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• W582017209 abstract "Asthma is the most common chronic disease in childhood. In spite of the many advances in the medical management of asthma, families frequently seek treatment for acute exacerbations of asthma in the emergency department. The purpose of this project was to evaluate asthma care provided to pediatric patients at a community health center in New England through scheduled nursing visits for asthma education and care coordination. The asthma education and care coordination program was developed based on both the NHLBI, NAEPP, Expert Panel 3, 2007 guidelines and ANA White Paper and Agency for Health Care Quality (AHRQ) value of nursing care coordination. The evaluation phase of the Ottawa Model for Research Utilization Model using data gathered from patients, practitioners, and systems was used to assess the effectiveness of the intervention. Results of this evaluation reveal that although all of the nurses received education and training at each of twelve clinic sites the results from the three sites identify that the nurses were not providing the asthma education and care coordination visits. Recommendations include further education, training, and a change in clinic nurse role to fully implement the program. ASTHMA EDUCATION AND CARE COORDINATION 3 CONTENTS Abstract 2 Asthma Education and Care Coordination in the Patient Centered Medical Home 5 Significance of the Problem 6 Review of the Literature 10 Patient Education 11 Provider Education 13 Asthma Education Performed by Non-healthcare Workers 14 Preventative Management 15 Specialty/Primary Care 16 Discussion 17 Theoretical Framework 18 Project Description, Implementation, and Monitoring 20 Study Description 20 Community Assessment 20 Organizational Analysis of CHC 21 Evidence of Stakeholder Support 22 Resources, Facilitators and Challenges 22 Project Design 25 The project specific goal and objectives: 26 Costs and Budget 27 IRB Approval and Protection of Human Subjects 28 Evaluation 29 Data Analysis 29 Results 31 ASTHMA EDUCATION AND CARE COORDINATION 4 Demographic 31 Evaluation of the Asthma Education and Care Coordination Program 31 Discussion 33 Conclusion 35 References 36 Appendix A 43 Appendix B 44 ASTHMA EDUCATION AND CARE COORDINATION 5 Asthma Education and Care Coordination in the Patient Centered Medical Home According to the Center for Disease Control more than 25 million Americans currently suffer from asthma. In the United States 7 million (1 in 11) children and 18.7 million adults (1 in 12) have asthma (Akinbani, et al, 2012).Though asthma can affect anyone, it more frequently affects racial and ethnic minorities and individuals of lower socioeconomic status (Bloom, Cohen & Freeman, 2011). Asthma is a chronic inflammatory disease of the lower respiratory tract. According to the National, Heart, Lung Blood Institute, National Asthma Education Prevention Program (NHLBI, NAEPP) Expert Panel 3 (2007), acute exacerbations of asthma are characterized by airflow limitations, inflammation and airway hyper-responsiveness. The NHLBI/NAEPP panel reported that symptoms may be identified by persistent cough, wheezing and shortness of breath. Though a specific cause for asthma has not been identified, the panel reports that exposure to allergens, respiratory illness, exercise, and smoke can trigger an exacerbation. There is no cure for asthma; however there have been many advances in prevention through maintenance management of asthma over the past two decades. With appropriate drug therapy, avoidance of asthma triggers, education regarding asthma management and routine follow up with a healthcare provider most emergency department (ED) visits and hospitalizations can be avoided (NHLBI, NAEPP, Expert" @default.
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• W582017209 title "Asthma Education and Care Coordination in the Medical Home" @default.
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