1. The Asthma Toolkit for School Aged Children for
Providers: Prevention and Management
By: Amy Cullen RN, SAPRN, Paige Gross, RN, SAPRN,
Lauren McDonald, RN, SAPRN, Katie O’Donnell, RN,
SAPRN, & Lauren Walters, RN, SAPRN

2. Introduction
This toolkit was designed with the audience intended for use kept in mind. In
today’s era of healthcare, many providers are working overtime to keep up with the
demands of their daily schedules and large patient panels. The idea of taking extra
time from one’s busy schedule to read many pages of information surrounding the
use of a new toolkit may not seem realistic or desirable to a busy healthcare
provider, thus, we have attempted to make this toolkit as user friendly and efficient
as possible for the busy healthcare provider caring for school aged asthmatic
patients. With high efficiency and ease and simplicity of use, it is hoped these
qualities will increase provider interest for education on and implementation of this
toolkit within their daily practice. The purpose of this toolkit is to provide resources
for healthcare providers and school nurses that will support them in improving
pediatric patients and their caregiver’s asthma self-management skills, awareness
of environmental risk factors, and preventing and managing asthma attacks. With
improvement in these realms, it is hoped childhood absenteeism in the Manchester,
NH school system will decrease and overall quality of life for asthmatic patients and
their families will be improved.

3. Table of
Contents
1
Instructions on how to use toolkit
2
Initial Survey questionnaire
3
Asthma 5 Question Assessment
4
Medication charts for providers
5
How to use Inhaler and Peak Flow Meter
6
What is Asthma?
7
Additional resources
8
Additional resources cont.

4. How to Use ToolKit
School involvement
• For the Provider:
– Toolkit Instructions
• For the School:
– Becoming Involved

5. Initial Survey
Survey
1
Re- Evaluation
The Practitioner is to
obtain initial screening
on all patients with
asthma before initiating
the tool kit. This will
provide a base line
score and help indicate
if
the
patient
is
benefitting from the
toolkit.
2
The Patients will then
be given the same
survey at 6 months, 12
months and 2 years
and comparison of
their scores will be
made.
Assesment: Providers
A thorough exam should be done on initial visit. Example
of what initial visit should entail:
New Encounter
MaineHealth

6. 5 Question
Asthma
Assessment
1
2
The
5
Question
Asthma Assessment
should be used with
every office visit in a
patient with asthma.
This will help guide
the practitioner if the
patients asthma is
under
control
or
changes need to be
made.
5 Question Asthma
Assessment

7. Medication Charts
• Medicine Chart
• Medicine Picture Chart
• Inhaled Asthma Medications
MaineHealth, American Lung Association

8. How To Use
Inhalers
Inhaler with
Spacer
Inhaler in Mouth
1
English:
http://www.youtube.com/
watch?feature=player_em
bedded&v=Lx_e5nXfi5w
Spanish:
http://www.youtube.com/
watch?feature=player_em
bedded&v=TFexVujeJVk
2
English:
Inhaler without
Spacer
3
English:
http://www.youtube.com/
watch?feature=player_em
bedded&v=BbONuRXJdr
0
http://www.youtube.com/
watch?feature=player_em
bedded&v=nmvhFSnlRG
E
Spanish:
Spanish:
http://www.youtube.com/
watch?feature=player_em
bedded&v=NdFstn28hW
M
http://www.youtube.com/
watch?feature=player_em
bedded&v=31l5BZXSmR
k
CDC, Mayo clinic, MaineHealth, Childrens Hospital and Clinics of Minnesota

9. What Is Asthma
•
•
•
•
•
•
Fast Fact for Kids
You Can Control Your Asthma
Parents: Asthma Attacks
Animated Asthma Education for Kids
Have Asthma
Dusty the Goldfish- English and Dusty The
Goldfish- Spanish
United States Environmental Protection Agency 2004, NIH 2007, CDC, E-Learning for Kids

10. Additional
Resources
1
2
3
For parents:
What Do You Know
Educational Resources
Sterois Use and Growth
All About Nebulizers
For Providers:
Asthma Basics
For those caring for child with Asthma:
Asthma Action Plan
Warning Signs
AIM 2013, Healthcare South 2002, NHLBI 2007

11. Additional Resources:
Multi-Media Applications
•
•
•
•
PROVIDERS:
-Asthma Point of Care 360: FREE
-STAT ASTHMA: NHLBI/ EPR 3: FREE
-iGuidelines: (Children's Mercy Hospital): FREE
•
•
•
•
•
•
•
•
•
•
•
CHILDREN:
-Kids Beating Asthma: FREE
-Breathe Easy Asthma Timer: FREE
-Asthma USA: FREE
-Asthma Buddy: FREE
-AsthmaSense: FREE
-Allergy, Asthma & Sinus Center: FREE
-Propeller Health (Asthmapolis): FREE
-AsthmaTrack (1.99)
-AsthmaMD ($4.99)
-Breathe Easy Asthma Steps ($5.99)

12. References
•
•
•
•
•
•
•
•
•
American Lung Association. (2009) Asthma Medicines Chart. Retrieved from
http://www.lung.org/lung-disease/asthma/
Asthma Initiative of Michigan (AIM), 2013. Retrieved from www.getasthmahelp.org
CDC. (2013). Asthma. Retrieved from http://www.cdc.gov/asthma/
Elliot Hospital Health System (n.d) Asthma Assessment Questions. Manchester, NH:
Elliot Hospital.
Healthcare South. (2002). Massachusetts Asthma Action Plan. Retrieved from
www.healthcaresouth.com/pages/asthmaaction2002.pdf
MaineHealth (2013). Ah! Asthma. Retrieved from
http://www.mainehealth.org/mh_body.cfm?id=364
NHLBI Guidelines for the Diagnosis and Management of Asthma (2007). Classifying
Asthma Severity and Initiating Treatment in Youth less than 12 years of Age and
Adults. Retrieved from www.nhlbi.nih.gov/guidelines/asthma/09_sec4_it_12.pdf
National Heart Lung and Blood Institute, NIH (2007). So You Have Asthma. Retrieved
from www.nhlbi.nih.gov/health/public/lung/asthma/have_asthma.pdf
United States Environmental Protection Agency. (2004). Dusty the asthma goldfish
and his asthma triggers (EPA 402-F-04-008). Retrieved from
http://www.epa.gov/asthma /publications.html

13. THANK YOU!
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