School Health Practices for Children with Complex Medical Needs

Wood, Susan; Walker, Deborah Klein; Gardner, Jane

doi:10.1111/j.1746-1561.1986.tb05736.x

Cited by 13 publications

(5 citation statements)

References 5 publications

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“…Only 6 states had completeguidelines, and 13 states had no guidelines at all (Wood, Walker, & Gardner, 1986). Today, several states have developed policies and procedures.…”

Section: Delivery Of Carementioning

confidence: 99%

Students with Special Health Conditions

Caldwell

Sirvis

1991

Preventing School Failure: Alternative Education for Children a

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“…Only 6 states had completeguidelines, and 13 states had no guidelines at all (Wood, Walker, & Gardner, 1986). Today, several states have developed policies and procedures.…”

Section: Delivery Of Carementioning

confidence: 99%

Students with Special Health Conditions

Caldwell

Sirvis

1991

Preventing School Failure: Alternative Education for Children a

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“…Surprisingly, this important problem area has received little attention from researchers. An extensive review of the literature from 1966 to the present using MEDLINE, International Pharmaceutical Abstracts, and Medscape and focusing on The Journal of School Nursing and the Journal of School Health revealed only 14 empirical studies that explored medication management in schools (Cavendish, Lunney, Luise, & Richardson, 1999; Conrad & Wehrwein, 1992; Courtnage, 1982; Francis, Hemmat, Treloar, & Yarandi, 1996; Gadow & Kane, 1983; Heneghan & Malakoff, 1997; Igoe & Fryer, 1996; Kinnison & Nimmer, 1979; Musser et al, 1998; Pavelka, McCarthy, & Denehy, 1999; Robinson, 1994; Small et al, 1995; Weathersby, Lobo, & Williamson, 1995; Wood, Walker, & Gardner, 1986). These do not include numerous school-based studies of the epidemiology of medication use, children’s understanding of medicines, medicine education, medicine education, or medication effectiveness.…”

Section: Literature Reviewmentioning

confidence: 99%

Medication Management Problems Reported by Subscribers to a School Nurse Listserv

Reutzel

Patel

2001

The Journal of School Nursing

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Given the potentially serious consequences of suboptimum medication management practices in elementary and secondary schools and the fact that this topic has been subject to little empirical inquiry, the purpose of this study was to obtain a preliminary understanding of the types of medication management problems that school nurses face, as well as the strategies they use to solve those problems. An analysis of messages related to medication management that appeared on the SCHLRN-L listserv (a 1,400-member discussion group for schools nurses) was performed. All messages sent to the listserv during a 5-month period were monitored. Any discussion thread that began during this time period and addressed the management of medications was selected for possible inclusion in the study. The result was a group of 71 threads. The listserv participants described a wide array of medication management problems and suggested numerous strategies for solving them. This study shows that serious medication management problems exist in schools and that school nurses make use of various strategies or "tricks of the trade" to handle these problems. This research highlights the need for a contribution from the pharmacy profession in this important and neglected area of drug therapy.

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“…Few states have developed guidelines for implement ing health-related procedures in the classroom (Woods et al, 1986), leaving this determination to the local level. Slightly more than one-half of the teachers re ported that the districts had, to their knowledge, policies regarding the implementation of health-related proce dures.…”

Section: Source Of Policy For Implementing Health-related Proceduresmentioning

confidence: 99%

“…State education agencies tend to have incomplete guidelines for performing health-related procedures in schools (Woods, Klein, & Gardner, 1986). One reason for this omission, suggested by Woods et al (1986), is that states may judge it to be more appropriate for guidelines to be created at the local level. If a health-related procedure needs to be performed in the school, guidelines should be in place before the procedure is to be implemented.…”

mentioning

confidence: 93%

The Implementation of Health-Related Procedures in Classrooms for Students with Severe Multiple Impairments

Mulligan-Ault

Guess

Struth

et al. 1988

Journal of the Association for Persons with Severe Handicaps

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One-hundredfifty teachers of students with severe and multiple impairments were surveyed to identify the prev alence of health-related procedures being used in the classrooms, the person(s) routinely responsible for im plementing the procedure(s), and the persons the teach ers felt should be responsible for implementing the pro cedures. In addition, the survey identified the source of the teacher's information concerning health-related pro cedures for individual students, types of correspondence with the school nurse and the family physician, the teachers' awareness of the availability of school policy for implementing health-related procedures, the teach ers ' source of training on health-related procedures, and the relationship of the classroom location to visits by the school nurse. Seventy percent of the questionnaires were returned. Teachers indicated that all but one of the procedures listed were occurring in one or more of the classrooms. The teachers ndicated that, for the most part, they were primarily responsible for implementing the procedures on a routine basis. The teachers' re sponses indicated that they felt they should be respon sible for a specific group of procedures with the nurse and paraprofessional, or nurse and teacher in combi nation responsible for a different set of procedures. The family was used most often as a source of information for the health-related procedures. Contact with the school nurse was variable. Classrooms in integrated or rural settings were reported as visited less often by the school nurse than classrooms in either more segregated or urban settings. Only 21% of all the classroom teachers responding were aware of local district guidelines for the determination of who should be responsible for the implementation of health-related procedures.DESCRIPTORS: direct care staff, health care, medi cal treatment, medication, parent-professional rela tions, special education, special educators Schools are experiencing an increase in the number of students with severe and multiple handicaps who require medical and health-related procedures during the school day. These health-related procedures include, among others, administering medications, gastrostomy feeding, oxygen supplementation, and seizure monitor ing.Providing health-related procedures is critical in maintaining students' participation in the classroom.

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School Health Practices for Children with Complex Medical Needs

Cited by 13 publications

References 5 publications

Students with Special Health Conditions

Students with Special Health Conditions

Medication Management Problems Reported by Subscribers to a School Nurse Listserv

The Implementation of Health-Related Procedures in Classrooms for Students with Severe Multiple Impairments

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