Latex in YOUR School Atopic Dermatitis Issues and Concerns Sally Schoessler MSEd BSN RN AEC Director of Education Allergy amp Asthma Network My Nursing Journey What We Believe ID: 908508
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Topics in Allergy CareThe Allergic MarchLatex in YOUR SchoolAtopic Dermatitis: Issues and Concerns
Sally Schoessler,
MSEd
, BSN, RN, AE-C
Director of Education
Allergy & Asthma Network
Slide2My Nursing Journey
Slide3What We BelieveTogether, we can work to end the needless death and suffering due to asthma, allergies and related conditions.
Slide4Allergy & Asthma Network
Founded in 1985
Grassroots organization
Patient - centered care teams
Fulfill our mission by working with leading experts in the field
Supports school nurses!
Slide5ObjectivesParticipants will be able to identify the 5 main areas of atopy in the allergic march.Participants will be able to identify the 8 top food allergens.
Participants will be able to identify common sources of latex in the school setting. Participants will be able to identify cross-reactive foods in latex allergic students.
Participants will review signs & symptoms of AD as well as school nurse management of issues.
Slide6The Allergic MarchWhat is the allergic march and why is it so important?
Slide7Poll QuestionFood allergies are one step in the “Allergic March”. True or False:You can expect to see 1 – 2 students in every classroom in the United States with a food allergy.True?False?
Slide8The Allergic March
Including hives & eczema
Top 8 allergens & more
Otitis media
Environmental allergies – allergic rhinitis
Inflamed airways in the lungs
Slide9Development of allergiesOften begins with eczema around age 6 monthsNot always caused by allergic diseaseIf allergic disease – often first site of evidenceResearch indicates that there may be a window of time to treat the eczema and prevent or delay the development of allergies
Reducing contact with dust mites may be helpful
Pet dander? Research is mixed
Slide10Development of allergiesAllergies do not cause ear infections in babies, but may play a role in ear infections in children ages 3 – 6Food allergies also a risk factor for allergic rhinitis (hay fever) and asthmaAsthma risk higher for those with multiple food allergies
Slide11Protective benefitsStrong immune system has protective benefitsSo how do we help build a strong immune system?
Slide12StrategiesEat a variety of healthy foodsStay active – exercise regularlySpend time outdoors and soak up Vitamin DAvoid allergy & asthma triggers
Maintain a healthy weight
Get plenty of sleep
Slide13ImmunotherapyAllergen immunotherapy – patients are given small, increasing doses of an allergen in order to:Build toleranceReduce symptomsMay prevent the progression of allergic rhinitis to asthmaMay stop new allergies from developing
Encourage families to talk to an allergist
Slide14Latex in YOUR SchoolHow many things contain latex? How do I know how to prevent exposures?
Slide15Poll QuestionMany foods cross-react with latex and can cause anaphylaxis in a student with a latex allergy. Which of the following foods does NOT typically cross react with latex?A. BananaB. PeanutC. Apple
D. Chestnut
Slide16DiagnosisA latex allergy is diagnosed in patients who have experienced signs or symptoms of allergic reaction (skin rash, hives, eye tearing or irritation, wheezing, itching, difficulty breathing) when exposed to latex or natural rubber products
Slide17LatexSensitivity
Irritant Contact Dermatitis
Red, itchy skin at site of latex contact
Appears 12 to 24 hours after contact
Warning that an allergy may develop
Allergy
Immediate reaction where contact occurs
IgE and histamine-mediated response
Systemic reaction
Precipitated by latex proteins
Slide18Managing Latex - Sensitivity & AllergyIdentify and remove latex item or remove person having reaction from areaMild reaction: Benadryl (antihistamine) for redness, rash, itching, swelling, eye symptomsSevere reaction: Use Epinephrine autoinjector, call 911 for difficulty breathing, wheezing, any suspicion of airway involvement
Slide19Slide20Cross reactivity: Foods and latex allergy35% of those with latex allergy react to at least one food.High: Banana, avocado, chestnut, kiwiModerate: Apple, carrot, celery, papaya, raw potato, tomato, melon
Slide21Help Students Manage Their AllergyWear medical alert identificationAlways carry epinephrineEpinephrine First, Epinephrine FAST!Encourage student to tell people about their allergy
Avoid exposures
Encourage student to talk to their allergist
Slide22What Can the School Nurse Do?
Ban Latex Balloons
Educate Staff & Administration
Maintain a Safe Environment – Educate Students –
Practice Prevention - Prepare for an Emergency Response
Slide23Atopic Dermatitis: Issues and Concerns Isn’t this just itchy and scaly skin? What can we do at school?
Slide24Poll QuestionAppropriate treatment for atopic dermatitis that may be prescribed for a patient include all of the following EXCEPT:A. Corticosteroid – topical or oralB. UV Light TreatmentC. Sauna Treatment
D. Wet Wrap Therapy
Slide25Atopic DermatitisA type of eczema
Dry, red unbearably itchy skin
1 out of 10 people have atopic dermatitis
Most common in children
Slide26EczemaRefers to a number of skin conditionsMany related to allergyAtopic dermatitis (AD) is the most commonTriggered by food or environmental allergensNeed to prevent exposures to allergens & irritants that set it off
Slide27Common Areas AffectedInfants & Young Children
Scalp
Behind the ears
Cheeks
Folds of elbows
Wrists
Knees
Older Children, Teens
Eyelids
Face, Neck
Arms
Wrists
Hands
Back of knees
Feet
Slide286 Most Common Triggers for ADDry skinBest prevention for eczema flare: keep skin moisturizedFood AllergiesIn children under 2, often associated with milk or egg allergy Can be any food
Environmental Allergies
Children over 2 – tend to have eczema related to:
Pollen, mold
Pets, dust mites
Skin testing help identify specific allergens
Slide296 Most Common Triggers for ADContact AllergiesAdult onset usually set off by contact Jewelry, LatexChemicals in cosmeticsSkin products
Workplace allergen
Allergist can do patch test
Skin Irritants
Not allergens
Soaps, detergents
Fragrances, Wool
Synthetic clothing
Cigarette smoke
Heat
Dries out skin
Causes sweating
Slide30The Itch – Scratch Cycle
Slide31TreatmentsMoisturize!!Moisturize!!Moisturize!!Bathe in lukewarm water, pat dry, apply ointment or creamWet Wrap therapy
Prescription ointments
Corticosteroids
Oral
Injectable
Biologic medication
Phototherapy
Slide32CorticosteroidsTopicalVary according to:Active ingredientDosageFormulationType of application
Slide33Impact on Quality of LifeUnbearable, persistent itchSleep disruptionEmbarrassment by appearance of rashAnxiety and depressionDating and intimacy
Slide34What Can We Do?Parents
Talk to your school nurse
Talk to your child’s teacher
Talk to your child
Teachers
Avoid telling child not to scratch
Set up a signal and action plan
Slide35Eczema is not contagious like a cold.You can’t catch it.It’s like an allergy, such as hay fever, except it affects your skin instead of your nose.Messages for Classmates
Slide36Allergy & Asthma Network Resources
Slide37Allergy & Asthma Network Resources
Slide38Key MessagesPromoting strategies for developing a strong immune system can help to deter the allergic march.Latex is everywhere – work to create a safe environment for students with a latex allergy.Atopic dermatitis is not contagious and has a high impact on a student’s quality of life.
Slide39Sally SchoesslerDirector of Education, Allergy & Asthma Networksschoessler@allergyasthmanetwork.org
Allergy & Asthma Network Website:
www.allergyasthmanetwork.org
Online Learning HQ:
https://
allergyasthmahqlms.com