Abstract:With one-third of school nurses reporting an allergic reaction in the past year, schools use many strategies to minimize allergen exposures and increase anaphylaxis preparedness. Most school nurses favor these policies and acknowledge barriers to implementation.
“…It has been shown that mothers have significantly lower food allergy related quality of life compared to fathers . Second, we probed student and family experiences, but not those of teachers, nurses, and administrators, who may have presented contrasting views . Data from the School Health Policies and Practices Survey, completed by school nurses and administrators, indicate a high level of school engagement in safe food allergy management.…”
BACKGROUND: Approximately 8% of schoolchildren in the United States experience potentially life-threatening food allergies.They must diligently avoid allergenic foods and have prompt access to epinephrine to treat anaphylaxis. These prevention strategies must be sustained without interruption, posing a range of challenges at school.
METHODS:We conducted semi-structured interviews with 178 participants about their experiences managing food allergies outside the home. Interviews were transcribed and analyzed using an iterative approach in NVivo 10.
RESULTS:Participants reported highly varied school experiences across the ecological model. They described the need to be proactive and self-sufficient to manage food allergies. Whereas food allergy-related social exclusion was common, participants also described positive peer interactions, including intensive peer engagement and support. They perceived that formal school policies were limited in scope and inconsistently implemented. Prevention-oriented policies were more common in lower grades than in higher grades.
CONCLUSIONS:Poorly defined and implemented policies disrupted students' social and educational experiences at school, families' relationships with school staff, and, ultimately, the safety and wellbeing of students with allergies. Given the high prevalence of food allergies among children, these findings demonstrate the need for multiple layers of support to facilitate safe, socially inclusive food allergy management at schools. F ood allergy prevalence is on the rise, and an estimated 8% of children ages 0-17 in the United States are affected. 1 Food-induced anaphylaxis, a severe, life-threatening allergic reaction, resulted in a 285% increase in pediatric (ages 5-17) emergency department visits between 2005 and 2014. 2 Food allergy management demands diligent avoidance of allergenic foods and uninterrupted access to life-saving epinephrine. Both strategies require sustained behavioral control, presenting particular challenges for adolescents. Approximately 18% of children with food allergies experience a reaction at school over
“…It has been shown that mothers have significantly lower food allergy related quality of life compared to fathers . Second, we probed student and family experiences, but not those of teachers, nurses, and administrators, who may have presented contrasting views . Data from the School Health Policies and Practices Survey, completed by school nurses and administrators, indicate a high level of school engagement in safe food allergy management.…”
BACKGROUND: Approximately 8% of schoolchildren in the United States experience potentially life-threatening food allergies.They must diligently avoid allergenic foods and have prompt access to epinephrine to treat anaphylaxis. These prevention strategies must be sustained without interruption, posing a range of challenges at school.
METHODS:We conducted semi-structured interviews with 178 participants about their experiences managing food allergies outside the home. Interviews were transcribed and analyzed using an iterative approach in NVivo 10.
RESULTS:Participants reported highly varied school experiences across the ecological model. They described the need to be proactive and self-sufficient to manage food allergies. Whereas food allergy-related social exclusion was common, participants also described positive peer interactions, including intensive peer engagement and support. They perceived that formal school policies were limited in scope and inconsistently implemented. Prevention-oriented policies were more common in lower grades than in higher grades.
CONCLUSIONS:Poorly defined and implemented policies disrupted students' social and educational experiences at school, families' relationships with school staff, and, ultimately, the safety and wellbeing of students with allergies. Given the high prevalence of food allergies among children, these findings demonstrate the need for multiple layers of support to facilitate safe, socially inclusive food allergy management at schools. F ood allergy prevalence is on the rise, and an estimated 8% of children ages 0-17 in the United States are affected. 1 Food-induced anaphylaxis, a severe, life-threatening allergic reaction, resulted in a 285% increase in pediatric (ages 5-17) emergency department visits between 2005 and 2014. 2 Food allergy management demands diligent avoidance of allergenic foods and uninterrupted access to life-saving epinephrine. Both strategies require sustained behavioral control, presenting particular challenges for adolescents. Approximately 18% of children with food allergies experience a reaction at school over
“…Foi apontada como medida para melhorar a comunicação, a criação de Programas de conscientização sobre alergia na comunidade, implementando ações conjuntas com as famílias, escolas e profissionais de saúde para garantir treinamento, informação e um melhor gerenciamento da criança alérgica alimentar (Grief, 2016;Kao et al, 2018;Pouessel et al, 2017;Robinson et al, 2017;Sicherer et al, 2017;Tanner & Clarke, 2016;Urrutia-Pereira et al, 2018;Vale et al, 2013Vale et al, , 2015. Outra ação de segurança descrita foi a comunicação com a equipe de nutrição (Pouessel et al, 2017) e com os médicos responsáveis, pois precisam dar orientações aos pacientes e familiares como evitar o contato com os alérgenos e para que saibam reconhecer sinais e sintomas de anafilaxia (Song & Lieberman, 2019).…”
Section: ) Comunicação Efetiva Entre Funcionários E Familiaresunclassified
“…A necessidade de elaborar um Plano de Intervenção para prevenção de riscos na escola com estratégias para evitar exposição aos alérgenos por ingestão acidental, contato, inalação ou até mesmo pela contaminação cruzada, que engloba a transferência de partículas de um alimento ou superfície por meio de utensílios, equipamentos ou pelo próprio manipulador foi sinalizada nas publicações (Cabrera et al, 2017;Kao et al, 2018;Vale et al, 2013).…”
Section: ) Melhorar a Segurança Dos Medicamentos Utilizados Nas Reaçunclassified
“…Dentro deste Plano de Prevenção e Intervenção devem ser contemplados os locais de reunião, parques de diversões, acampamentos e atividades extracurriculares (Grief, 2016;Kao et al, 2018;Sicherer et al, 2017). Aulas de culinária e em laboratório, compartilhamento de instrumentos musicais, visitas a mercados, restaurantes, lanches coletivos devem ser previamente planejados com a participação da família.…”
Section: ) Melhorar a Segurança Dos Medicamentos Utilizados Nas Reaçunclassified
“…A maior parte dos artigos apontou a urgência na criação de Programas de Treinamento com cursos teórico-práticos para atendimentos de emergências nas alergias, anafilaxia para profissionais de educação (Chipps, 2013;Dumeier et al, 2018;Feuille et al, 2017;Juliá-Benito et al, 2017;Kao et al, 2018;Moritz & Schoessler, 2018;Murphy, 2014;Polloni et al, 2016;Portnoy & Shroba, 2014;Pouessel et al, 2017;Russell & Schoessler, 2017;Szychlinski et al, 2015;Tsuang et al, 2017;Tsuang & Wang, 2016;Urrutia-Pereira et al, 2018;Vale et al, 2015;Wahl et al, 2015), se estendendo também aos funcionários da cozinha e lanchonetes .…”
Section: ) Treinamento Em Primeiros Socorros E Plano De Emergênciaunclassified
1 Gestão do cuidado seguro da criança alérgica ao leite: a saúde do escolar e suas perspectivas Safe care management of children with milk allergy: the student's health and its perspectives Gestión de la atención segura para niños alérgicos a la leche: la salud de los escolares y sus perspectivas
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