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問題:拜託各位大大幫忙找英文期刊題目為:兒童 氣喘asthma 內容以""護理""為主,不要有研究性.生化的喔
Asthma initiative helps children and families breathe easier - 05/21/2008
Sandra Brooks* was sure allergies, or a bad cold, were to blame for the barking cough keeping her 3-year-old daughter, Jennifer, awake at night.
So she was shocked when doctors said “asthma”—though doctors weren’t surprised by Brooks’ reaction.
“There’s a misconception that if you don’t wheeze, it’s not asthma,” says Amanda Lefkowitz, M.D., a Hospital of Central Connecticut pediatrician. “Coughing is also a primary symptom, even though many people don’t realize it. Not everyone with asthma wheezes. That’s one of the things we’re working to educate people about.”
To help parents like Brooks better understand and manage their child’s illness—plus assure every child with asthma gets the best possible care—The Hospital of Central Connecticut launched the New Britain Asthma Initiative (NBAI) case management program in January.
The program offers each family, or “case,” specific tools, education and one-on-one mentoring to ensure all families can recognize asthma symptoms and learn to keep a child’s asthma under control and symptoms at bay by following a specific treatment plan.
More than 22 million people in the United States have this chronic affliction of the airways in the lungs, which can cause gasping, coughing or wheezing. Symptoms tend to vary among people, but generally include fatigue, coughing or itchy throat, in addition to difficulty breathing. During a full-blown asthma attack, the sufferer may feel like it’s impossible to breathe; as if each breath is being drawn through a straw.
2010-03-12 05:52:39 補充：
Like Jennifer, about seven million asthma sufferers are under 18. Asthma is the most common chronic illness among school-age children and the number one reason for missed school days.
2010-03-12 05:53:03 補充：
“We want to help parents feel confident about caring for their child, and one of the challenges of asthma is that everyone experiences it differently,” says NBAI Coordinator Loreen E. Gawel. “Every family situation is also different, so we try to vary our services to fit different needs.”
2010-03-12 05:53:11 補充：
“Asthma is scary,” says Brooks, an assistant supervisor at a local business. “Sometimes, I get up two or three times during the night to check that Jennifer is breathing. I want to learn everything I can about this disease.”
2010-03-12 05:53:32 補充：
Some families may benefit from receiving a free spacer, a device to help deliver medication to the lungs that’s preferable to using the inhaler itself. NBAI staff also offer community agency referrals if parents struggle with medication costs, insurance problems or other health-related issues.
2010-03-12 05:54:10 補充：
All Initiative families have their cases reviewed by the program coordinator and a nurse educator, Lori Chudzik, R.N., from the New Britain Health Department. Each pediatrician referral to the program should be accompanied by a treatment plan
2010-03-12 05:54:48 補充：
that Initiative staff use for educational purposes and to reinforce the importance of keeping asthma controlled.“Asthma is very much a patient-driven disease, meaning that to help avoid attacks and keep it under control, a patient needs to take medications as prescribed.
2010-03-12 05:54:59 補充：
This can be a challenge with asthma, because it’s a disease you need to treat when you’re feeling well—not just when you’re sick,” Lefkowitz says. “Parents who don’t follow instructions could wind up with a child having an asthma emergency.”
2010-03-12 05:55:35 補充：
According to the American Lung Association, asthma is the third-leading cause of hospitalization for children under 10—something Lefkowitz and Gawel would like to help change.
2010-03-12 05:55:45 補充：
“It’s part of the reason the Initiative was set up as a case management system,” Gawel says. “Instead of just one educational meeting, or us just handing out literature, we stay with the family over the long-term, offering whatever we can to help manage a child’s care.”
2010-03-12 05:57:56 補充：
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