School’s nurse role in asthma management
Chronic disease like asthma, which double since 1980s, are increasing among US children and adolescent. School nurses deliver a variety of healthcare service to school age children particularly those with chronic condition like asthma. Budget cut, lack awareness and research affect nurse-to-student ratio. Poor managed asthma results in high rates of hospitalization and is the leading cause of school absenteeism among low income and minority children under the age of 15 years. Evidence show that a nurse-to-student not only have a positive effect on physical health but also improve academic performance of student.
Method
SJUSD School Nurse Demonstration Project funding is provided by the Lucile Packard
R.J. is a 15-year-old boy with a history of asthma diagnosed at age 8. His asthma episodes are triggered by exposure to cats and various plant pollens. He has been using his albuterol inhaler 10 to 12 times per day over the last 3 days and is continuing to wheeze. He normally needs his inhaler only occasionally (2 or 3 times per week). He takes no other medications and has no other known medical conditions. Physical examination reveals moderate respiratory distress with a respiratory rate of 32, oximetry 90%, peak expiratory flow rate (PEFR) 60% of predicted, and expiratory wheezing.
Task analysis is the process of obtaining information about a job by determining the duties, tasks, and activities involved and the knowledge, skills, and abilities required in performing each task. There can be broken down into six
Since the passing of the 2010, Health Care Legislation Laws, the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act, were instilled to increase the percentages of Americans having quality, affordable health care insurance coverage and making colleges more affordable and accessible to them. The Institute of Medicine developed a study to see how the nursing profession can be improved and to contribute to build a health care system that
The changes to both student health needs and healthcare during the 21st century have an impact on school nursing practice today. It was because of these changes that the “National Association of School Nurses (NASN) developed the visual and conceptual Framework that explains the key principles of school nursing and provides structure and focus to current evidence-based school nursing practice” (NASN, 2016, p.45). The ultimate goal of the framework for the 21st century “is to provide a resource to guide school nurses in their practice” in order “to help students be healthy, safe, and ready to learn” (NASN, 2016, p.45). The framework for the 21st century school nursing practice consist of
Also, when an asthma attack is occurring an individual would need paramedics to be equip and be trained to know how to help the individual recover from their asthma because it is a serious situation, and the paramedic would give an individual supplemental oxygen and give the individual a breathing treatment with drugs that opens their airways and a paramedic would transfer the individual to hospital as soon as possible. But with diabetes, the paramedics do not need to be equip as much than they would for asthma because diabetes is a slow process and is able to treat the treatment in time without rushing or needing to panic and fix the problem straight away, also diabetes attack are less frequent then asthma attacks.
Asthma – asthma is a very common condition in schools. The symptoms are wheezing and coughing. Most children will carry an inhaler with them and handle the condition well but when children have an asthmatic attack which is not helped by an inhaler medical help is sought out immediately.
The nurse is also vital in communicating health matters between home and school as well as health care providers and school. Chikani and Plonski-Fuqua (2006) state that the most common medical conditions a nurse may encounter include asthma, diabetes, severe allergies, stoma tube care, NG tube care, behavioral health, epilepsy, and cerebral palsy. In order to provide appropriate care for the students the school nurse must have experience in an acute care setting, pediatric assessment, mental health experience and good knowledge of developmental stages of children. Most school nurses work individually so it is important that the nurse is capable of providing the right interventions and is able to recognize emergency situations.
The prevalence of asthma for Hispanic children living in urban areas is higher than the national average (Nepaul, Peng, Kloter, Hewes, & Boulay, 2012). Implementing a tailored asthma education program for Hispanics parents and children with asthma is considered to be the best intervention to reduce acute asthma exacerbations and return visits to the emergency department (ED) (Martin, Andrade, Villa, Acosta-Perez, & Canino, 2010). This outline will describe educational interventions for Hispanic children with asthma by identifying poorly controlled asthmatic children in the ED, provision of asthma education, and follow-up care.
In this section of the report the support available for Asthma and Influenza are discussed. There are many different people with different roles who provide support to patients who suffer from these diseases. Support is about providing the right care, treatments and assistance for those people who are experiencing your chosen diseases (classroom notes, 2015). Both individuals who were interviewed stated that they got some statutory support this was more the case in the individual with asthma, but the main support for both cases was informal support from their families (Detail of this interview is available in appendices).
Respiratory diseases such as asthma in the older population has contributed a significant impact in the health services (Mcdonald, Higgins, Gibson, Peter, 2013). The difficulty of experiencing the symptoms of asthma by the elderly population is complex and needs different approaches to be addressed (Mcdonald, Higgins, Gibson, Peter, 2013).
Asthma is one of most common diseases in children and considered a burden of physical and emotional childhood. A figure indicates that the percentage of children with asthma in Australia is similar to in America (Aloola al et., 2014), moreover, the findings of Grover al et. (2013) indicate probably that asthma is a common and burden of developed countries, including Australia and America. This essay will evaluate these artefacts and journals that indicate accurately and precisely about psychosocial effects of living with asthma as regards less self- management, challenging in educational environment, including classmate attitude. These reasons are highly serious risk of psychiatric illness, so this essay will discuss about the role of nurse in management asthma and school health program.
The effects of asthma do not discriminate against socioeconomic levels, or race, but families living in poverty or isolation, have been found to place children who are ill at greater risk (Gizynski & Shapiro, 1990). Working directly with Charlene who suffers from asthma, we would apply to PPA to try and get her matched with an assistance program to better suit her medication needs. Secondly we would take precautions to create a healthier household for Charlene by investigating different air filters that could help decrease her symptoms. Social work interventions regularly include referring clients to public resources, providing financial assistance, and should also include advocating within the medical system
With more children who have complex medical conditions, along with the increase in schools and students, it is becoming extremely difficult to meet the demands of the students. In the United States there is no government legislation that supports having school nurses. Some states do make stipulations on having school nurses according to the number of students in a school, which ends up not having access to a full-time nurse daily, and also having an extremely high student ratio (Nwabuzor, 2007).
Twenty-five pediatric nurses in acute care from two regional hospitals in North Carolina participated in the study. (Stanley, Pollard, 2013) Participants’ age ranged from 22 to 58 years. (Stanley, Pollard, 2013) Nurses who participated had 1 to 30 years of nursing experience with pediatrics. (Stanley, Pollard, 2013) Most of the participants were females and worked full time. (Stanley, Pollard, 2013) There was an equal amount of participants with an
Often in the well-developed country of New Zealand, citizens face difficult decisions regarding their health care choices. Rosie, is one such citizen, who’s moderate symptoms of asthma have led to a dilemma. Rosie knows that she requires treatment however, is uncertain of whether she should visit a local general practitioner, or an emergency department. This quandary has occurred due to the fact that she is a student and is financially unstable, having only $150 a week after paying her accommodation. Whereas the GP will cost her a total of $33, the emergency department will have no co-payment for its service. The essay will examine the various advantages and disadvantages of each option, and will then go on to analyse the implications on the