Please answer the question below:
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.
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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.
· Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.
· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.) ISBN: 978-1-4338-3216-1
· Minimum of two references, not older than 2015.
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Chapter 22: School Health
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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
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School Health Nursing
Specialized practice of professional nursing that advances the well‐being, academic success, and lifelong achievement of students
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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
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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.
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Historical Perspectives
Since the passage of PL 94‐142 in 1975, school nurses provide more complex care for several conditions.
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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
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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.
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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.
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Role of the School Nurse
Health assessment
Individual
Population based
Health promotion
School health needs
Health educator
Emergency preparedness
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Common Health Concerns
Drugs and alcohol
Smoking
Sexual behavior and teenage pregnancy
Sexually transmitted infections
Nutrition
Violence
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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
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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
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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
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