Hi Dawn... Great question! You need to work with both your child's doctor to stabilize his asthma and with the school nurse to understand what's going on with your son's health.
First of all, the goal of asthma treatment is to prevent acute symptoms and flare-ups. An Asthma Action Plan is the foundation of the treatment plan. It guides you, your son and other caregivers (such as the school nurse) in how to manage his asthma and any symptoms he may have.
If you son is missing school, then it sounds as if his asthma is NOT under control. Working with his doctor, you may be able to figure out why. Is he still being exposed to his asthma triggers? If so, can changes be made in the environment? Does the medication plan need tweaking? Are you administering meds as prescribed? Do you have a rescue inhaler and does your son know how to use it?
In working with the school, be sure the nurse and the teacher have a copy of the Asthma Action Plan. Also, be sure your son brings his rescue inhaler to school and has the school's cooperation in using it as needed.
I'm sure you can find solutions to this issue!
I went through similar problems last year. I agree with Kathi, getting his asthma controlled is key in this situation. But, until you have it controlled, I'd also recommend getting a doctor's note and setting up a meeting with the teacher and maybe principal if possible. A lot of people don't understand how severe asthma can be, and so talking to them can really help. I know I had one professor who thought asthma only affected people while exercising, and so he couldn't understand why I would need to miss class until I had a discussion with him. Also, make sure your son understands his asthma too. Stress and asthma are linked, and if missing school or more severe symptoms are causing him stress, understanding it may help him to get back to class a little sooner if it eases stress.
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