Download Lesson Plan - Healthy Homes Partnership

Good Health Starts at Home
Lesson Guide
Asthma and Allergies
Segment Time
30 minutes to 1.5 hour
Purpose
To provide general knowledge of the disease of asthma and provide
awareness of identification and prevention of asthma and allergy triggers in
the home environment.
Audience
General consumer audience
Learning
Objectives
Participants will accomplish the following:
Knowledge: Describe symptoms and causes of asthma and allergies.
Comprehension: Identify asthma/allergy triggers in the home environment.
Application:
 List examples of low-cost actions en to reduce asthma/allergy
triggers in the home, including: dust mites, pests, pets, mold,
second-hand smoke, nitrogen dioxide (byproduct of burning fuel)
and other irritants (chemicals, cleaners, air fresheners, perfumes,
hair spray, pesticides, scented or unscented products, cold air, and
outdoor pollution)
 Identify resources for more help and information
Instructor
Lesson
Materials




Participant
Materials





Asthma and Allergies Lesson Guide
PowerPoint with speaker notes
Help Yourself to a Healthy Home booklet
Healthy Homes: Assessing Your Indoor Environment (strongly
recommended)
Publications/Handouts of choice (optional—see below for suggestions)
Name tags/tent cards for each student
Pre/Post Tests and Evaluation form for each student
Sign-in sheet, pens/pencils for participant
Selected materials and supplies for demonstration activities (see below)





Asthma and Allergies Pre-Posttest Evaluation
Pens/pencils/paper
Help Yourself to a Healthy Home book
Copy of PowerPoint slides (optional)
Other selected student publications/resource materials (optional)
1
Equipment







Laptop
LCD Projector
Speakers for computer (if showing videos)
Extension cord and power strip (plus tape to tape down cords)
Microphone (if you are inviting a guest speaker or have a large group)
White board or flip chart and markers
Internet connection to show videos
Helpful
websites

US Department of Housing and Urban Development (HUD) Healthy
homes and lead hazard control: www.healthyhomes.hud.gov
US Environmental Protection Agency (EPA) http://www.epa.gov/asthma
American Lung Association http://www.lung.org/lung-disease/asthma/
National Heart, Lung and Blood Institute
http://www.nhlbi.nih.gov/health/public/lung/index.htm



Publications/

Resource
Materials
(select most

appropriate
materials for
your audience)
(Optional)
Help Yourself to a Healthy Home
http://www.aces.edu/pubs/docs/H/HE-0883/HE-0883.pdf focus on
chapter on Asthma & Allergies (required)
Healthy Homes: Assessing Your Indoor Environment (with DVD) 24
minute video
o mms://wms.aces.edu/media/satellite/booth/eng_hh.wmv
(strongly recommended)
o Scenes 1-4 introduce a county agent going to a house to assess
healthy homes issues.
o For asthma, show scenes 5, 6 (child’s asthma triggers), 12 (pest
problems in kitchen), 16,17,18, and 19 (these show dust mites,
mold, pet dander and secondhand smoke)
HUD Publications: www.healthyhomes.hud.gov
 Seven Tips for Keeping a Healthy Home
o http://portal.hud.gov/hudportal/documents/huddoc?id=DOC_1
1882.pdf
 Asthma Factsheet
o http://portal.hud.gov/hudportal/documents/huddoc?id=OHHLH
CflyerAsthma.pdf
 Allergy Factsheet
o http://portal.hud.gov/hudportal/documents/huddoc?id=OHHLH
CflyerAllergy.pdf
EPA Publications: http://www.epa.gov/ncepihom/ordering.html
To order hard copy publications from EPA: National Service Center for
Environmental Publications (NSCEP)
2
Asthma EPA Publications: http://www.epa.gov/asthma/publications.html
(Download or order several weeks in advance)
 Asthma Home Environment Checklist
o http://www.epa.gov/asthma/pdfs/home_environment_checklist
.pdf
 Help Your Child Gain Control Over Asthma (also in Spanish) (for parents
and caregivers)
o http://www.epa.gov/asthma/pdfs/ll_asthma_brochure.pdf
 Asthma Facts
o http://www.epa.gov/asthma/pdfs/asthma_fact_sheet_en.pdf
Asthma Action Plan (pick one and download)
 NHLBI/NIH
o http://www.nhlbi.nih.gov/health/public/lung/asthma/asthma_a
ctplan.pdf
 American Lung Association
o http://www.lung.org/lung-disease/asthma/living-withasthma/take-control-of-your-asthma/AsthmaActionPlanJUL2008-high-res.pdf
Asthma medications: Factsheets about inhalers, spacers, nebulizers, etc.
o http://www.nhlbi.nih.gov/health/public/lung/asthma/asthma_ti
psheets.pdf
Additional Resources
 National Environmental Education Foundation—Environmental
Management of Pediatric Asthma—Dust Mites, Cockroaches, Pets,
Mold, Cigarette Smoke, and Air Pollution, handouts for interventions
and patient guidelines (also in Spanish)
o http://www.neefusa.org/health/asthma/asthmaguidelines.htm
 Allergy & Asthma Network: Mothers of Asthmatics. Indoor AIRepair at
Home. Room-by-room tips, nontoxic cleaning recipes, checklist for
action step
o http://www.aanma.org/pdf/AIRRepairHomeNL.pdf
 Statistics on asthma prevalence in the U.S. (CDC)—compare states:
o http://ephtracking.cdc.gov/showAsthma.action
For children:
 Dusty the Asthma Goldfish and His Triggers (also in Spanish) (EPA
educational activity book for children)
o http://www.epa.gov/asthma/pdfs/dustythegoldfish_en.pdf
 Is Your Home A Healthy Home (Coloring and Activity Book)
3
o http://www.aces.edu/pubs/docs/H/HE-0937/HE-0937.pdf
For athletes and coaches:
 The Coach’s Asthma Clipboard Program
o http://www.health.state.mn.us/asthma/coachclipboard.htm
For Native American populations:
 Native AIR, Native Asthma (16 minute video)
o http://www.nativeasthma.org/Materials.htm
Mold:
 A Brief Guide to Mold, Moisture and Your Home (EPA)
o http://www.epa.gov/mold/pdfs/moldguide.pdf
Secondhand Smoke:
 EPA Smoke-free Homes
o http://www.epa.gov/smokefree/
Selected
videos
Order DVDs in advance or provide internet connection for link.
 Healthy Homes: Assessing Your Indoor Environment video: (23:45)
Produced by Cornell Cooperative Extension, shows health and safety
inside actual homes with tips to control these hazards. (See selected
scenes for different topics).
o tmms://wms.aces.edu/media/satellite/booth/eng_hh.wmv
o http://www.aces.edu/pubs/docs/H/HE-0923/HE-0923.pdf
 EPA: Breathing Freely: Controlling Asthma Triggers Video (also available
in Spanish) (10 minutes)
o http://www.epa.gov/asthma/publications.html
 American Lung Association and EPA Video: Asthma Awareness Message
(1:38 minutes)
o http://www.lung.org/associations/charters/midlandstates/program-information/asthma/
 American Lung Association: What is Asthma? Animation that shows
three primary changes in the airways during an asthma attack
(inflammation, bronchoconstriction, increase in mucus):
o http://www.lung.org/lung-disease/asthma/learning-moreabout-asthma/asthma-basics.html (2 minutes)
YouTube videos (connection to Internet required or download in advance)
 Asthma symptoms (4 minutes)
o http://www.youtube.com/watch?v=mmQeKUEfnBc
 Types of asthma medications (7 minutes)
o http://www.youtube.com/watch?v=AqBTKE_PStY
4

Extended
Activity
American Lung Association: Quick Relief Medicines) (30 seconds)
o http://www.youtube.com/watch?feature=player_embedded&v=
NUob1sfL3Ig
Asthma Awareness Month: Promotional Activity for May
o Download event planning kit from:
http://www.epa.gov/asthma/awareness.html
Children’s Health Month (October)
o http://yosemite.epa.gov/ochp/ochpweb.nsf/content/chmhome.htm
Suggested
Materials and
Supplies for
Demonstrations
and Activities
(Select most
appropriate
materials for
your audience)












Coffee stirring straws (one for each participant) for the How Asthma
Feels activity
Model of airways—asthmatic airways vs. normal airways (asthma easel
display available from 3B Scientific
o http://www.a3bs.com/Asthma-AllergiesEducation,pg_1208_346_1094.html
Asthma inhaler (try to borrow used one from asthma patient—or have
pharmacist guest speaker demonstrate—see Guest Speaker form)
Peak flow meter (try to borrow used one from asthma patient—or have
pharmacist guest speaker demonstrate—see Guest Speaker form)
Asthma spacer (try to borrow used one from asthma patient—or have
pharmacist guest speaker demonstrate—see Guest Speaker form)
Integrated Pest Management tools: sticky traps, baits, copper scrubber,
mouse/rat traps, caulking, boric acid, garbage bag, sealed storage
container—available at hardware stores
Dust/Allergen-Proof pillow/mattress covers—available at WalMart/Target/department stores
Microfiber cleaning cloths—cheapest available at auto parts stores
N-95 mask (for cleaning mold/dust—available at hardware stores)
Pleated and fiberglass air filters (get small sizes to demonstrate)
Fragrance-free hypoallergenic detergent and soap—grocery stores
HEPA filter for a vacuum cleaner—Wal-Mart/Target/hardware stores (or
demonstrate a HEPA vacuum if available)
5
Preparing for this Lesson
Asthma and Allergies
Preparing for
this Session
This lesson assumes that an Extension educator will be the speaker for the
session. If an alternate speaker or co-speaker is used, be certain they have
reviewed the material and are clear that Extension is tasked with presenting
unbiased material.
Before the training:
1. Several weeks in advance:
a. Determine appropriate training location and time.
b. Contact an Extension educator or other guest speaker(s) at least
a month in advance (optional)—if using, use Guest Speaker
Confirmation form. For this subject area, consider asking a
pharmacist or IPM Extension Specialist.
c. Send out notices for the training.
d. Order handouts/reference materials/videos (especially those
from EPA) if not making copies.
2. At least one week before training:
a. Read the lesson guide and PowerPoint materials carefully and
thoroughly. Review speaker notes and add notes if necessary.
b. Review the Help Yourself to a Healthy Home book and Healthy
Homes: Assessing Your Indoor Environment booklet. Watch the
DVD for the Assessing booklet and select the scenes applicable
to subject areas if you choose to show the DVD.
c. Review handouts/reference materials and supplemental
material carefully. Select handouts that may be useful for your
audience.
d. Make copies of handouts for this session.
e. Review the optional activities and choose show and tell
activity/demonstration tools. Visit a retail store and purchase
demonstration supplies as needed or bring examples from
home. See Suggested Materials and Supplies for Demonstrations
and Activities.
f. Download any videos on your computer if you don’t have the
DVD.
g. Download suggested YouTube videos.
3. Day before training:
a. Assemble snacks/beverages: water, sodas, crackers, fruit, plates,
napkins, etc.
b. Load course materials on computer/thumb drive.
4. Day of training
6
a. Arrive at least 45 minutes in advance
b. Set up computer/LCD projector/check speakers. Tape down
cords.
c. Set out references/publications, course materials. Either place
on participants’ tables or place near registration table for
students to pick up. Set out registration sign-in list.
d. Set up demonstration tools on table or have in container for
easy access.
e. Set up whiteboard/large flipchart.
7
Presenting the Program
Asthma and Allergies
Important
Instructor
Notes
1. Remember to use activities, demonstration of materials, and videos for
a variety of teaching tools and to not be too dependent on the
PowerPoint slides.
2. Encourage participation and questions by the participants throughout
the presentation. Be interactive with your learners.
3. Provide personal stories when possible. People sometimes remember
better when personal stories are shared either by you or by the
participants.
4. Good visuals will provide guided practice for the learning objectives of
the lesson. Activities and demonstration materials can reinforce
learning.
5. The adult learner brings a background of learning and experience that
contributes to learning. Many will have experienced some of these
home hazards in their own homes.
6. The purpose of this information is to empower people with knowledge
so they will adopt healthy behaviors and to offer practical, low-cost
action steps to solve problems.
7. Emphasize the vulnerability of children for environmental health
concerns. These are important concepts to remember:
a. Children are not just little adults. Their organs (especially the
brain) and immune systems are still developing, especially until
about age 6. Their metabolic rates are faster. Pound-per-pound
children drink, eat, and breathe more than adults.
b. Children’s behaviors keep them closer to the floor—where
pollutants may collect.
8
Training Agenda
Asthma and Allergies
Segment
Sign-in and
Introductions
Time
10
minutes
Activity
Materials/Notes

Sign-in sheet

Introduction
and Objectives
5
Make sure everyone has signed
the sign-in sheet. If participants
didn’t sign in upon entering, pass
around the sign-in sheet.
Introductions (including yourself)
or get-acquainted activity of your
choice.
Ask: Have you ever had:
 Stinging or watery eyes?
 Burning throat?
 Wheezing or trouble breathing?
 Where? Home? Store? Outside?
 What do you think caused it?
 Does anyone here have asthma or
allergies or know someone who
does?
Review Learning Objectives
Review Publications
Help Yourself to a Healthy Home
HUD website:
www.healthyhomes.hud.gov
What is
asthma?
5
Discuss asthma facts and prevalence.
 Asthma is a chronic disease
 Asthma can be controlled, but it
cannot be cured
 Most common chronic childhood
disease
 26 million adults/7 million
children in U.S. have asthma
 Hereditary disposition, children at
greater risk to environmental
pollutants
9
PowerPoint slides 1-4
Publications: Help
Yourself to a Healthy
Home
HUD publications:
 Seven Tips for
Keeping a Healthy
Home
 Asthma Factsheet
 Allergy Factsheet
EPA publications
(optional)
PowerPoint slides 5-7
Publications: Help
Yourself to a Healthy
Home
Publication: Asthma
Facts
http://www.epa.gov/as
thma/pdfs/asthma_fact
_sheet_en.pdf
What happens
during an
asthma
attack?
10
Discuss: 3 components
 Chronic Inflammation of tissues of
airways—air passages become
swollen
 Muscles in the airways contract
and airways narrow
 Mucous produced clogs airways
PowerPoint slides 8-9
Say: Stand up and jog in place for 30
seconds. Now hold your nose and
breathe only through the straw for
one minute. How do you feel?
PowerPoint slide 10
Demonstrate:
Asthma airways model
(if available)
Show: YouTube video—
describes asthma
symptoms (4 minutes)
http://www.youtube.co
m/watch?v=mmQeKUEf
nBc
What does
asthma feel
like?
5
Warning signs
of asthma
1
Discuss:
Warning signs: coughing, wheezing,
shortness of breath, etc.
PowerPoint slides 11-12
Asthma can be
controlled
10
Discuss:
2 main ways to control asthma:
1. Proper use of medications
2. Controlling triggers
Asthma Action Plan: examples
2 Types of asthma medications:
1. Controller/everyday
2. Rescue/quick relief
PowerPoint slides 13-20
Demonstration activity:
Pass out one stirring
straw to each
participant
Publication: Asthma
Action Plans (see
examples above)
Demonstrate:
 Asthma inhaler
 Spacer
 Peak flow meter
Show: YouTube videos
 http://www.youtub
e.com/watch?v=Aq
BTKE_PStY types of
asthma medications
10

Emergency
treatment for
asthma
1
minutes
Indoor Air
Pollution and
asthma
triggers
5
(7 minutes)
http://www.youtub
e.com/watch?featur
e=player_embedde
d&v=NUob1sfL3Ig
(American Lung
Association: Quick
Relief Medicines)
(30 seconds)
Discuss signs of a severe attack and
what to do (medications or ER).
Discuss allergens and symptoms.
PowerPoint slide 21
Discuss common asthma triggers:
allergens, irritants, exercise,
infections, emotions, weather
PowerPoint slides 24-28
Publication:
EPA Asthma Home
Environment Checklist
Discuss Indoor Air Pollution and
common asthma triggers
Discuss each of the five major indoor
environmental asthma triggers,
including where each trigger is found
and action steps that can reduce
effects.
 Secondhand smoke
 Dust mites
 Pet dander
 Mold
 Pests
Secondhand
Smoke
2
Discuss dangers of particles in
secondhand smoke
Quitline materials 1-800-QUIT-NOW
PowerPoint slides 29-32
Demonstrate:
State quitline materials
Dust mites
5
Discuss dust mites and where they
are found
Demonstrate tools to control dust
PowerPoint slides 33-37
Demonstrate:
Pillow/mattress covers,
HEPA vacuum/bag,
microfiber cloths
11
Mold
5
Discuss the key to mold control is
moisture control
PowerPoint slides 38-42
Demonstrate:
N-95 face mask, toilet
paper test
Publication:
EPA Mold, Moisture and
Your Home
Pets
2
Discuss importance of keeping pets
off furniture/beds and out of
bedrooms of those with pet allergies
PowerPoint slides 43-45
Pests
5
Discuss IPM (Integrated Pest
Management) for controlling pests
PowerPoint slides 46-52
Demonstrate:
Baits, traps, caulk
Air Cleaners
and Filters
1
Explain room air cleaners to be used
only as a last resort. Clean/prevent
triggers first. Do not use air cleaners
that produce ozone.
PowerPoint slides 53-54
Demonstrate:
Pleated and fiberglass
air filters
Other asthma
triggers
2
Discuss other things that trigger
asthma: infections, cold weather,
exercise, strong fragrances, pollen
PowerPoint slide 55
Demonstrate:
Fragrance-free
hypoallergenic
detergent and soap
Review
10
Show EPA video: Breathing Freely:
Controlling Asthma Triggers (also
available in Spanish)
Review 2 ways to control asthma, use
of asthma action plans
PowerPoint slide 56
Cite additional sources of
information—both federal and
state/local resources
PowerPoint slide 57
Administer Pre/posttest/Evaluation
Questions/comments
Pre/Posttest Evaluation
form
Learn more
10
Evaluation
5-10
Website:
http://www.epa.gov/as
thma/publications.html
Original version created by Bobbie Shaffett, Mississippi State University, 2012
Adapted by Laura Booth, Auburn University, April 2014
12
Sample news release or radio spot
Asthma and Allergies
Everyone deserves a healthy home. However, did you know that some of the most serious
health and safety problems may start at home? In the U.S., most people spend over 90% of
their time indoors. Over 25 million people, including 7 million children, have asthma. Does
someone you live with smoke? Do you have pets? Is your home damp? These are just some of
the environmental factors that can trigger asthma attacks and impact the health and safety of
indoor environments.
There are steps and resources that can help you keep the air clean inside your home. (Agency
name) is sponsoring a program at (time) on (date) at (location). This program covers asthma
and allergies in the indoor environment. The program will address asthma triggers such as dust
mites, mold, cockroaches, pet dander, and secondhand smoke. Additional helpful resources will
be given. For more information or to register for the program call or email (agency name) at
(phone number) or (email address).
May is Asthma Awareness Month
Download the Event Planning Kit: http://www.epa.gov/asthma/awareness.html
The kit contains:












Ideas for Asthma Awareness Activities
Plan an Asthma Education Event in Your School
Ten Ways to Manage Asthma in Your School
Plan an Asthma Education Event at a Local Clinic or Hospital
Asthma Education Ideas for Health Insurers and Managed Care Organizations
Plan an Asthma Education Event at Your State Capitol
Sample Proclamation From a Local Official
Media Outreach Tips
Asthma Facts
Press Release Template
National Organizations and EPA Regional Contacts
Resources Order Form
13
Guest Speaker Confirmation Form:
Asthma and Allergies
Speaker:
Today’s Date:
Presentation Date & Time:
Location:
Location Directions:
# Of Expected Participants:
General Audience:
Background:
The asthma workshop you are speaking at provides consumers
with information on asthma symptoms and treatment. Your
experiences with asthma may help people to understand one or
more of the following: symptoms of asthma, medications, and
medical devices used to treat asthma and ways to control asthma
by avoiding environmental triggers. Please share information that
will help those with asthma or those caring for someone with
asthma.
Thank you language:
Other info:
Please let the workshop coordinator know of any audiovisual
equipment or other needs you might have at least 2 business
days prior to the presentation.
Asthma workshop
coordinator contact info:
Thank you for agreeing to share your expertise on asthma and allergies.
14