First Family Visit

SDOH, Asthma Basics, Medications, Asthma Control, and Inhaler Technique

This visit with the family will take around an hour and half to complete.

Before the Visit: Remind and Review

  • Send a reminder (email, text, or voicemail) that navigators and family members have agreed to meet at a specified time and place.
  • Review AIF to identify eligibility criteria that will be confirmed during the visit.

At the Visit

Explain the consent form to the family using the consent checklist.

Parents should answer all questions and sign the consent.

After clicking submit, they will be redirected to assent for the student to complete.

  • Complete Baseline Navigator Questionnaire
  • Complete SDOH Screener
  • Hold SDOH conversation, if appropriate
  • Provide asthma education to the family

Topic 1: What is Asthma?

  • Airway hyperreactivity/  hyperresponsiveness
  • Airway inflammation
  • Smooth muscle contraction
  • Increased mucous production
  • Airway narrowing / bronchoconstriction
  • Airway reversibility

Topic 2: Medications

Relievers

  • Airway smooth muscle relaxation
  • Typically used on an as-needed basis
  • Can be used to pre-treat for physical activity
  • Important indicator for knowing asthma control status
  • Side Effects
  • Examples/ Brand Names of

Controllers

  • Taken on a regular (daily) basis
  • To regain and maintain Asthma control
  • Anti-inflammatory
  • Side effects
  • Names of
  • Onset and Duration of Activity
  • Often comes as a combination inhaler (inhaled corticosteroid and long acting bronchodilator)

Optional: if they are on other meds, go over those

  • Singulair or Montelukast
  • Muscarinic
  • Biologic

    View full chart

    Topic 3: What is Asthma Control?

    Rule of twos

    Topic 4: Inhaler Technique

    Cover all types of devices family uses

    • MDI
    • Dry Powdered
    • Self-actuated inhaler

    Wrap-Up

    Summarize visit and next steps

    Schedule Visit 2.

    Ask family what type of gift card they would like (Walmart, Amazon, or Target) and report in Visit 1 Log.

    Immediately after Visit

    Send an introductory letter to their HCP and a copy to the family

    Provide asthma education materials for reinforcement

    1. Booklet: The Asthma Guide
    2. What is asthma? (PDF)
    3. Asthma control medications
    4. Asthma Attack: What happens inside the lungs during an Asthma Attack

     

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    Two weeks after

    Complete a SDOH 2-week Check-In if resources were provided during the visit

      Navigators lead the way to better asthma control