Asthma

"I feel like a fish with no water."
Jacob, Age 5
describing asthma

From an AD Council Environmental Protection Agency poster
asthma.jpg (2892 bytes)

a fish out of water:  a person who is in an uncomfortable or unnatural situation

Teacher's Guide Content Outline Community Resources "How can I intervene?" Student Feedback


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Teacher's Guide

Lesson Objectives: 

                  - to be educated about asthma and asthma triggers in the home and environment

                  - to develop skills in working together successfully with others

                  - to develop community problem solving strategies

                  - to develop skills in thinking logically

                  - to use English to talk about solving problems

                  - to help students develop a textual visual map for solving problems

      Multiple Intelligences Developed in this Lesson:

                  - Linguistic

                  - Logical/Mathematical

                  - Interpersonal

                  - Intrapersonal

                  - Visual/Spatial

Procedure:

- Ask the students what they know about asthma.  

- Distribute an Asthma lesson packet to each student.  A lesson packet includes a title page, a content outline, a group problem solving activity* and a student feedback form. Have the students complete the left side of the feedback form.

-Read the quote on the title page to the students.

- Have the students take turns reading the outline.  Define any unfamiliar vocabulary for the students using the glossary.  Answer any questions the students may have.

- Direct the students to turn to the  "How can I intervene?" page in their packets.  Read the problem aloud to the students.  Read aloud the parts of the chart to the students. Divide students into groups of 3, 4 or 5 depending on class size.  Direct each group to appoint a reader, a secretary and a spokesperson.  Once each group has completed its chart, have the groups share their results with the rest of the class. 

- Direct the students to complete the right side of the feedback form. Collect the forms.    Using the facts on these forms for dictation would be an excellent additional use of  these forms.

*The group problem solving lessons in this manual have a multiple intelligence focus and are adapted from a unit on social responsibility in A Guidebook for Applying MI Theory in the Second Language Classroom by Maryann Christison, Ph.D., Burlingame, CA:  Alta Book Center Publishers, 1999.
 

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Content Outline
 

                I. Definitions

                        A. Asthma
                        B. Epidemic
                        C. Irritants
                        D. Allergens
                        E. Triggers
                        F. Status Asthmaticus

               II. Causes

                        A. Hereditary    
                        B. Environmental

              III. Triggers

                        A. Indoors
                                1. Irritants

                                       
a. Tobacco smoke
                                        b. Smoke from wood-burning stoves and fireplaces
                                        c. Aerosol sprays
                                        d. Cockroaches, rats and mice
                                        e. Pesticides
                                        f. Household cleaning products                                               

                                2. Allergens
                                        a. Dust, dust mites and mite feces in rugs
                                        b. Cockroaches and cockroach dung
                                        c. Mold and mildew
                                        d. Pet fur, dander (skin), saliva and urine

                        B. Outdoors

                                1. Irritants
                                        a. Car exhaust and diesel emissions
                                        b. Smog
                                        c. Pesticides

                                2. Allergens
                                        a. Plant pollens and molds

                        C. Viral respiratory infections and colds

                        D. Strenuous exercise

                        E. Emotional stress
   

            IV. Warning signs

                        A. A feeling of tightness in the chest
                        B. Rapid breathing or shortness of breath
                        C. Itchy chin or neck
                        D. Red or watery eyes or dark circles under eyes
                        E. Coughing or wheezing 
 

            V. Treatment and management of asthma

                        A. Identify your triggers    
                        B. Keep your house clean
                        C. Follow your doctor's recommendations
                        D. Medications and prescriptions
                                1. Rescue type                           
                                2. Maintenance type
 

           VI. Community Resources      

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Community Resources

 

For asthma management for children who live in or receive their medical care in Hartford:

Michele Cloutier, M.D.
The Easy Breathing Project|
Connecticut Children's Medical Center
282 Washington Street
Hartford, CT  06106
(860) 545-9000
mclouti@ccmckids.org

For home visits and housing modifications for children with asthma:

Lisa Menillo, M.D.
"Healthy Home" Initiative
The Hartford Regional Lead Treatment Center's
Saint Francis Hospital and Medical Center
(860) 714-5316

For asthma education and information on summer camps for children with asthma:

American Lung Association of Connecticut
1-800-LUNG USA

State of Connecticut Department of Public Health
Division of Environmental Epidemiology & Occupational Health
(860) 509-7742

For joining a grassroots community organization concerned with environmental issues in Hartford and the possible link between asthma and diesel emissions:

Mark Mitchell, M.D., MPH
The Hartford Environmental Justice Network
(860) 548-1133
    

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"How can I intervene?"

Directions:  Read through the problem carefully.  Select a reader, a writer, and a speaker within your group.  Complete the chart.  Share your group's recommendation with the rest of the class.

Your six year old son has recently been diagnosed with asthma.  He has a play date with a friend from his new school.  When you drop him off at Charlie's house, you notice a few yellow signs on the lawn that indicate the lawn has recently been treated with a chemical.  When you enter the house, a beautiful grey cat brushes up against your leg and you meet Charlie's grandfather who is smoking a pipe.  How can you intervene on behalf of your son?

Identify the problem in your own words:
 

Solution 1 Solution 2 Solution 3
Strength: Strength: Strength:
Weakness: Weakness: Weakness:

Group Recommendation:




 

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Student Feedback

 

Before

Facts

After
I knew I knew I knew   I knew I knew I knew
a lot something nothing   a lot something nothing
about about about   about about about
     
Asthma is considered an epidemic in the United States.
     
     
Asthma is a chronic lung disease.
     
     
Asthma triggers include allergens and irritants.
     
     
Allergens and irritants can be indoors or outdoors.
     
     
Examples of indoor irritants are tobacco smoke, rats and cockroaches.
     
     
Examples of indoor allergens are dust mites, mold and mildew.
 
     
     
Examples of outdoor irritants are car exhaust, diesel emissions and pesticides.
 
     
     
If you have asthma, it is important to identify your triggers.
 
     


 

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