Childhood disruptive behaviours are some of the most frequent concerns posed by families to child-focused medical providers. While prevalent and holding the potential to exacerbate into Disruptive Behaviour Disorders, some providers utilize 'wait and see' philosophies in the hopes that children will outgrow the concerns. Unfortunately, many do…

In an effort to meet the needs of adults with autism spectrum disorder (ASD) while hospitalized, a team of experts and providers from Massachusetts General Hospital (MGH), MGH for Children as well as parents of individuals with ASD was sparked in 2013. This became a multidisciplinary collaborative, the MGH Autism Care Collaborative, to improve…

School nurses are faced with the challenge of identifying and treating ankle injuries in the school setting. There is little information guiding the assessment and treatment of these children when an injury occurs. It is essential for school nurses to understand ankle anatomy, pathophysiology of the acute ankle injury, general and orthopedic…

Lack of privacy, risk of bullying, limited access, lack of essential products for good hygiene, and dirty bathrooms can all contribute to encouraging a child to withhold urine and stool while in school. Withholding behaviors over time can create a condition known as dysfunctional elimination syndrome (DES). DES is any pattern of voiding or…

It has been estimated that at least one half of the population will experience some type of bite in their lifetime. Human bites are the third leading cause of all bites seen in hospital emergency departments after dog and cat bites. Human bites can be the source of exposure to body fluids, transmission of communicable diseases, infections ranging…

The handbook presents California guidelines for training school personnel to provide skilled nursing procedures such as tracheostomy suctioning and misting for students with special health needs. The workbook begins with an overview of the anatomy and function of the respiratory system, specifically breathing mechanics. Part 2 considers the…

Insomnia in college students, its manifestations, causes, and treatment are described. (Author/MT)

Various issues related to positioning infants and children with central nervous system dysfunction in order to conduct videofluoroscopic swallowing function studies are discussed. Extensive illustrations demonstrate solutions to specific problems. (DB)

Temporomandibular joint (TMJ) dysfunction is described. A review of research related to symptoms, incidence, correlates, and causes of TMJ dysfunction in children is presented. (Author/MT)

Rich with clinical insights, this volume reviews the state of the science of identifying and treating autism spectrum disorders (ASD) in very young children. Leading authorities examine critical research issues and present innovative approaches to assessing social, cognitive, adaptive, communication, and sensory-motor impairments in the first two…

This set of guidelines by the Maryland Board of Nursing presents the role and responsibilities of the school nurse in relation to the child with special health care needs. The introduction identifies four basic issues including necessary level of preparation, who determines what nursing care can be delegated, under what conditions nursing care can…

Obesity is a major pediatric public health problem. Adolescents are a priority population for intervention strategies. School nurses are in key positions to design intervention strategies to promote healthy lifestyles and prevent adolescent obesity in the students they serve. To design effective programs, school nurses need to know what components…

Utilizing both quantitative and qualitative approaches, the study assessed the strengths of selected components of the Mexican American ethnic medical system within the local community of Casper, Wyoming. Findings indicated that few local Hispanics adhered to much of the system, except in the realm of some easily available home remedies.…

These guidelines present standards for administering medication in Maryland schools, both prescribed and over-the-counter medications. In general, medication during school hours is discouraged unless necessary. The guidelines recommend that, whenever possible, children administer their own medication under appropriate supervision. Specifically,…

Focusing on relationships between children's behavioral responses and family characteristics, this exploratory, descriptive, and retrospective study investigated bereaved children's responses to the death of a sibling from cancer and examines those responses in relationship to selected individual, situational, and environmental characteristics.…