Faan slideshow food allergies mevsd version-1


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  • Developed by Patty Price RN, BSN District Nurse 8/2011
  • Faan slideshow food allergies mevsd version-1

    2. 3. <ul><li>The role of the immune system is to protect the body from germs and disease </li></ul><ul><li>A food allergy is an abnormal response by the immune system to a food protein </li></ul><ul><li>When the food is eaten, the immune system thinks the food is harmful and releases histamine and other chemicals to “attack” the enemy </li></ul>
    3. 4. <ul><li>There is no cure for food allergy </li></ul><ul><li>Complete and strict avoidance of the food is the only way to prevent a reaction </li></ul>
    4. 5. <ul><li>Eight foods cause 90% of the allergic reactions in </li></ul><ul><li>the United States: </li></ul><ul><li>Milk </li></ul><ul><li>Peanuts </li></ul><ul><li>Eggs </li></ul><ul><li>Tree Nuts (e.g., walnuts, pecans, etc.) </li></ul><ul><li>Wheat </li></ul><ul><li>Fish </li></ul><ul><li>Soy </li></ul><ul><li>Shellfish </li></ul>
    5. 6. <ul><li>4% of U.S. population or 12 million Americans (1 in 25) have a food allergy </li></ul><ul><li>Children are the largest group affected </li></ul><ul><ul><li>4 to 6% of children have a food allergy </li></ul></ul><ul><ul><li>Growing problem…peanut allergy doubled in children over a five-year period (1997 – 2002) </li></ul></ul>
    6. 7. Trouble swallowing Shortness of breath Repetitive coughing Voice change Nausea & vomiting Diarrhea Abdominal cramping Drop in blood pressure Loss of consciousness Swelling Hives Eczema Itchy red rash
    7. 8. <ul><li>A serious allergic reaction that is rapid in onset and may cause death </li></ul><ul><li>Each year in the U.S. anaphylaxis to food causes an estimated 50,000 to 125,000 emergency room visits, depending on the source </li></ul><ul><li>Individuals with food allergy plus asthma are at greatest risk for a serious reaction </li></ul>
    8. 9. <ul><li>Prompt administration of epinephrine is key to surviving anaphylaxis </li></ul><ul><li>Prescribed as auto-injectors (such as EpiPen ® or Twinject ® ) </li></ul>
    9. 11. <ul><li>Totally avoid food allergens </li></ul><ul><ul><li>Wise food choices through vigilant label reading and asking questions </li></ul></ul><ul><ul><li>Careful food preparation and cleanup </li></ul></ul><ul><li>Be prepared in case of a reaction </li></ul>
    10. 12. <ul><li>Read every label every time </li></ul><ul><ul><li>Formulations can change without warning </li></ul></ul><ul><li>Don’t rely on “safe lists” </li></ul><ul><li>Allergens can be in non-food items </li></ul><ul><ul><li>Soaps, shampoos, skin products, medications, pet foods </li></ul></ul>
    11. 13. <ul><li>Wash hands, cooking utensils, and food </li></ul><ul><li>preparation surfaces to avoid reactions from trace </li></ul><ul><li>amounts of proteins left behind. </li></ul><ul><ul><li>Liquid soap, bar soap, or commercial wipes for hands, not antibacterial gel sanitizers </li></ul></ul><ul><ul><li>Dishwashing detergent and hot water for cooking utensils and cutting boards </li></ul></ul><ul><ul><li>Common household cleaners for counters, tables, and other surfaces </li></ul></ul>
    12. 14. <ul><li>Accidents are never planned </li></ul><ul><li>Keys to being prepared: </li></ul><ul><ul><li>Medications must be immediately available at all times </li></ul></ul><ul><ul><li>Knowing how to recognize symptoms and administer medications quickly </li></ul></ul><ul><ul><li>A written Food Allergy Action Plan </li></ul></ul>
    13. 15. <ul><li>Activate the Food Allergy Action Plan </li></ul><ul><li>Immediately! </li></ul><ul><ul><li>R ecognize the symptoms </li></ul></ul><ul><ul><li>R eact quickly </li></ul></ul><ul><ul><li>R eview what caused the reaction and how well the action plan worked </li></ul></ul>
    14. 17. <ul><li>Affects about 2 million school-age children </li></ul><ul><li>Up to 25% of peanut/tree nut reactions in schools are first-time reactions </li></ul><ul><li>Most reactions in schools occur from food in the classroom used for projects or celebrations </li></ul>
    15. 18. <ul><li>Once a reaction begins, there is no way to know how severe it will become </li></ul><ul><li>Take all food allergy-induced allergic reactions seriously </li></ul><ul><li>Every school should have a plan for managing food allergies </li></ul>
    16. 19. <ul><li>The plan to manage a student’s food allergies </li></ul><ul><li>should take into account: </li></ul><ul><li>Unique needs of the child </li></ul><ul><li>School environment (size, staff, etc.) </li></ul><ul><li>Goal of equal participation in all school-related activities </li></ul>
    17. 20. <ul><li>Developing the plan is a team effort involving: </li></ul><ul><ul><li>School staff </li></ul></ul><ul><ul><li>Child’s family (parents/guardians) </li></ul></ul><ul><ul><li>Child’s physician </li></ul></ul><ul><ul><li>The child who has allergies, as age-appropriate </li></ul></ul>
    18. 21. <ul><li>Create an environment where children, including those with food allergies, will be safe </li></ul><ul><li>Employ prevention and avoidance strategies </li></ul><ul><li>Be prepared to handle an allergic reaction </li></ul><ul><li>Address teasing </li></ul>
    19. 22. <ul><li>Provide written medical documentation </li></ul><ul><li>Work with the school to develop a plan </li></ul><ul><li>Provide properly labeled medications and replace after use or when expired </li></ul><ul><li>Keep emergency contact information up-to-date </li></ul><ul><li>Teach the child age-appropriate </li></ul><ul><li>self-management skills </li></ul>
    20. 23. <ul><li>Clean hands before and after eating or handling food </li></ul><ul><li>Plan for safe parties/celebrations </li></ul><ul><li>Avoid using foods in classroom art/craft projects or as incentives </li></ul><ul><li>Prohibit food trading and sharing </li></ul>
    21. 24. <ul><li>Reactions can occur anywhere in school </li></ul><ul><li>Early recognition and treatment of anaphylaxis is imperative and life-saving </li></ul><ul><li>Education of all staff is important </li></ul>
    22. 25. <ul><li>Food Allergy Action Plan </li></ul><ul><li>School Guidelines for Managing Students With Food Allergies </li></ul><ul><li>Information Sheets </li></ul><ul><ul><li>How to Read a Label, Facts and Statistics </li></ul></ul><ul><li>Be A PAL: P rotect A L ife From Food Allergies™ </li></ul><ul><li>Posters </li></ul>
    23. 26. (800) 929-4040 www.foodallergy.org
    24. 27. Milford Exempted Village School District (MEVSD) Regulations
    25. 28. <ul><li>Parents will notify the school with their child’s allergy </li></ul><ul><li>Provide annual documentation, instructions, and medication as ordered by a physician </li></ul><ul><li>Educate their child in self management of their food allergy </li></ul><ul><li>Provide emergency contact information </li></ul>
    26. 29. <ul><li>Annual training to those staff who may interact with students with food allergies </li></ul><ul><li>Assure that medication is provided and kept in a secure, accessible location </li></ul><ul><li>Nurse will work closely with the parents and teacher to provide the safest environment </li></ul><ul><li>Classroom, lunchroom and office posters indicating that an allergic child is in the school </li></ul><ul><li>Snack and party restrictions </li></ul>
    27. 30. <ul><li>Snacks for individual students at the Elementary classroom must be off the MEVSD approved snack list. </li></ul><ul><li>The list may be further restricted if an allergen is present in that classroom. </li></ul><ul><li>Snacks in grade 7-12 will only be consumed in areas designated for food consumption. </li></ul>
    28. 31. <ul><li>Teachers will be permitted to use foods off the approved list for instructional purpose. </li></ul><ul><li>Teachers are not permitted to use candy or other food items as a reward for student achievement. Other reinforcement ideas should be encouraged </li></ul><ul><ul><li>Stickers, certificates, other creative strategies. </li></ul></ul>
    29. 32. <ul><li>Teachers may eat lunch at their desks during lunchtime but should take precautions to clean any areas prior to instruction. </li></ul><ul><li>This allows students to still come to the classroom during lunchtime for extra help or attention. </li></ul>
    30. 33. <ul><li>Birthday treats. </li></ul><ul><ul><li>Parents can bring any treat to their child during lunchtime. They may NOT bring in bulk treats for the entire class, however non food items are permitted and can be distributed. </li></ul></ul><ul><ul><li>Any bulk treats brought to school will be sent home with the parent. </li></ul></ul>
    31. 34. <ul><li>Winter Holiday (Christmas) and Valentine’s Day </li></ul><ul><li>Individual Schools may opt to NOT serve food at these parties. This will be a principal’s judgment. </li></ul><ul><li>If food is to be served at this party it must be off the approved snack list. </li></ul><ul><li>Food can further be restricted by classroom or grade level depending on allergies in those classrooms. </li></ul>
    32. 35. <ul><li>MEVSD discourages the consumption of food at parties. </li></ul><ul><li>MEVSD encourages students to participate in crafts and other activities to celebrate. </li></ul><ul><li>For other celebrations or customs or school rewards we are encouraging food that meets the USDA nutritional Guidelines to be served in the Cafeteria. </li></ul>
    33. 36. <ul><li>Students participating in the school breakfast program will eat in the cafeteria. </li></ul><ul><li>The Principal may allow certain students to bring their breakfast food back to their classroom if there are safety procedures in place to assure students with allergies are not exposed to foods that are dangerous to them. </li></ul>
    35. 38. <ul><li>It is the parent’s responsibility to encourage their child to use this table. </li></ul><ul><li>Friends of the allergic child may NOT sit at this table. </li></ul><ul><li>The table will be disinfected after each use with clorox solution. </li></ul>
    36. 39. <ul><li>Teachers should contact the parents prior to a field trip and encourage them to be a chaperone </li></ul><ul><li>Medication (Epi-pen) will accompany child on field trips </li></ul>
    37. 40. Parents and Health Aides will have a meeting prior to the start of each school year to go over the student’s allergies and specific care needed to ensure the safety of that child.
    38. 41. Emergency Health Care Plans will be kept in the clinic, cafeteria, teacher plan book (for sub), and transportation.
    39. 42. To view the complete Milford Exempted Village School District Wellness Policy and Regulations. www.milfordschools.org