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Community Health Worker Asthma Training

Community Health Worker Asthma Training

REMOTE VISITS GUIDANCE

The following table is the cover page to the remote protocol guidance, it allows the CHW to have a background on the specificity of each of the protocols and how they will be delivered. The patient modules found here are also a useful resource to refer patients to when completing a remote visit: Asthma education video modules - King County.

This Remote Guidance page is also available in PDF format.


Audio Only/Phone OK
Email or Video Access Necessary
Live Video Necessary
Educational Protocols
Protocol Educational Materials to Send Need to Show Graphics Need to Show Video/ Patient Module Need Virtual Home Tour
Asthma Basics (Adults and Children)  
Colds and Asthma      
Communication with Provider and Access to Care      
Depression and Asthma      
Getting Help During an Asthma Attack      
Influenza and Flu Shots      
Medication Adherence  
Peak Flow Monitoring  
Seeking Emergency Care for Asthma      
Using a Dust Mask and Asthma Management    
Using an MDI and Spacer/DPI  
Using an Asthma Action Plan      
Warning Signs of Asthma (Adults and Children)    
What Happens When You Call 911?      
What to do During an Asthma Attack      
Obesity and Asthma        
Breathing Exercises  

Environmental Protocols
Protocol Educational Materials to Send Need to Show Graphics Need to Show Video/ Patient Module Need Virtual Home Tour
Asthma and Air Pollution      
Allergies/Pollen      
Assessing Household Products and Asthma  
Cleaning Checklist    
Clutter and Asthma        
Cold Homes and Asthma        
Dust Control and Asthma    
Dust Mites and Asthma         
Unsafe Housing Protocol         
Environmental Tobacco Smoke      
Mold and Moisture    
Occupational Asthma        
Asthma Triggers: Pets      
Cockroaches and Asthma
Rodents and Asthma      
Wood Smoke and Asthma      

GUIDANCE FOR CHWS COMPLETING REMOTE VISITS

The following is the guidance provided for each protocol using the Asthma Basics educational protocols as an example. We identify some gaps to be filled before the final remote guidance report is completed for all educational and environmental protocols.

Step 1: Determine patient's access to technology and preference for remote visit by completing intake form

  • Intake form needs to include basic patient identification as well as Email Address or Physical Home Address to send education materials. If video conferencing is available, CHW needs to receive verbal consent to conduct video conference.

Step 2: Email or prepare patient education materials to view with patient remotely via video. Send a reminder for patient to view patient module for visit.

  • Patient and Family Education: What is Asthma?
  • Patient and Family Education: Asthma Triggers for Children and Families.
  • EPA Asthma Trifold
  • (Video) Asthma: What Happens in your Lungs

Step 3: Follow CHW Actions under the Asthma Basics Protocol

CHILD

  • Review basic lung function and basic asthma physiology using diagrams as needed and based on an assessment of participant knowledge.
  • Assess level of asthma control by reviewing asthma symptoms, number of urgent clinic visits, ED visits & hospitalizations in the past year.
  • Teach about asthma triggers.
  • Teach about the two types of asthma medications, relievers and controllers.

ADULT

  • Review basic lung function and basic asthma physiology, showing diagrams to patient as needed, based on assessment of participant knowledge.
  • Assess level of control by reviewing asthma symptoms and number of urgent clinic visits, ED visits and hospitalizations in the past year.
  • If asthma has led to any of the following, suggest that the participant contact their doctor or nurse and let the CHW know:
    • Persistent asthma symptoms (symptoms more than 2 days per week) Any ED visits/hospitalizations or 2 or more urgent clinic visits
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