ASTHMA
Asthma has become the most chronic health problem among children, and the number of affected children is growing rapidly. This national trend is even more pronounced on the reservations. When a child has an asthma attack, she has trouble breathing due to swelling of the air packages in the lungs and a build-up of mucus. It can be triggered by a common illness, too much strenuous activity, or an allergic reaction. The first asthma attack is generally terrifying for both parent and child alike. You see your child fighting for breath. As one small child described an asthma attack, "It's like being a fish out of water."
Most children with asthma can participate normally in activities, but some cautions and restrictions may be necessary, such as having more rests and breaks than other children. Most children with asthma will have some medication, typically in the form of an inhaler, that is either taken regularly or when an attack occurs. One of the biggest problems with young children is forgetting to take their medication with them wherever they go. You and the child’s parent must assist. As will all medications, make sure you have clear directions on its dosage and use and a phone number to call with any questions.
Each child with asthma should have her own written plan that is kept in her file (and taken on field trips) describing potential triggers, what to do in case of an attack, and other pertinent information. As the child’s teacher you should know this and not have to rely on looking at the file. Know how to use the child’s inhaler, nebulizer, or other equipment. If a child has an attack, help her calm by being calm yourself and talking in a soothing voice. Have her sit upright and rub her back as you implement the treatment plan and get any necessary help. Make sure other staff members know how to access information about what to do if a child has an asthma attack in case it happens when you are absent or away.
