Asthma symptoms- PEC or similar

My son is 8. He has an asthma flare up; pollen is one of his triggers. He does not seem to be able to identify when he needs his reliever inhaler - even when his asthma symptoms are very marked. I have tried discussing how his cough etc feels (physical sensation in his body) but have not found a way yet that helps him identify his asthma symptoms and the need to use his inhaler. He co-operates well using his inhaler when I instigate using it. I am looking for any advice as to how I can help him learn when to use his inhaler or ways of communicating his asthma symptoms to me (or school etc)

thank you

Parents
  • Anti-histamines are your best bet for stopping or mitigating to some level the flare ups.  Best to see your doctor about it as he can possibly prescribe something with very little side effects that might suit him.  Also ask your doctor for a referral to the local hospital's chest clinic and see if they can tweak his medication (asthmatics should ideally never need to use the blue inhaler, although in practice it never worked out that way for me).  They may also be able to offer you advice on getting him to identify when he has a problem.  But from past experience, when you are 8 and you have a flare up it has to have a profound effect on you (inability to breathe) before you will actually use the inhaler.  In a child with ASD it may never be possible to get them to identify and use, not at 8 anyway. When I was at primary school I would run around and play until it reached the point at which I could no longer walk due to the asthma attack being almost full blown.  Once I got to secondary school I started to take a bit more notice of it and took a more hands on approach to dealing with it.

    A suggestion might be to give him 3 cards, one red, one yellow and one green.  Write on each what he needs to do  for the given colour.  So Green is ok or im fine, so write about continuing with what he does.  Yellow is wheezy slightly out of breath, so write on the card "Use your inhaler and sit down and relax".  Red is asthma attack or serious level, maybe write "use your inhaler twice and get help".  Get him to carry the cards on him and ask him from time to time to describe his asthma using the cards.  if he feels fine its a green card and he should do what it says on the card. If he feels wheezy its the yellow card and he needs to do what it says on the card.  If its the red card he needs to do what it says on the card.  Overtime he will stop using the cards and just do what it says on the cards.  Or at least he might do.  But that would seem a possible strategy, by associating the problem and the action with an outcome he has to do.  Also let his school know about it and encourage him to use the same system at school if he needs to.

Reply
  • Anti-histamines are your best bet for stopping or mitigating to some level the flare ups.  Best to see your doctor about it as he can possibly prescribe something with very little side effects that might suit him.  Also ask your doctor for a referral to the local hospital's chest clinic and see if they can tweak his medication (asthmatics should ideally never need to use the blue inhaler, although in practice it never worked out that way for me).  They may also be able to offer you advice on getting him to identify when he has a problem.  But from past experience, when you are 8 and you have a flare up it has to have a profound effect on you (inability to breathe) before you will actually use the inhaler.  In a child with ASD it may never be possible to get them to identify and use, not at 8 anyway. When I was at primary school I would run around and play until it reached the point at which I could no longer walk due to the asthma attack being almost full blown.  Once I got to secondary school I started to take a bit more notice of it and took a more hands on approach to dealing with it.

    A suggestion might be to give him 3 cards, one red, one yellow and one green.  Write on each what he needs to do  for the given colour.  So Green is ok or im fine, so write about continuing with what he does.  Yellow is wheezy slightly out of breath, so write on the card "Use your inhaler and sit down and relax".  Red is asthma attack or serious level, maybe write "use your inhaler twice and get help".  Get him to carry the cards on him and ask him from time to time to describe his asthma using the cards.  if he feels fine its a green card and he should do what it says on the card. If he feels wheezy its the yellow card and he needs to do what it says on the card.  If its the red card he needs to do what it says on the card.  Overtime he will stop using the cards and just do what it says on the cards.  Or at least he might do.  But that would seem a possible strategy, by associating the problem and the action with an outcome he has to do.  Also let his school know about it and encourage him to use the same system at school if he needs to.

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