ABSTRACT

Clinical Questions .................................................................................................. 188 Introduction ............................................................................................................ 188 Managing Food Allergy at Home ........................................................................... 188 Managing Allergen Avoidance According to Route of Exposure .......................... 189 Managing Food Allergy in the Home .................................................................... 191 Restaurant Meals .................................................................................................... 193 Travel ..................................................................................................................... 193 Schools ................................................................................................................... 193

The Individual Health Care Plan (IHP) ............................................................. 194 Snacks and Lunches .......................................................................................... 195 Outside the Cafeteria: Classroom, School Bus, Field Trips .............................. 196 Age-Specific Issues for the IHP ........................................................................ 196 Legal Considerations for Food Allergies in Schools ......................................... 198

Psychosocial and Quality-of-Life Concerns .......................................................... 198 The Child’s Perspective ..................................................................................... 199 The Family Perspective ..................................................................................... 201 The Impact of Oral Food Challenges ................................................................203 Food Allergy and Bullying: An Emerging Issue ...............................................204 Interventions Attempting to Improve Emotional Outcomes and Quality of Life ............................................................................................205 Recommendations .............................................................................................205

Conclusions ............................................................................................................207 Clinical Pearls ........................................................................................................208 References ..............................................................................................................209