Patricia Rozema and City Artists Rozema: General Intro. “ In the Various Restaurants ”
Psychosocial Issues and Asthma...
Transcript of Psychosocial Issues and Asthma...
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Psychosocial Issues and Asthma Management
Susanna Rozema, LMSW, AE-C
Licensed Social WorkerAsthma Network of West Michigan
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I. Issues or Concerns for AsthmaticPatient or Caregiver
A. Compliance-Explore reasons for non-compliance(ie: side effects of medications; forgetful)-Motivational Interviewing
B. Knowing how to deal with an asthma attack or related emergency
C. Communication w/ family, work & school
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Issues or Concerns for Patient or Caregiver (Continued)
D. LimitationsE. Missed work or missed schoolF. Impending psychosocial issues that
override importance of asthma management
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II. Issues or Concerns for Pediatric Asthmatic Patient
A. Compliance with the treatment plan-Taking medications as prescribed -Following Asthma Action Plan
B. Thoughts or feelings regarding normalcy:-Embarrassment-“Different” or left out-Alternate plans to avoid triggers
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Issues or Concerns for Pediatric Asthmatic Patient (Continued)
C. Fear of fatalityD. LimitationsE. Relationship problems due to asthmaF. Impending psychosocial issues that
override importance of asthma management
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III. Interventions to Address Patient or Caregiver Concerns
A. Individualized asthma education withpatient and caregiver-“Knowledge is power”-Education provides the needed tools totake an active role in asthma management
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Interventions (Continued)
B. Communication with family and friends-Trigger reduction in the home-Family get-togethers related to trigger
avoidance-Balance of providing time and positive
attention to the child with asthma, as well as to the other children in the home
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Interventions (Continued)C. School Environment
-School visit to teach staff how to deal with an asthmatic child-Copy of asthma action plan-Medic alert tag-Collaboration with teachers-Accessibility of medication-Premedicating before gym or activity
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Interventions (Continued)
D. How to deal with limitations-While allowing patient to vent their feelings, promote positive thinking by focusing on those things they can do-Provide opportunities for the patient to express emotions related to having asthma
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Interventions (Continued)
E. Options for expression of feelings(ie: counseling, journaling, artwork, music,
relaxation exercise)F. Encourage patient to pursue his/her
dreams and address obstacles as they ariseG. Collaboration with the physician and
health care team- provides a sense of control
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Interventions (Continued)
H. Counseling or support groups for those experiencing difficulty with adjustment of having asthma
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IV. Impending Psychosocial Issues and Resources
A. Housing-State Emergency Relief (SER)-Salvation Army-Housing commission / Section 8 -Healthy Homes-Habitat for Humanity-Collaboration with landlords
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Psychosocial Issues / Resources (Continued)
B. Inadequate finances-First Call for Help -Department of Human Services- State
Emergency Relief (SER)-Pregnancy Resource Center -Patient Assistance Programs through
pharmaceutical companies.-Financial assistance through local
churches
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Psychosocial Issues / Resources (Continued)
C. Insurance-Health Insurance Marketplace Exchange-Medicaid-MI Child-Michigan Enrolls-Children Special Health Care Services
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Psychosocial Issues / Resources (Continued)
D. Mental illness-Depression
Symptoms include: Change in appetite, mood swings, irritability, insomnia or oversleeping, withdrawal from normal activities or interests, tearfulness, hopelessness, suicidal ideation, etc.
-Counseling and / or medication
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Psychosocial Issues / Resources (Continued)
-Possibility of suicide.Basic assessment questions:*Do they express reasons to live?
(ie: family, their faith, etc.)*Do they express suicidal
ideation? How often?*Do they have a plan?
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Psychosocial Issues / Resources (Continued)
E. Transportation-Cab vouchers- Medicaid plans.-Public transportation-American Red Cross-Go Bus
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Psychosocial Issues / Resources (Continued)
F. Food, clothing and furniture-Food and clothing banks by location-Goodwill or Salvation Army-In the Image
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Psychosocial Issues / Resources (Continued)
G. Domestic Violence-Signs of former abuse: depression,
nervousness, uncontrollable rage, “tough attitude,” antisocial behavior, frequent illness / psychosomatic symptoms, nightmares, hyperactivity, hypervigilant, attention seeking behavior, etc.
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Psychosocial Issues / Resources (Continued)
-Signs of current abuse:Bruises, bumps, scratches, cuts;burns and bite marks; vision and / orhearing problems; aggressive or withdrawn behavior; poor hygiene; uncomfortable when sitting, signs ofmalnutrition; attention seeking; daydreaming; inappropriate play or inability to play with peers, etc.
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Psychosocial Issues / Resources (Continued)
H. Cultural and / or language barriers-Dealing with differences-Appreciate differences-Focus on similarities between cultural
groups-Focus on personal characteristics and
qualities of individuals-Make efforts to interact with other
cultures
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Psychosocial Issues / Resources (Continued)
I. Hostility and negativism-Remind them that participation is voluntary-Resentment and hostility is most often a result of other factors- try not take it personally-Empathize and allow them to vent feelings
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Do what you can, where you are are, with what you have.
Thank you for the opportunity to share with you today!