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Slide 1 - Food Allergies And Food Sensitivities
Slide 2 - What is a food allergy? The body’s reaction to a substance, usually a protein, when it incorrectly starts an immune response. (IgA, IgE, IgG) Sometimes these reactions are mild-moderate, or can be severe enough to be life-threatening.
Slide 3 - What is a food sensitivity? The body’s reaction to a food that doesn’t always initiate an immune response, but is usually a problem with the digestion of a particular food or substance (or combination).
Slide 4 - Food Sensitivities Lack of digestion – inadequate enzymes, illness, stress, imbalance of hormones Food additives – sulfites, MSG, corn products, wheat products, dyes Medical conditions – Celiac disease, Irritable Bowel Syndrome, Crohn’s disease, diverticulitis, problems chewing/swallowing Medicine/food interactions Do not usually produce anaphylaxis
Slide 5 - 8 most common allergenic foods These words/terms must be stated in “plain English” on all food labels
Slide 6 - ppt slide no 6 content not found
Slide 7 - Who is at risk for food allergies? 1 out of 25 Americans (4%) - this includes approximately 3 million children under 18 years of age Almost 5% of children less than 5 years old Children with asthma – 80% of them have a food allergy 25% of reactions in school are prior to actual diagnosis of allergies
Slide 8 - Exercise - Handout What foods (recipes) might you think contain these common allergens?
Slide 9 - Symptoms of allergic reactions Tingling in mouth or swelling, itching of skin, or eyes Vomiting, diarrhea, cramping Hives, swelling and/or redness of skin, or eyes Sensation of warmth, coughing Wheezing or difficulty breathing Dizziness or loss of consciousness
Slide 10 - https://ssl.gstatic.com/health/33576cb3c325418b82afc7245394d485/ref/graphics/19320.jpg
Slide 11 - Symptoms of Anaphylaxis Tongue, throat, nasal passages swell Cannot breathe Severe drop in blood pressure Rapid pulse Loss of consciousness, coma or death Must treat immediately!
Slide 12 - How do we treat? Minor food or other allergies – Benadryl or other otc antihistamines – call Parent and possibly PCP Severe food or other allergies – Epinephrine or EpiPen (autoinjector) – call Emergency first, then call Parent and possibly PCP
Slide 13 - Symptoms of Food Sensitivities Usually produce gastro-intestinal symptoms Can mimic moderate symptoms of food allergies Can mimic symptoms of food poisoning
Slide 14 - How do we treat? Let them go to the bathroom Isolate and stabilize Extra clothes on hand? Call parent/guardian
Slide 15 - Allergens in Schools Diversity of Students/Cultures School Food Learning Community Children “in general” Common Tables and Desks w/multiple usage Sanitation
Slide 16 - Kids and Allergies Parents’ Perspectives School’s Perspectives Laws – ADA,IDEA,FERPA, Rehab. Act. Of 1973 What is “normal”; what is “accommodating”?
Slide 17 - Who is Responsible? Parent or Guardian Child Teacher Principal Nurse Food Service Auxiliary Personnel
Slide 18 - Who is at risk for reactions? Make sure you know all the children who have food or other allergies Make sure you know all the substances they are allergic to Do NOT depend on parents’ “safe lists” of foods or products
Slide 19 - Be Prepared Be aware of what the child could have eaten, touched, or smelled Have a plan for an allergic reaction Have otc antihistamines on hand Have EpiPens on hand and know how to use them
Slide 20 - Allergy Action Plan
Slide 21 - Allergy Action Plan 4-page document
Slide 22 - Allergy Action Plan
Slide 23 - ACTION Plan Step 1 – Possible reactions and what medication(s) to administer Step 2 – Call 911-emergency If in doubt, if in anaphylaxis Step 3 – Call Parent/Guardian Notify parent of situation, where the child is going Be prepared to re-administer medication
Slide 24 - Having a Plan Where’s the plan? Is the school nurse always there? Who else knows about the plan and allergy? Back-up plan….
Slide 25 - References & Resources The Food Allergy and Anaphylaxis Network www.foodallergy.org American Academy of Allergy Asthma & Immunology www.aaaai.org and for materials in Spanish www.aaaai.org/espanol New Mexico School Nurse Manual www.newmexicoschoolhealthmanual.org USDA Food & Nutrition Service-Accommodating Children with Special Dietary Needs in the School Nutrition Programs (2001) www.fns.usda.gov
Slide 26 - References & Resources National Assc. of Elementary School Principals - handout Tutorial – Meeting Children’s Special Food & Nutrition Needs in Child Nutrition Programs http://nfsmi-web01.nfsmi.olemiss.edu/documentlibraryfiles/PDF/ Food Allergy-An Overview www.niaid.nih.gov Publication #07-5518
Slide 27 - References & Resources www.mayoclinic.com – Food Allergy National Association of School Nurses – Issue Brief www.nasn.org
Slide 28 - Thank you and questions? Kim Schalch, MS, RD, LD Nutritionist, Region 2 Children’s Medical Services 605 Letrado St. Suite C Santa Fe, NM 87505 505-476-2645 Kim.Schalch@state.nm.us