAs with ICS

	-Examples, cromolyn sodium, singular, Accolate, flovent

Question 24

-Exercise and sports

Answer 24

-Should be active without symptoms, if not , talk to your doctor about taking meds before activity

-Warm up before exercising

-Check air quality index and avoid outside activity when air pollution or pollen levels are high