Environmental Management of Pediatric Asthma: Guidelines for Health Care Providers

1. Environmental Management of Pediatric Asthma: Guidelines for Health Care Providers

2. Overview • Founded upon NAEPP Guidelines • To be used in conjunction with its clinical and pharmacological components • Developed for providers of pediatric primary care: pediatricians, family physicians, internists, pediatric nurse practitioners, pediatric nurses, and physician assistants • Authored by expert steering committee and peer-reviewed • Built on scientific literature and best current practices http://www.neefusa.org/health/asthma/index.htm

3. Overview • Endorsed by: Ambulatory Pediatric Association American Association of Colleges of Nursing Association of Faculties of Pediatric Nurse Practitioners • Supported by: American Academy of Pediatrics National Association of Pediatric Nurse Practitioners http://www.neefusa.org/health/asthma/index.htm

4. Overview • Developed for children 0-18 years, already diagnosed with asthma • Applies to all settings where children spend time • Outdoors • Homes, schools, and daycare centers • Cars and school buses • Camps, relatives’/friends’ homes, other recreational or housing settings • Occupational environments • Available online, in hard copy, and on CD-ROM http://www.neefusa.org/health/asthma/index.htm

5. Components • Educational competencies • Environmental history form • Environmental intervention guidelines • Sample Patient Flyers and References • Strategies for integrating into health care provider curricula and clinical practice • Supplemented by online list of resources with web-links http://www.neefusa.org/health/asthma/index.htm

6. Competencies I. Knowledge of Environmental Triggers of Asthma II. Identification of Environmental Triggers of Asthma III. Environmental Intervention and Treatment IV. Ability to Counsel Caregivers and Pediatric Asthma Patients on the Reduction of Environmental Asthma Triggers V. Effective Communication and Patient Follow-Up Skills VI. Advocacy http://www.neefusa.org/health/asthma/index.htm

7. History Form • Quick intake form • Administered by health care provider • Available online as PDF and Word document • Can be pasted into existing template • Questions are in yes/no format • Follow up yes answer with in-depth questions on Intervention Guidelines fact sheets http://www.neefusa.org/health/asthma/index.htm

8. Intervention Guidelines • Two-visit concept • Separate fact sheets: • Dust Mites • Animal Allergen • Cockroach Allergen • Mold/Mildew • Environmental Tobacco Smoke • Air Pollution http://www.neefusa.org/health/asthma/index.htm

9. Intervention Guidelines • Short introduction • In-depth questions • Explore exposure sources • Parents’ current practices • Intervention recommendations • Sample patient handouts to download • Additional resources on initiative’s website http://www.neefusa.org/health/asthma/index.htm

10. Steering Committee James Roberts, MD, MPH (Chair) – Medical University of South Carolina Elizabeth Blackburn, RN – Environmental Protection Agency Allen Dearry, PhD – National Institute of Environmental Health Sciences Patricia deSa, MS – Kaiser Permanente Peyton Eggleston, MD – John Hopkins University, School of Medicine Ruth Etzel, MD, PhD – George Washington University, School of Public Health Joel Forman, MD – Mount Sinai School of Medicine Robert Johnson, MD – Agency for Toxic Substances and Disease Registry Philip Landrigan, MD, MSc – Mount Sinai School of Medicine Leyla Erk McCurdy, MPhil – National Environmental Education Foundation Stephen Redd, MD – Centers for Disease Control and Prevention Richard M. Roth, MD – Kaiser Permanente Dave Rowson – Environmental Protection Agency Barbara Sattler, RN, DrPH – University of Maryland, School of Nursing Alisa Smith, PhD – Environmental Protection Agency Laurel Talabere, PhD, RN – Capital University Robert Wood, MD – John Hopkins University, School of Medicine Lorrie Yoos, PhD, CPNP – University of Rochester

11. Contact Information • Leyla Erk McCurdy • Senior Director • Health & Environment Programs • Email: mccurdy@neefusa.org • Phone: 202-261-6488 • NEEF is tracking usage and requests your • feedback http://www.neefusa.org/health/asthma/index.htm