From Koenig (2007), we are informed that in the United States children with asthma 4 years of age and younger are increasing and disproportionately affecting children who live in poverty and urban areas who are African American or Latino. Koenig (2007, p. 223) also informed us that that preventing, identifying, and controlling asthma symptoms “remains complex among children who are very young” although we certainly know more of the pathophysiology of asthma today compared to several years ago. Koenig (2007) pointed out that it is essential for health providers to inquire on the family constellations. This is relevant for training and learning because we have to identify the family members who are with the child most so a nurse can focus on them for teaching and learning activities when appropriate.
We also learned from Koenig (2007) that parents and family members can be intimately familiar with a child’s distressed breathing and, because of this, nurses must have respectful stance on the parents’ and family members’ “expertise” in evaluating the severity of a child’s asthma attack. Koenig (2007) emphasized that other than education on symptom recognition and instructions on pharmacological intervention, there is s a need to develop collaboratively developed crisis management with family members or representatives in the event of an asthma attack. ...Show more