"Asthma Education"


More education about Asthma is needed in U.S. schools.

In the U.K., schools have a National Asthma Campaign's school pack.

This pack is for school staff, head teachers, school governors/school boards, local education authorities/library boards, the school health service and others in primary and secondary schools in the UK who want to:

  • Learn about asthma in school-aged children.
  • Develop a comprehensive policy for managing asthma in school.

The pack has a primary school bias but many of the points are relevant for secondary schools as well.

In the U.K., one in eight children has asthma and several are likely to have the condition in each class. However,there is nothing to stop the vast majority of children with asthma leading a full and active life. The pack helps give understanding to how children can control their condition, know what can be done to build the child's confidence, and create a safe environment for children with asthma where they can reach their full educational potential.

Read an excerpt from the U.K.'s School Pack, below:

  1. Asthma what is it?

    Asthma is a condition that affects the airways the small tubes that carry air in and out of the lungs. Asthma symptoms include coughing, wheezing, a tight chest, and getting short of breath but not every child will get all these symptoms.

    Children with asthma have airways that are almost always red and sensitive (inflamed). These airways can react badly when someone with asthma has a cold or other viral infection or comes into contact with an asthma trigger.

  2. What's a trigger?

    A trigger is anything that irritates the airways and causes the symptoms of asthma to appear.

    There are many asthma triggers. Common ones include colds, viral infections, house-dust mites, pollen, cigarette smoke, furry or feathery pets, exercise, air pollution, laughter and stress. Everybody's asthma is different and everyone will have his or her own triggers. Most people have several. It's important that children with asthma get to know their own triggers and try to stay away from them or take precautions.

  3. What happens to the airways?

    When someone with asthma comes into contact with a trigger that affects their asthma, the airways do three things.The airway lining starts to swell, it secretes mucus, and the muscles that surround the airway start to get tighter. These three effects combine to make the tubes very narrow, which makes it hard to breathe in and out normally. When this happens asthma symptoms appear (cough, wheeze, a tight chest, and shortness of breath). This is called an asthma attack. It's at this point that the person with asthma will need to take a dose of their reliever medication.

  4. What does it feel like?

    The following are quotes from a few of the 10,000 children who responded to the National Asthma Campaign Blue Peter Asthma Survey conducted in 1995.

    "It feels like someone is standing on my lungs."

    "It feels like I am being squashed."

    "When I'm having an attack it feels like a rope is being slowly tightened around my chest."

    There is nothing to stop children with asthma achieving their full potential. Many famous and successful people have asthma including gold medal-winning athlete Paula Radcliffe, footballer Paul Scholes, 'Buffy' star Sarah Michelle Gellar and pop star Tim Wheeler from Ash.

  5. Asthma a variable condition

    Asthma varies in severity. Some children will experience an occasional cough or wheeze whereas for others, the symptoms will be much more severe. Avoiding known triggers where appropriate and taking the correct medication can usually control asthma effectively. However, some children with asthma will have to take time off school or have disturbed sleep due to asthma symptoms. For more information about what to do if a teacher is worried about a child, see Section 5.

    Asthma medication

    Within the school environment, asthma medication is usually given by inhalers.

    • Reliever inhalers

      Reliever Inhalers are what children need to take immediately when asthma symptoms appear. Relievers work quickly to relax the muscles around the airways. As these muscles relax, the airways open wider and it gets easier to breathe again.

      Children with asthma need to keep their relievers with them, or close at hand at all times. You never know when they might need it.

      Some children's asthma is so mild that they only get asthma symptoms once or twice a week (usually after exercise).The rest of the time their asthma causes them no problems whatsoever. They will probably just have a reliever inhaler. However if they are using it more than once or twice a day or three or four times a week, then they should tell their doctor or nurse as their asthma is not under control and they'll probably need a preventer as well.

    • Preventer inhalers

      Preventers are either steroid- or cromoglycate-based. The steroid-based preventers are very low dose and extremely safe and are different to the anabolic steroids such as body builders may use.

      The preventer is the inhaler that should be taken every day (usually first thing in the morning and last thing at night), even when asthma seems well controlled. That's because preventer inhalers work over a period of time to help the airways calm down and stop them being so twitchy. This means they're less likely to react badly when someone with asthma has a cold or chest infection or encounters one of their triggers. Normally, preventer inhalers should not be needed by children in school hours. If they are needed, children may need reminding to take them.

    • Steroid tablets

      Steroid tablets are very rarely found in the school environment. These give a much higher dose of steroid than a steroid preventer inhaler. If asthma symptoms get really bad, the doctor might prescribe steroid tablets for between 5 and 14 days until the asthma is under control again. Steroid tablets are essential emergency treatment for some children who need to take them in a crisis. Some children's asthma is severe all the time. Their doctor might suggest they take steroid tablets for a longer period but this is very unusual in children.

    • Spacers

      Spacers make metered dose inhalers (spray inhalers) easier to use and more effective. They allow more of the medication to be breathed straight down into the lungs where it's needed most. Because of the co-ordination needed, children under 12 often find it difficult to use the MDI (spray) inhalers properly without a spacer. Spacers will often be found in school.

    • Nebulizers

      Normally children should not need to use a nebulizer in school. There is new evidence to indicate that for the vast majority of people with asthma, inhaled therapy is best delivered by inhalers or inhalers with spacers. If a doctor or nurse does advise that a child needs to use a nebulizer in school, the staff involved will need training by a health professional.

    What to do if a child has an asthma attack

    1. Ensure that the reliever inhaler is taken immediately.

      This opens up the narrowed air passages.

    2. Stay calm and reassure the child

      Attacks can be frightening so stay calm. Listen carefully to what the child is saying. It is very comforting to have a hand to hold but do not put your arm around the child's shoulder as this is restrictive.

    3. Help the child to breathe.

      Encourage the child to breathe slowly and deeply. Most children find it easier to sit upright or lean forward slightly. Lying flat on the back is not recommended. Ensure tight clothing is loosened and offer the child a drink of water.

    4. After the attack

      Minor attacks should not interrupt a child's involvement in school. As soon as they feel better they can return to normal school activities.

      The child's parents must be informed about the attack.

    5. Emergency situation

      Call a doctor or the ambulance urgently if:

      • the reliever has no effect after five to ten minutes
      • the child is either distressed or unable to talk
      • the child is getting exhausted
      • you have any doubts at all about the child's condition
      • Continue to give reliever medication every few minutes until help arrives.

        A child should always be taken to hospital in an ambulance. School staff should not take them in their car as the child's condition may deteriorate very quickly.

      Asthma in PE and school sports

      Full participation in PE and sports should be the goal for all but the most severely affected children with asthma.However, many children with asthma will experience asthma symptoms during exercise. Teachers taking PE classes have an important role in supporting and encouraging pupils with asthma.

      They should:

      • make sure that they know which children have asthma
      • be encouraging and supportive to pupils with asthma
      • remind children whose asthma is triggered by exercise to take a dose of reliever medication a few minutes before they start the class
      • encourage children with asthma to do a few short sprints over a five minute period to warm up
      • make sure children bring their reliever inhalers to the gym, the sports field or the swimming pool
      • make sure that children who say they need their asthma medication take their reliever inhaler and rest until they feel better
      • speak to the parents if they are concerned that a child has undiagnosed asthma (or ask the form teacher to)
      • make time to speak to parents to allay their concerns or fears about children with asthma participating in PE

      What to do when a child with asthma joins your class

      Even if your school does not have an asthma policy, there are measures that should be taken when a child with asthma joins your class:

      • If the school does have a policy, make sure you are familiar with it.

      • Ask the parents about their child's asthma and current treatment.
      • This information should be recorded in the school records.
      • Allow the child free access to their reliever medication. This means allowing the child to carry it on them either in their pocket or inhaler pouch. If, after discussion between the parents and the doctor or nurse, it is believed that the child is too young to do this, it should be kept in the classroom in an easily accessible place.

        Reliever inhalers should not be locked in the teacher's drawer or kept in a central office Some children need a discreet reminder to take medication, especially before exercise. Remember some children are shy about taking medication in front of others. Developing positive class attitudes towards pupils with medical conditions will help.

      • Remind the child to carry his or her medication at all times, including on school trips, and include this information on school circulars and in advice to parents. Always inform the parents if the child has had an asthma attack and used their reliever medication. If you are worried about a child who appears to have 'severe' asthma, it may be helpful for teachers to consult either the school nurse or doctor, or the child's own GP through their parents.
      • If the child is taking time off school or is tired in class which could be because of asthma symptoms during the night disturbing sleep the teacher should firstly talk to the parents, and then the school nurse and special educational needs co-ordinator. Some children with asthma may be considered to have special educational needs and require extra support.
      • The teacher, school nurse and special educational needs co-ordinator or learning support and special educational needs department should talk to the parents and discuss strategies and support to help the child.

      How to develop a good school asthma policy:

      A school asthma policy can be a stand-alone policy or incorporated into part of another school policy, for example the Health and Safety, first aid or general health policy.

      The principles of a school asthma policy

      The following information is to enable you to develop an asthma policy appropriate to your school. Every school is different so every policy will vary slightly. However every policy should incorporate the following principles:

      The school:

      • Recognizes that asthma is an important condition affecting many school children, and
      • Welcomes all pupils with asthma,
      • Ensures that children with asthma participate fully in all aspects of school life including PE
      • Recognises that immediate access to reliever inhalers is vital
      • Keeps records of children with asthma and the medication they take
      • Ensures the school environment is favourable to children with asthma
      • Ensures that other children understand asthma
      • Ensures all staff who come into contact with children with asthma know what to do in the event of an asthma attack
      • Will work in partnership with all interested parties including all school staff, parents, governors, doctors and nurses, and children to ensure the policy is implemented and maintained successfully

      Example of a school asthma policy

      An asthma policy should outline how each of these points will be implemented within a particular school. Each school will need to develop and agree their own policy. This is an example of a school policy in a primary school in England:

      Sample School asthma policy

      This policy has been written with advice from the Department for Education and Employment, National Asthma Campaign, the local education authority, the school health service, parents, the governing body and pupils.

      This school recognises that asthma is an important condition affecting many school children and positively welcomes all pupils with asthma.

      This school encourages children with asthma to achieve their potential in all aspects of school life by having a clear policy that is understood by school staff, their employers (the local education authority) and pupils. Supply teachers and new staff are also made aware of the policy. All staff who come into contact with children with asthma are provided with training on asthma from the school nurse who has had asthma training. Training is updated once a year.

      Medication

      Immediate access to reliever inhalers is vital. Children are encouraged to carry their reliever inhaler as soon as the parent, doctor or nurse and class teacher agree they are mature enough. The reliever inhalers of younger children are kept in the classroom in a spice rack. Parents are asked to ensure that the school is provided with a labelled spare reliever inhaler. The class teacher will hold this separately in case the child's own inhaler runs out or is lost or forgotten. All inhalers must be labelled with the child's name by the parent. School staff are not required to administer medication to children except in an emergency, however many of our staff are happy to do this. School staff who agree to do this are insured by the local education authority when acting in accordance with this policy. All school staff will let children take their own medication when they need to.

      Record keeping

      At the beginning of each school year, or when a child joins the school, parents are asked if their child has asthma. All parents of children with asthma are given a National Asthma Campaign school card to give to their child's GP or asthma nurse to complete and return to the school. From this information the school keeps its asthma register which is available for all school staff. Cards are then sent to parents on an annual basis to update. If medication changes in between times, parents are asked to inform the school.

      PE

      Taking part in sports is an essential part of school life. PE teachers are aware of which children have asthma from the asthma register. Children with asthma are encouraged to participate fully in PE. Teachers will remind children whose asthma is triggered by exercise to take their reliever inhaler before the lesson and complete a warm up of a couple of short sprints over five minutes before the lesson. Each child's inhalers will be labelled and kept in a box at the site of the lesson. If a child needs to use their inhaler during the lesson they will be encouraged to do so.

      The school environment

      The school does all that it can to ensure the school environment is favourable to children with asthma. The school does not keep furry and feathery pets and has a non-smoking policy. As far as possible the school does not use chemicals in science and art lessons that are potential triggers for children with asthma. Children are encouraged to leave the room and go and sit in the secretary's office if particular fumes trigger their asthma.

      Making the school asthma - friendly

      The school ensures that all children understand asthma. Asthma can be included in key stages 1 and 2 in science, design and technology, geography, history and PE of the school curriculum (for more details see Section 7). Children with asthma and their friends are encouraged to come to the club that is run at lunch times once a month by our school nurse who has had asthma training.

      The club is associated to the National Asthma Campaign's Junior Asthma Club and educates children about asthma in a fun, interactive way.

      When a child is falling behind in lessons

      If a child is missing a lot of time from school because of asthma or is tired in class because of disturbed nights sleep and falling behind in class, the class teacher will initially talk to the parents. If appropriate the teacher will then talk to the school nurse and special educational needs co-ordinator about the situation. The school recognises that it is possible for children with asthma to have special educational needs because of asthma.

      Asthma attacks

      All staff who come into contact with children with asthma know what to do in the event of an asthma attack. The school follows the following procedure, which is clearly displayed in all classrooms:

      • Ensure that the reliever inhaler is taken immediately
      • Stay calm and reassure the child
      • Help the child to breathe by ensuring tight clothing is loosened

      After the attack

      Minor attacks should not interrupt a child's involvement in school. When they feel better they can return to school activities.

      The child's parents must be told about the attack

      Emergency procedure

      Call the child's doctor urgently from the secretary's office using the asthma register to find out the number of the child's GP if:

      • the reliever has no effect after five to ten minutes
      • the child is either distressed or unable to talk
      • the child is getting exhausted
      • you have any doubts at all about the child's condition
      • If the doctor is unobtainable, call an ambulance

      Draft letter for headteachers to adapt

      If you are planning to use the school card you will need to send the card to the parents so they can ask the child's doctor to fill it in.

      Below is a sample letter that you may like to adapt.

      Dear parent

      I am pleased to advise you that this school takes its responsibilities to pupils with asthma very seriously. With advice from the Department for Employment and Education, the National Asthma Campaign, the local education authority, the school.health service and the governing body, we have recently established a new School Asthma Policy for use by all staff.

      As part of accepted good practice, we are now asking all parents of pupils with asthma to help us to complete a School Asthma Form for their son and/or daughter. Please take this form to your doctor/nurse for completion and return it to me at the school.

      The completed form will have details of the pupil's current treatment and also what steps to take if they should have an asthma attack at school. The card will help school staff to ensure that pupils with asthma receive the best possible treatment at all times.

      The School Asthma Form should be updated regularly by the doctor/nurse, stating whether or not the treatment has changed. I look forward to receiving the completed form. Thank you for your co-operation in this important matter.

      Yours sincerely

      Headteacher

      Your questions answered:

      Dealing with medication

      Q Where should the school keep reliever medication?

      Immediate access to reliever medication is essential. Delay in taking reliever treatment, even for a few minutes, can lead to a severe attack and in very rare cases has proved fatal.

      As soon as a child is able, allow them to keep their reliever inhaler with them at all times, in their pocket or in an inhaler pouch. The child's parents, doctor or nurse and teacher can decide when they are old enough to do this (usually by the time they are seven).

      Keep younger children's inhalers in an accessible place in the classroom such as in a spice rack or box. Make sure they are clearly marked with the child's name. At break time, in PE lessons and on school trips make sure the inhaler is still accessible to the child.

      Reliever inhalers must never be locked up or kept in a central room away from the child.

      Q What happens if a child takes too much reliever medication?

      Reliever medication is extremely safe. Although reliever inhalers should be treated as medication, teachers need not worry that a child may overdose on their reliever inhaler. Parents should be told when a child has used their reliever inhalers.

      Q What happens if a child without asthma experiments with another child's reliever inhaler?

      This will not be harmful. Reliever medication acts to dilate the airways. If a child takes very many doses, they may experience an increased heartrate or tremor, but this will not cause any long term effects. Of course you should talk to the child firmly about this as all medication should be treated with respect.

      Q Do inhalers expire after a given amount of time?

      Yes they do. Parents should be responsible for ensuring that their child's medication is within the expiry date (medication usually lasts about two years). A named person within the school should be responsible for checking the expiry dates of spare reliever inhalers.

      Q What happens if the child forgets their reliever inhaler?

      Parents should be asked to provide a spare reliever inhaler labelled with the child's name. This should be kept by the school in an accessible place in case their own runs out or the child forgets or loses their reliever inhaler.

      Q Should schools have one emergency reliever inhaler so they don't have to keep a lot of spares?

      In the U.K., the National Asthma Campaign would like to see an emergency reliever inhaler and spacer kept in every school accompanied by a clear protocol on how and when to use it. Current law is that each inhaler is prescribed for an individual patient only and cannot be used by anyone else. However, some areas such as Cornwall, Devon and Southampton do have emergency reliever inhalers in some schools in their areas. The charity is campaigning on this issue.

      Q Should a child with asthma use another child's inhaler if they experience asthma symptoms and their reliever (or spare) is not to hand?

      Reliever inhalers are prescribed for use by an individual child only. As such they should not be used by anyone else. For this reason the U.K.'s National Asthma Campaign is legally unable to recommend this practice. If children with asthma have immediate access to their reliever inhaler and have a spare as back up kept in an accessible place, this situation should not arise. In an emergency situation when a pupil is having a severe asthma attack, using another child's reliever inhaler is preferable to being unable to give any medication. This should only ever happen in an acute emergency situation.

      Questions about record keeping

      Q. Why is an asthma register important?

      It is important to identify all children with asthma and make sure they keep reliever medication within the school. This enables all school staff and supply teachers to be aware which children have asthma within the school.

      Q. How often should the register be updated?

      A member of school staff should have responsibility for the asthma register. Part of the procedure is checking that spare reliever inhalers are not out of date (this is usually within two years). Every year, ask all parents to tell you if their child has asthma (see the draft letter to parents enclosed).

      It is the responsibility of parents to provide the school with details of what medication the child is taking during the school day. The National Asthma Campaign produces a school asthma form that they can give to parents to give to their child's GP to complete and return to the school. A sample school asthma card is enclosed.

      Questions about children with more severe asthma

      Q What should happen if a child with asthma is falling behind with work because of time off school?

      Many children do miss school because of their asthma or are tired in class because they have had a disturbed nights sleep. This could be because:

      1. the child has severe asthma or the asthma is not well controlled because:
      2. the child has not been prescribed the appropriate medication
      3. the child is not using the appropriate inhaler technique
      4. the child is not taking their medications as prescribed
      5. the child is not avoiding, or able to avoid, their asthma triggers

      If a teacher is worried about a pupil they should first talk to the parents, then the school nurse and special educational needs co-ordinator or learning support and special educational needs department.

      The U.K.'s National Asthma Campaign produces information about children with severe asthma that includes a parents' guide to the special educational needs process.

      Questions about making the school environment asthma friendly

      Q. What are the most common things to trigger asthma symptoms in the school environment?

      Things that trigger asthma attacks commonly found in schools include furry or feathery animals, chemicals or fumes and cigarette smoke. Avoiding these in the school environment can go some way to lessening the chance of asthma attacks.

      Adopt a non-smoking policy on the school premises.

      Do not keep furry or feathery pets in the school.

      As far as possible avoid fumes that trigger children with asthma in science and craft lessons. Use fume cupboards in science lessons if possible. If fumes are known to trigger a child's asthma, allow them to leave the room until they are no longer affected.

      Questions about making the school asthma friendly

      Q Is asthma included in the national curriculum or school syllabus?

      The U.K.'s National Asthma Campaign believes all pupils should be taught about asthma. Asthma can be included in several areas of the Primary National curriculum in England and Wales.

      These include:

      Science: Key Stages 1 and 2 Life processes and living things

      In Key Stage 1, asthma, its cause and treatment, can be included in both the sections on personal health and the role of drugs as medicines. In Key Stage 2 this can be extended to cover the effect that asthma has on the function of the lungs. It can also include the identification of 'triggers', both within the school and the wider environment.

      Design and Technology: Key Stages 1 and 2 Knowledge and Understanding.

      In both Key Stages, the area of products and applications can include a study of how different asthma inhalers work. The section on health and safety covers the control of risks within the environment.

      Geography: Key Stages 1 and 2

      In both Key Stages, the area of thematic studies can include references to asthma in relation to the quality of the environment. In Key Stage 1, local studies of the area around the school could focus on air quality. In Key Stage 2, the study can cover the need to manage and sustain the environment in order to avoid pollution and other asthma triggers.

      History: Key Stages 1 and 2

      Studies of local history can incorporate sections that focus on the change in the local environment caused by changes in industry and transport.

      PE: Key Stages 1 and 2

      Teachers and children are encouraged to be aware of the factors that contribute to a healthy lifestyle and the encouragement of sympathetic access to all areas of the PE National Curriculum.

      In Scotland, the processes of respiration are included in the Science Section of Environmental Studies in the 5-14 Curriculum.

      Q How can the school get agreement and support for the policy?

      Involve all relevant groups in developing the policy:

      Ask the governors to agree the policy (in England and Wales).

      Involve the school health service and other local health professionals.

      Discuss the policy with parents, and in Scotland with the school board.

      Raise the policy with all school staff

      Ask the local education authority/library board to advise on the policy.

      Q Do school staff need training?

      It is important that all school staff who come into contact with children with asthma are trained and that the training is updated regularly. School staff cannot be expected to be responsible for a particular condition without training. For information about training contact:

      National Asthma and Respiratory Training Centre

      The Athenaeum, 10 Church Street, Warwick, CV34 4HB

      Telephone 01926 493313

      AMC healthcare training

      232 Tower Street, Brunswick Business Park, Liverpool, L3 4BJ

      Telephone 0151 707 1141

      8. The legal position of teachers and school staff

      The U.K.'s National Asthma Campaign believes children should be allowed to take their asthma medication when they need to.

      There is no legal or contractual duty on school staff to administer asthma medication or supervise a pupil taking it unless they have been specifically contracted to do so. Administering medication is a voluntary role and one that many school staff are happy to play.

      Employers of school staff are responsible for providing indemnity for those staff who agree to administer medication.

      In emergency situations

      In an emergency situation (for example an unexpected acute asthma attack), school staff are required to act as any reasonable or prudent parent would. This may include administering medication.

      For more information on the legal aspects of managing pupils with medical needs, please see the DfEE/DoH Circular and good practice guidance 14/96 Supporting Pupils with Medical Needs in School. This is now available from the DfES.

      Good practicce guidelines on medication and medical procedures in schools issued by the Scottish Office is available through National Asthma Campaign Scotland.

      Roles and responsibilities in developing an asthma policy

      The National Asthma Campaign recommends the following roles in developing an asthma policy.

      The role of employers

      Local Education Authorities or Governing Bodies in grant maintained schools and private schools employ school staff. As employers they have a responsibility to:

      • ensure the health and safety of their employees (teachers) and anyone else on the premises affected by the schools activities', including pupils. They therefore have a responsibility to ensure that an appropriate asthma policy is in place
      • provide indemnity for teachers who volunteer to administer medication to pupils with asthma who need help

      The role of school governors (England and Wales)

      • To agree and approve the school policy
      • To monitor the effectiveness of the policy
      • To prioritise the use of resources
      • To report to parents and the local education authority the success and failure of the policy

      The role of head teachers

      • To devise the policy in conjunction with local education authority/library board advice and the support of governors and other interested parties
      • To liaise between interested parties school staff, parents, governors, the school health service and pupils
      • To ensure good communication of the policy to all concerned
      • To ensure every aspect of the policy is maintained
      • To assess the training and development needs of staff and arrange for those needs to be met
      • To ensure supply teachers know the school asthma policy
      • To monitor regularly how the policy is working
      • To report back to the governors and the local education authority

      The role of school staff

      • To understand the school asthma policy
      • To be aware of all the children with asthma with whom they come into contact
      • To allow children immediate access to their reliever medication
      • To tell parents if their child has had an asthma attack and used their reliever medication
      • To ensure pupils have their asthma medication with them when they go on a school trip or out of the classroom
      • To liaise with parents, the school nurse and special educational needs co-ordinator or LSSND in Scotland if a child is falling behind with their work because of their asthma

      The role of PE teachers

      • To have a sensitive attitude to pupils with asthma
      • To remind pupils with asthma triggered by exercise to take their reliever medication a few minutes before exercise and to do several short warm up sprints over a five minute period
      • To ensure pupils have their reliever medication with them during the activity and are allowed to take it when they need to

      The role of school nurses

      • To provide training for school staff in managing asthma if they have an asthma qualification
      • To provide information about where schools can get training if they are not able to provide specialist training themselves

      The role of the individual child's GP

      • To complete the school asthma forms provided by parents
      • To provide the school with information and advice if a child has severe asthma (with the consent of the child's parents)

      The role of school boards in Scotland

      • To encourage an appropriate school policy
      • To advise on the content of the school policy

      The role of parents

      • To tell the school if their child has asthma
      • To inform the school of the medication the child requires during school
      • To keep the school informed of any changes in medication
      • To provide the school with a spare reliever inhaler labelled with the child's name
      • To ensure the child's reliever medication is labelled with his/her name
      • To ensure that the child's medication and the spare is within its expiry date
      • To keep the child at home if she/he is not well enough to attend

      The role of pupils

      • To treat other children with and without asthma equally
      • To let any child having an asthma attack take their inhaler and ensure a member of staff is called
      • To treat asthma medication with respect
      • To know how to gain access to their medication in an emergency.

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