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Environmental Management of Pediatric Asthma: Guidelines for Health Care Providers. The National Environmental Education & Training Foundation. Overview. Founded upon NAEPP Guidelines To be used in conjunction with its clinical and pharmacological components

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environmental management of pediatric asthma guidelines for health care providers
Environmental Management of Pediatric Asthma: Guidelines for Health Care Providers

The National Environmental Education & Training Foundation

overview
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.neetf.org/Health/asthma.htm

overview3
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

(As of 2/24/2006)

http://www.neetf.org/Health/asthma.htm

slide4
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.neetf.org/Health/asthma.htm

components
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.neetf.org/Health/asthma.htm

competencies
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.neetf.org/Health/asthma.htm

history form
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.neetf.org/Health/asthma.htm

intervention guidelines
Intervention Guidelines
  • Two-visit concept
  • Separate fact sheets:
    • Dust Mites
    • Animal Allergen
    • Cockroach Allergen
    • Mold/Mildew
    • Environmental Tobacco Smoke
    • Air Pollution

http://www.neetf.org/Health/asthma.htm

intervention guidelines9
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.neetf.org/Health/asthma.htm

steering committee
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 & Training 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

contact information
Contact Information
        • Leyla Erk McCurdy
        • Senior Director
        • Health & Environment Programs
        • Email: [email protected]
        • Phone: 202-261-6488
  • NEETF is tracking usage and requests your
  • feedback

http://www.neetf.org/Health/asthma.htm

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