Working with schools to improve pediatric asthma management

Asthma morbidity in pediatric patients can be significantly reduced through the coordinated efforts of asthma care clinicians, families, and schools. The efforts of asthma care clinicians and schools, both individually and collectively, should address the medical and psychosocial needs of the patient. The synergy created by each playing an active role in pediatric asthma management assists the patient in gaining adequate asthma control. In addition to writing asthma action plans for their patients, clinicians can work with schools more effectively by focusing their efforts on the following key actions: promoting asthma-friendly schools; identifying school-aged children with asthma; educating patients and school staff about asthma; assisting patients, families, and schools in reducing exposure to environmental triggers; assisting the school staff in helping students manage their asthma at school; and playing an active role in monitoring and coordinating care with schools and families by working closely with care coordinators/case managers. School-based asthma management programs can assist families and asthma care clinicians in achieving good asthma control for school-aged patients. This article reviews recent research findings and provides guidance for asthma care clinicians on how to enhance a full range of school-based asthma management for their patients.