Part 1

Abstract

Management of food allergy on a daily basis is multifaceted, time consuming, costly, and becomes compounded when multiple food allergies are involved. Families must devise risk reduction techniques as they run repeated surveillance to minimize potential food allergen triggers. Monitoring of signs/symptoms of allergic reactions, handling serious medication needs, and planning ahead for a potential emergency due to an accidental exposure can be arduous responsibilities. This diagnosis has psychological, social, practical, and logistical implications to a family and subsequently the community surrounding the patient. Often, patients with multiple food allergies and/or coexisting atopic conditions must interact with several medical specialists to obtain comprehensive diagnosis and management plans. Patient education, case management, and mentoring are essential in promoting compliance and supporting family efforts. It is also critical that the dignity and autonomy of the family be respected during the diagnostic phase and subsequent educational guidance process. Given the complex nature of this diagnosis and its ramifications on patients/families, it was necessary to divide this article into a 2-part series. This is the first article of the series. Part 1 of the series focuses on patient education associated with common food allergens, potential pitfalls of food allergy avoidance, the food allergy action plan and the role of a food allergy educator. Part 2 covers food-induced anaphylaxis and suggested educational interventions. Both parts consider developmental concerns of the young child and adolescent as they relate to this diagnosis. Parts 1 and 2 should be read collectively to acquire a complete view of suggested patient education for the newly diagnosed patient and family.