Creating a Medical Home for Asthma - an Asthma Management Program for Healthcare Providers



Training: Program Handbook Session 4 - Developing Communication Skills for Teaching Families about Asthma

| Agenda | Key Concepts |
| Handouts | Assignment |

[Note: For full text of Session 4, please download the complete file
in either MS Word or PDF format with the link provided on the top left above.]

Agenda for Session 4 (Total time - 180 Min.)
Developing Communication Skills for Teaching Families about Asthma

Activities

Time

Methods

I Progress Reports by Clinic Staff on Force Field Analysis 15 min. Presentations by participants

II Family-Clinic Staff Communication Exercise 30 min. Exercise

III Physician Video and Introduction
(Videos to model communication and patient teaching)
35 min. Video

IV Break 15 min.

V Nurse Video 15 min. Video

VI Discussion of Videos 20 min. Discussion

VII Break 15 min.

VIII Medical Record and Treatment Forms 30 min. Presentation

IX Closing Remarks 5 min.

Purpose of Session

To reinforce the importance of utilizing force field analysis as a tool for implementing change

To present several models of client-clinic staff communications

To review the purpose and usage of asthma visit and treatment plan forms by clinic staff and patients

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Key Concepts

Developing communication skills for teaching families with asthma

An understanding of the team approach to asthma management also involves good communication with the family of the child with asthma. Therefore, when talking with the child or his or her caregiver, it is important to:

Pay attention to nonverbal behaviors

Be attentive to what the child and/or his/her caregiver is saying

Involve the child in the conversation

Be sure that the family understands the relevant information about asthma and the treatment for the child that is being communicated to them

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Handout 4-1 (Activity II)

Role Briefing Sheet

[To be handed out by instructor]

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Handout 4-2 (Activity II)

Question Sheet

1. What nonverbal behaviors did you observe and how did they affect the interaction?

2. How did the doctor handle the family's concerns?

3. How was the child involved in the session?

4. What did the doctor teach the family about asthma? Do you think the mother understood?

5. What were some other behaviors shown by the mother, child, or doctor that strike you as being important for us to see? Why?

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Handout 4-3 (Activity II)

Question Sheet

1. What nonverbal behaviors did you observe and how did they affect the interaction?

2. How did the nurse handle the family's concerns?

3. How was the child involved in the session?

4. What did the nurse teach the family about asthma? Do you think the mother understood?

5. Did you see any differences in the family's behavior with the doctor and with the nurse? What were they?

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Handout 4-4 (Activity VIII)

First Visit for Asthma Form

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Handout 4-5 (Activity VIII)

Return Visit for Asthma Form

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Handout 4-6 (Activity VIII)

LONG TERM TREATMENT PLAN FOR MILD INTERMITTENT ASTHMA

Name ________________ Date ___________ Spacer ____________

CLINICAL
CONDITION Baseline Plan &
When asthma is under control At the FIRST
sign of a cold
or mild attack For rapidly worsening asthma
(severe attack) For cough or wheeze with exercise

Peak Flow

(% personal best)
80% or above 50 to 80% below 50%

MEDICATION

Reliever:
Inhaled short-acting
beta₂-agonist

Corticosteroid
Tablet or Syrup

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LONG TERM TREATMENT PLAN FOR MILD PERSISTENT ASTHMA

Name ________________ Date ___________ Spacer ____________

CLINICAL
CONDITION Baseline Plan &
When asthma
is under control At the FIRST
sign of a cold
Or mild attack For rapidly
worsening asthma
(severe attack) When there is
no cough or
wheeze for 2 months For cough or wheeze with exercise

Peak Flow

(% personal best)
80% or above 50 to 80% below 50% over 80%
for 2 months

MEDICATION

Reliever:
Inhaled short-acting
beta₂
-agonist

Controller

1) inhaled low dose
corticosteroid

or

2) nonsteroid

Corticosteroid
Tablet or Syrup

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LONG TERM TREATMENT PLAN FOR MODERATE PERSISTENT ASTHMA

Name _____________ Date ___________ Spacer ____________

CLINICAL
CONDITION Baseline Plan &
When asthma
is under control At the FIRST
sign of a cold
Or mild attack For rapidly
worsening asthma
(severe attack) When there is
no cough or
wheeze for 2 months For cough or wheeze with exercise

Peak Flow

(% personal best)
Baseline-60
to 80% Under control
-80% or above 50 to 80% below 50% over 80%
for 2 months

MEDICATION

Reliever:
Inhaled short-acting
beta₂
-agonist

Controller

1) inhaled low dose
corticosteroid

and

2) Long-acting beta2-agonist

and

3) Antileukotriene

Corticosteroid
Tablet or Syrup

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LONG TERM TREATMENT PLAN FOR SEVERE PERSISTENT ASTHMA

Name ______________ Date ___________ Spacer ____________

CLINICAL
CONDITION Baseline Plan &
When asthma is under control For rapidly worsening asthma
(severe attack) When there is no cough or wheeze for 2 months For cough or wheeze with exercise

Peak Flow

(% personal best)
Baseline-below 60%Under control- 80% or above below 50% above 80% for 2 months

MEDICATION

Reliever:
Inhaled short-acting
beta₂-agonist

Controller:

1) Inhaled high dose Corticosteroid

and
2) Long-acting beta2-agonist

and
3) Antileukotriene

Corticosteroid
Tablet or Syrup

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Assignment

Participant should begin to apply the concepts learned in Session 4 and should be prepared to discuss their experiences during Session 5.

Participants should review the key concept for Session 5

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