Florida National University Community Nursing School Health Discussion Question

  

Chapter 22

: School Health

The school nurse has a unique role in the provision of school health services for children with special health needs, including children with chronic illnesses and disabilities with various degrees of severity. This case describes the role of the school nurse caring for a child with type 1 diabetes.

Susan has two students with type 1 diabetes in her school, one requires blood glucose monitoring and daily insulin injections, while the other has a continuous insulin infusion pump. The incidence of type 1 diabetes presents a complex challenge to school healthcare providers. Type 1 diabetes ranks as the second most common chronic illness in childhood, second only to asthma. The American Diabetes Association (ADA, 2015) reports that about 193,000 Americans under age 20 live with diabetes and 17,900 are diagnosed with type 1 diabetes annually, and another 5,300 with type 2 diabetes. Children with diabetes are considered disabled and as such are protected under federal laws that prohibit discrimination against children with disabilities. Studies show that the majority of school personnel have an inadequate understanding of effective diabetes management. It is best for the student to monitor blood glucose and respond to the results as quickly as possible to avoid possible complications.

1. When the school nurse is unavailable, who is legally responsible for providing care to a child with diabetes? Explain your answer.

Chapter 22: School Health
Chapter Highlights
❖ Historical perspectives of school health
❖ Components and organization of school health programs
❖ School health scope of services
❖ Health assessment and screening of school‐aged children
❖ Development, implementation, and evaluation of
preventive health programs
❖ Common health concerns in schools
Copyright © 2020 Wolters Kluwer · All Rights Reserved
School Health Nursing
Specialized practice of professional nursing that advances
the well‐being, academic success, and lifelong achievement
of students
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #1
Is the following statement true or false?
Early Periodic Screening, Diagnosis, and Treatment
(EPSDT)—program mandated by a state law passed in
1969, which required that children and adolescents
younger than 21 years of age have access to the periodic
screenings in several states
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Answer to Question #1
False
Rationale: Early Periodic Screening, Diagnosis, and
Treatment (EPSDT)—program mandated by a federal law
passed in 1969, which required that children and
adolescents younger than 21 years of age have access to
the periodic screenings.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Historical Perspectives
Since the passage of PL 94‐142 in 1975, school nurses
provide more complex care for several conditions.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Americans with Disabilities Act (ADA)
Wide‐ranging federal legislation enacted in 1990 that is
intended to make American society more accessible to
people with disabilities
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Early Periodic Screening, Diagnosis, and
Treatment (EPSDT)
Program mandated by a federal law passed in 1969, which
required that children and adolescents younger than 21
years of age have access to the periodic screenings
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Individuals with Disabilities Education Act
(IDEA)
❖ Federal law enacted in 1990 and reauthorized in 1997,
designed to protect the rights of students with disabilities
by ensuring that everyone receives a free, appropriate
public education, regardless of ability.
❖ IDEA strives to grant equal access to students with
disabilities and to provide additional special education
services and procedural safeguards.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Youth Risk Behavior Surveillance Survey
(YRBSS)
Data from the YRBSS, a biannual report of the common
risk behaviors influencing the health of our nation’s youth,
can be used by the school nurse as a tool for monitoring
trends both locally and nationally.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Role of the School Nurse
❖ Health assessment
o Individual
o Population based
o Health promotion
o School health needs
❖ Health educator
❖ Emergency preparedness
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Common Health Concerns
❖ Drugs and alcohol
❖ Smoking
❖ Sexual behavior and teenage pregnancy
❖ Sexually transmitted infections
❖ Nutrition
❖ Violence
Copyright © 2020 Wolters Kluwer · All Rights Reserved
The School Nurse as a Child Advocate #1
❖ Provide education and communication necessary to
ensure that the student’s health and educational needs
are met
❖ Implement strategies to reduce disruptions in the
student’s school activities
❖ Communicate with families and healthcare providers as
authorized
Copyright © 2020 Wolters Kluwer · All Rights Reserved
The School Nurse as a Child Advocate #2
❖ Ensure the student receives prescribed medications and
treatments and that staff who interact with the student
on a regular basis are knowledgeable about these needs
❖ Provide a safe and healthy school environment to
promote learning
Copyright © 2020 Wolters Kluwer · All Rights Reserved
The Future of School Health: WSCC Model
❖ Whole School, Whole Community, Whole Child (WSCC)
Model
❖ The future of school nursing is providing a prevention
framework that links the community and the school
❖ Collaborative design that uses the resources of a
community to provide structured preventive services
such as after‐school programs, parent outreach, and
crisis intervention
Copyright © 2020 Wolters Kluwer · All Rights Reserved

Purchase answer to see full
attachment