Prabalini Thaventhiran Deputy Clinical Nurse Specialist Childrens Allergy Service Evelina London Overview Background Method Results and findings Conclusion and implementation into practice ID: 796720
Download The PPT/PDF document "Compliance with NICE guidelines for chil..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Compliance with NICE guidelines for children at risk of anaphylaxis in a tertiary allergy centre
Prabalini Thaventhiran
Deputy Clinical Nurse SpecialistChildren’s Allergy Service, Evelina London
Slide2Overview
Background MethodResults and findings Conclusion and implementation into practice
Slide3Background
Food-induced anaphylaxis is most common in the 0–5 age group, but death from anaphylaxis in this age group is rare. Teenagers and young adults risk-taking behaviours. In the UK Fatal Anaphylaxis Registry, 22% of cases did not have a prior diagnosis of asthma. Around 50% of children with food allergies have asthma: the vast majority will never have a severe allergic reaction. Largest allergy service in the UK – 4000 new patients per year and 3000 follow up patients per year. 2300 day cases in the nurse led service. Joint allergy/ resp clinic
Slide4Objectives
Are patients with food allergies and asthma/viral induced wheeze receiving an allergy action plan and asthma management plan? Are patients are receiving adrenaline auto injector device training and inhaler device training? Do patients and families feel confident to use an adrenaline auto injector device and inhaler devices?
Slide5Method 40 Questionnaires were handed to new and follow up patients. Period of 4 weeks in September 2018
33 questionnaires returned.
Slide6Participant selectionInclusion criteria
Patients with a diagnosed food allergy and confirmed asthma diagnosis or episodes of viral induced wheeze. New and follow up patients Exclusion criteria Non IgE mediated Chronic urticaria Drug allergy
Slide7Results and Findings 83% response rate24 patients had experienced symptoms of anaphylaxis
Slide8Patients receiving training
Slide9Patients receiving up to date asthma management plans and allergy action care plans
Slide10Level of confidence
Slide11Conclusion and implementation
Improvement needed in providing inhaler device training and asthma management plans. We must ensure all our patients who use an inhaler device are trained with appropriate device and technique checked regularly. Although patients have reported they feel confident the appropriate technique may not be correct. Asthma management plans must be given out on every face to face consultation to reduce asthma exacerbations and risk of anaphylaxis. To improve this asthma management plan will be included on our SPT form check list. Language barrier ? Apps?
Slide12Questions?