A teacher describes the death of a fourth grade student and its impact on the child's classmates. The children's expressions of grief were channeled into various discussions and activities. (JN)

Care of the school student with hemophilia requires a cooperative effort by the health care team. A multidisciplinary approach is suggested for the team, whose members include a hematologist, orthopedist, oral surgeon, geneticist, physical therapist, social worker, and school nurse. (JD)

A statewide survey of 1,574 Texas public school nurses examined the characteristics, needs, and involvement of nurses in the health and education management of students with special health care needs (SSHCN). Although the nurses have responsibility for a range of health services delivered to SSHCN, only 32 percent of respondents reported routine…

Medically fragile children need special supervision and care. Educators' concerns center on the time it takes to perform needed services, adequate preparation, and potential liability. Offers nine guidelines that address the needs of medically fragile children while minimizing the threats of liability. A related page summarizes issues raised by…

Discusses how school nurses and school library media specialists can work together to help adolescents cope with chronic illnesses. Topics include educating other students; Web sites devoted to illness and youth; keeping material on the shelves up-to-date; and affective aspects that can be addresses in literature. (LRW)

Many caregivers are encountering the issue of communicating with children and adolescents about current world events, specifically war and terrorism. As health care providers, it is important to raise awareness of how children may understand, interpret, and respond to related fears and concerns. Although honesty and reassurance are clearly the…

This study explored school nurses' experience of ethical conflict in school nursing through interviews with six school nurses. The study examined how school nurses resolved ethical problems and the rationale used to resolve them. Emergent themes of ethical problems were professional relationship conflicts, delegation to and supervision of health…

According to Denehy (1999), "school nurses can play a powerful role in promoting health in their schools and community." She encouraged school nurses to "Take and make opportunities to promote health in the classroom" (p. 4). Classroom presentation of hearing conservation information is one way for school nurses to promote health and to reduce the…

Anger and aggression in school children are a major concern in American society today. Students with high anger levels and poor cognitive processing skills are at risk for poor relationships, underachievement in school, and health problems. This article describes characteristics of children who are at risk for high anger levels and aggression as…

Self-mutilation is not a new trend or phenomenon in adolescents. Self-mutilation can be divided into three categories: major, stereotypic, and moderate/superficial. Moderate/superficial self-mutilation is the most common type in adolescents and includes cutting, burning, and carving. School nurses are positioned to identify, to assist, and to…

The purpose of this study was to measure school nurses' perceived self-efficacy in providing diabetes care and education to children and to identify factors that correlate with higher self-efficacy levels in the performance of these tasks. The results of this study revealed that the surveyed school nurses perceived a moderate level of…

A significant number of children have chronic health conditions that interfere with normal activities, including school attendance and active participation in the learning process. Management of students' chronic conditions is complex and requires an integrated system. Models to improve chronic disease management have been developed for the…

Syncope and near-syncopal symptoms are common events in the adolescent population. Syncope is defined as the transient loss of postural tone and consciousness with spontaneous recovery. Although most syncopal events are benign, they can generate extreme anxiety in the adolescent and his or her family. The reoccurrence of these events can have a…

Designed as a "Participant's Manual" to be used as part of a "Chemical and Mercury Management in Schools Training," this document focuses on the policies and programs needed at the school and district level for safe and sustainable chemical and mercury management practices. This document is designed primarily for school…

This manual aims (1) to provide a standard, well-referenced resource for Iowa special education nurses and (2) to provide direction and continuity for health services to pupils with special needs. The first chapter provides an overview of the special education nurse's role, including philosophy, definitions of assignments, levels of service, and…