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Secondary Research: Child with Asthma (managing (Shared decision making…
Secondary Research: Child with Asthma
Different types of asthma
different ways of treating asthma
Dependant on philosophy- homeopathic
Triggers
Age
Under age 5
Children cannot tell you about their symtoms
Equal parts $ is spent in outpatien as inpatient
nebulizer
hard to diagnose
Trial treatment
6-12
5% $ spent inpatient
12+
High Risk group
Services need to engage them and encourages them to take more responsibility for their asthma
Degrees
Intermittent asthma
Mild Persistant Asthma
Moderate Persistant Asthma
Servere Persistant Asthma
Diagnosing
easy to over-diagnose
May miss more serious illnesses- cystic fibrosis
may need multiple accessments before accurate diagnosis
yet they start meds right away
Different ways Asthma is viewed
Situational vs extending over a long period of time.
Stigma
Hollywood plays a role in the depiction of asthma
Stigma lends from lack of understanding
Link to super heros or role-models
Emotions
First time can be scary
Feels like you are sufficating
Needs Inspiration that they can do what they want
Goals of Asthma Treatement
Restful, nighttime sleep
Ability to engage in normal play and activities
Normal lifestyle, with no restrictions due to asthma
managing
Through Education
Through Rituals
Track Symptoms
See Doctor when ness
Control Triggers
maintain good health
Personalized care- What works for them?
Shared decision making between Adults and Children
improved outcomes
increase confidence to deal with condition
improve self management skills
a child with poorly controlled asthma is 3x more likely to miss school
poor attendance= effect on well being and educational potential
their care provider is more likely to take time off of work= less $
technique is important
support
families
Schools
needs to receive regular structured reviews
Effects specific to children
effects on developmental stage
control is given to the parent
the parents need to be educated
supervision is nes
delivery of meds is diff
transition from pediatric care to adult care is a process and should be planned
parents
find diagnosis of child difficult to accept
need to be educated
need just as much support as the children
information needs to be tailored to the parents context
need to know how to respond to 'loss of control'
may need to change habits- ie smoking
needs understandable information- no medical jargon
When Parents pass the care to the child, they need support