In: Nursing
A SWOT analysis is a useful method that can help you to identify the strengths, weaknesses, opportunities and threats relating to your shared purpose or an aspect of care that you want to improve. These can then be used to inform the action planning process.Infections are the main trigger of acute asthma in children of any age, followed by allergy in the school-aged children. Efforts for an improved management of patients affected by chronic asthma might go through individualized action plans and possibly vaccinations and allergen-avoidance measures
Asthma is the most common chronic disease in childhood. In Italy, it has been estimated that up to 9.5% of children aged 6-7 years and 10.4% of teenagers aged 13-14 years have ever been affected by this condition . Acute asthma exacerbations are one of the most common reasons for presentation to the Emergency Department (ED) and for hospitalization in the pediatric age. In the United States, among asthmatic children nearly 60% have one or more acute exacerbations each year and up to 20% require ED visits annually .Moreover, asthmatic patients treated in the ED are at higher risk for future exacerbations and any single severe acute episode may progress to life-threatening respiratory failure
Pediatric asthma has different patterns according to the children's age. In the preschoolers (0–5 years old), acute wheeze is often induced by infections of the lower airways, whereas in the school-aged children (6 years and older) it usually signifies underlying asthma and allergy. These differences account for specific seasonal patterns in the number of ED visits for asthma. In the temperate latitudes of the Northern Hemisphere, a peak in exacerbations is described in the month of September: this well-known entity is called the “September asthma epidemics,” coincides with the start of the school year, and is likely due to a combination of infectious, allergic, environmental, and climatic triggers Understanding the seasonal variations of ED visits due to asthma may have important therapeutic implications in terms of a proactive treatment of at-risk subjects.