Why you should read this article: • To identify the adverse effects of indoor and outdoor air pollution on children, particularly those with asthma • To increase your knowledge of how to support children, families and schools to limit their exposure to air pollution and reduce their own emissions of pollutants • To count towards revalidation as part of your 35 hours of CPD, or you may wish to write a reflective account (UK readers) • To contribute towards your professional development and local registration renewal requirements (non-UK readers) This article is the second in a series on asthma. The first article identified that the UK is experiencing an ‘epidemic’ of childhood asthma and one of the major culprits is air pollution. This article examines the main causes of air pollution and how they affect the lung health of children from before birth and onwards. It considers the contribution of indoor and outdoor air pollution, how these have changed over time and the unequal effect they may have on vulnerable populations. The nurse’s role is discussed, not only in terms of clinical care, but also as adviser to families and schools on what actions to take to limit their exposure and reduce their own emissions of pollutants.
Harnessing the strengths, skills and resources of people and communities to improve health
Why you should read this article • To enhance your knowledge of global and UK trends in asthma and asthma care as it relates to children and young people • To recognise the importance of social determinants of health such as smoking, air pollution and inadequate housing in the development of asthma • To count towards revalidation as part of your 35 hours of CPD, or you may wish to write a reflective account (UK readers) • To contribute towards your professional development and local registration renewal requirements (non-UK readers) This is the first in a series of articles on asthma, the most prevalent long-term condition in children with a significant burden of disease. This first article presents an overview of the state of asthma and asthma care in the UK and globally, especially as it relates to children and young people. It considers prevalence, age and sex comparisons, causation, morbidity and mortality rates, cost and the quality of care. It also outlines what children and young people wish for their asthma care.
Improving asthma knowledge among children and their families
People at the sharp end of inequality can view nurses as a threat, says Heather Henry
A Queen’s Nurse says medical models alone will not address social determinants of health
Evidence suggests that a social approach can raise people’s levels of control in managing long term conditions, so independent public health nurse Heather Henry took it on board to create BreathChamps – helping communities affected by asthma
Workforce strategies must adopt new approaches and consider how nurses can become enablers of solutions rather than simply deliverers of services, says Heather Henry
The four words community nurses should use to address health inequalities – and ensure they see their patients as partners.
Nurses are cautious users of social media, aware of the risk of crossing boundaries or breaching patient confidentiality. Genuine engagement is scary, but it could enable people to find their own health solutions, says the chair of the New NHS Alliance.
Looking at what is strong rather than what is wrong can help individuals and communities find their own solutions to problems, says the chair of the New NHS Alliance.
A preoccupation with service delivery can foster dependency. Nurses must speak up about the reasons for inequality and work with local people to create the conditions for wellness.