N482

Module 6: Common Conditions to Care for in Schools: Asthma, Allergies, and ADHD

(All papers must have INTRODUCTION & CONCLUSION. Use the uploaded Grading Rubric to write the paper)

This first discussion assignment is intended to help each student set a context for the course, establish expectations and goals for the course, and provide insights to the instructor enabling tailoring of the course to better fit the needs of the students. Replies to discussion questions must be well considered and scholarly. A quality initial response to the Discussion Question should be roughly 400 words. (Selected Journal article MUST not be more that 5 years old)

Module Goals

1.            To discuss the advanced knowledge and skills needed to practice safely and effectively in the school setting.

2.            To discuss and describe asthma, allergies, and ADHD in the school health office.

3.            To describe the collaborations for the school health professional.

4.            To describe the legal and ethical considerations with these common conditions.

Overview

Asthma, allergies, and ADHD are some of the most common diagnoses managed in a school health office. The understanding of these conditions is very important for the graduate nurse. Also, the collaborations with public health, pediatricians, parents, and school employees will be discussed.

Goals Alignment

University Mission-Based Outcomes – 1, 2, 3, 4, 5

Program Learning Goals – 1, 2, 3, 4, 7, 8, 9

Course Learning Objectives – 5, 6, 7, 9. 10, 11

  Learning Materials

Selekman, J., & Shannon, R. A. (2019). School nursing: A comprehensive text (3rd ed.). F.A. Davis Company. Read Chapters 11, 23, 24, 25.

The Washington Post. (2020). Girl dies after getting sick at school without nurse.

Earls, M. F. (2014). ADHD: Collaboration on Diagnosis and Management among the Medical Home, School, and Family. Pediatric Annals, 43(5), 165-166.

Discussion Question:

Discussion Question 1:

A teacher states that a child in her class is extremely hyper. Could you please talk to his parents to medicate him! What would your response be? A pediatrician sends in an order to take blood pressure for a child on a new medication. After reviewing the medications, which class of medications would need blood pressure checks? A parent wants you to give ½ of the dose prescribed by the pediatrician because they think it is too much. What would you do? Another parent asks you to give the medication only on days when you think her child needs it because it is so expensive. Who would you collaborate with to help this family?

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Common Conditions to Care for in Schools

School nurses form an essential part of any school’s fraternity. They have an inevitable role in promoting a healthy school environment, besides spearheading health policies analysis and programs. According to Selekman, Shannon, & Yonkaitis (2019), school nurses act as liaisons between school personnel, families, communities, and health care providers. Common illnesses and injuries such as asthma, colds, allergies, flu, and ADHD require school nurses’ advanced knowledge and skills intervention for effective treatment and recovery. This essay responds to prompts as a discussion of common conditions to care for in schools.

On average, hyperactivity disorder affects the learner’s ability to concentrate, making it hard for them to pay attention. For this reason, Richardson et al. (2015) further explain that the student’s performance is significantly affected due to failed lessons and incomplete assignments. In this case, I would respond by requesting first to see the child and examine them. According to Richardson et al. (2015), non-pharmacological interventions have proven effective for hyperactive patients, especially learning children. I would recommend support group therapies, anger management therapy, family therapy, and applied behavior analysis to avoid medications’ side effects.

Certain conditions’ prescription such as diabetes, kidney disease, asthma, and others first require blood pressure checks. Uhm, Choi & Lee (2020) suggest that taking precautions is necessary to overcome healthcare barriers in school settings. The class of medication requiring blood pressure checks before a prescription is short-acting beta-agonists Anticholinergics.

In the case of the parent requesting a half dose for their child, I would engage them in a talk to emphasize the significance of taking medication as prescribed. For maximum benefit in full recovery and better health outcome, taking medicines as defined is crucial for every patient (Stanhope & Lancaster, 2019). For the parent requesting medication intake on convenient days, I would corporate with a prescription expert witness to help the patient’s family understand the significance of taking medication as prescribed.

References

Richardson, M., Moore, D. A., Gwernan-Jones, R., Thompson-Coon, J., Ukoumunne, O., Rogers, M., & Ford, T. J. (2015). Non-pharmacological interventions for attention-deficit/hyperactivity disorder (ADHD) delivered in school settings: systematic reviews of quantitative and qualitative research. Health Technology Assessment (Winchester, England)19(45), 1.

Selekman, J., Shannon, R. A., & Yonkaitis, C. F. (2019). School nursing: A comprehensive text. FA Davis.

Stanhope, M., & Lancaster, J. (2019). Public health nursing e-book: Population-centered health care in the community. Elsevier Health Sciences.

Uhm, J. Y., Choi, M. Y., & Lee, H. (2020). School nurses’ perceptions regarding barriers and facilitators in caring for children with chronic diseases in school settings: A mixed studies review. Nursing & Health Sciences.