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Scope - May, 2009

Volume 2, Issue 9
May, 2009
 
SCOPE FOR PSRP’S
 
McAllen AFT, 1500 Dove, McAllen, TX, 78504
Telephone—682-1143, Fax—631-0190, Cell—607-0193
Stories contributed by McAllen AFT PSRP’s
 
PEANUT ALLERGY AWARENESS IN OUR SCHOOLS
 
An elementary school student has a few hives on her face, a runny nose, and appears to be having trouble swallowing. She reports that her mouth "feels hot" and the teacher hears a slight whistling sound when she breathes. This child has an identified peanut allergy, and the teacher has seconds to react to this progressively grave situation. Successful management of severe peanut or food allergies can mean the difference between life and death.
 
Approximately 3 percent of U.S. children have true immunological food allergies according to the National Institute of Allergy and Infectious Diseases. In an elementary school of 500 students, that equates to a possibility of 15 children with a food allergy, which sometimes can be life-threatening.
 
Exposure to peanuts can include touching or consuming peanuts, a peanut product, or an item that has come in contact with peanut products or oils. In some extreme cases the smell of peanuts can cause a reaction. Even food preparation items that have been in contact with food containing peanuts or peanut oils can cause a reaction, as can washed surfaces, which harbor peanut oil for long periods of time.
 
Managing a Peanut Allergy in School:
 
Training school staff, at its optimal, can prevent a student with a peanut allergy from being exposed to allergens. A biannual group training session should include the child's classroom teacher, special area teachers, bus drivers, cafeteria workers, and other staff that are responsible for the student. Parents should be partners in the training process whenever possible. Training ought to include:
 
An overview of peanut allergies:
 
The student's history of reactions to peanut exposure. An outline of the student's emergency plan, including: Emergency phone numbers, specific instructions for staff to follow, location of emergency medications, how-to for identifying foods that may contain peanuts or peanut products.
 
Practice of the emergency response plan:
 
A letter should be sent home to the parents in the child's classroom informing them of the presence of a peanut allergy in the class; the letter should preserve the anonymity of the student. Because classroom parties and field trips can be potentially dangerous for students with allergies, parents should send along appropriate treats.
 
Accommodations in the school cafeteria might include a "peanut-free table," far from trash receptacles, where the student with peanut allergies and students with peanut-free lunches may sit. The table should be washed with a cloth separate from cloths and solutions that have washed other tables. Children with allergies who participate in the free- or reduced-price lunch program must be given the necessary food substitutions.
 
Symptoms of an Allergic Reaction:
 
An allergic reaction is individualized in each child, although each reaction becomes more severe than the previous one. Symptoms may include:
  • Hives
  • Itching
  • Change of color
  • Irritated eyes
  • Runny nose
  • Vomiting, Diarrhea
  • Tightening of the throat
  • Difficulty swallowing
  • Sense of doom
  • Dizziness, fainting
  • Swelling
  • Loss of consciousness
 
What to Do If a Student Has an Allergic Reaction:
 
Identify the individuals who will respond to the emergency and discuss in advance each person's role. For example, the school nurse acts as the emergency coordinator, and administers medications and basic life support (CPR) to the student if necessary.
 
The school administrator summons an ambulance if appropriate, provides support to the classroom teacher and students, and clears the area where care is being administered.
 
The school secretary provides information to parents as to where to meet the child (school or hospital), makes the call to an ambulance service if requested, and meets and directs emergency medical personnel to the emergency location.
 
If the parents are to meet the child at the school, the school secretary can arrange for someone to meet them at the door and bring them to the child.
 
The guidance counselor offers support to the classroom teacher, comforts the students in the affected classroom, and answers student questions in a broad-based confidential manner.
 
Careful planning and communication between student, parents, and school staff can provide a safe school environment for a student with a peanut or nut allergy.
 
Development of a proactive management plan may even save a life should a student experience a severe allergic reaction.
 
Mark F. Miele, Ed.D., and Sally Zentner Schoessler, RN, have developed a training program for peanut allergy management that's being used statewide in New York.
 
For food allergy products and information check out the websites below:
 
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READING FOOD LABELS
 
Make sure to read ALL items on the ingredient label. We’ve found the disclaimer “may contain nuts” or “processed on shared equipment with nuts” on the sides of labels, or written in extremely small writing. You can also call food manufacturers if they have a peanut cookie product, and you want to purchase a chocolate cookie, for example. Currently, manufacturers aren’t required to list cross-contamination potential, however if you call their customer service you’re more likely to get accurate information. Food manufacturers that are including “may contain” statements on a label or “processed in a plant with peanuts” are doing so completely voluntarily.
 
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JOKE

The telephone rings in the principal's office at a school.
 
"Hello, this is Dunn Elementary," answers the principal.
 
"Hi. Jimmy won't be able to come to school all next week," replies the voice.
 
"Well, what seems to be the problem with him?"
 
"We are all going on a family vacation," says the voice, "I hope it is all right."
 
"I guess that would be fine," says the principal. "May I ask who is calling?" "Sure. This is my father!"
 
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Peanut Free Recipes
 
Oatmeal Raspberry Bars Recipe
 
Ingredients
 
1/2 c. soft butter or margarine
1/2 tsp. soda
3/4 c. brown sugar
1 1/2 c. oats
1 1/2 c. flour
1/4 c. water
1/2 tsp. salt
1 c. seedless raspberry jam
1 tsp. lemon juice
 
Directions
Cream butter and sugar. Stir in flour, soda, salt. Add oats and water, mix until crumbly. Spread half of mixture into greased 13x9 pan and pat down slightly. Mix lemon juice and jam, spread over base. Sprinkle remaining crumb mixture. Bake at 350 degrees, 25 minutes.
 
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Dairy-Free Dip Recipe
This dip is perfect for serving with pound cake or fresh fruit.
 
Ingredients
1/2 cup nondairy imitation cream cheese
1/2 cup nondairy imitation sour cream
1 tablespoon lime or lemon juice
1 tablespoon honey
1 tablespoon seedless raspberry jam
 
Directions
Combine cream cheese and sour cream until smooth. Add lime juice, honey, and jam. Mix well and serve.

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