I wonder if anyone can help me here?
I help out in a childen's choir and one of the new boys has asthma. The kids tend to have a run around first before the practice begins, and this boy became really wheezy. On the medical form his mum had recorded that he had mild asthma but when I asked about keeping an inhaler for him she said that it wouldn't be necessary. As a result, on his first day, this boy sat and wheezed very audibly for about 25 minutes before it settled down as there was nothing I could give him. I spoke to the mum about it later and the next day she bought in a ventolin inhaler for him and spacer.
Before the kids went out to run around today I asked if he should use his inhaler, but the boy told me it was just for emergencies. Fine, but then again he came in really wheezy, and needed the inhaler. Although only 2 puffs are prescribed 'as necessary', predictably enough he used about 8 puffs through his spacer before things settled down.
I just don't really know what to do, and I recognise that I'm probably a bit over-sensitive about this due to my own asthma. Surely it would be better to use 2 puffs before exercise to avoid getting wheezy, rather than 8-10 puffs later to settle down an attack? The boy has clearly never heard of this as a concept, so this is obviously not what he's be prescribed, but at the same time I'm not terribly comfortable about caring for him day after day if he's going to become quite obviously wheezy and out of breath. His mum clearly doesn't think his asthma is a problem, and apparently he doesn't run around at school so perhaps he doesn't exacerbate it at school?
He's 10, so old enough to know when he needs his inhaler, but I'm sure this is not a good way to handle his asthma. I don't know how to raise the issue, or indeed maybe I'm making an issue out of something that isn't? It is difficult to sit and watch a child wheeze though when I'm fairly sure it could have been prevented.
Any suggestions? If this is how his inhaler use has been prescribed then I guess we'll just have to go through this process every day?