Chapter 22: School Health
The school nurse has a unique role in the provision of school health services for children with special health needs, including children with chronic illnesses and disabilities with various degrees of severity. This case describes the role of the school nurse caring for a child with type 1 diabetes.
Susan has two students with type 1 diabetes in her school, one requires blood glucose monitoring and daily insulin injections, while the other has a continuous insulin infusion pump. The incidence of type 1 diabetes presents a complex challenge to school healthcare providers. Type 1 diabetes ranks as the second most common chronic illness in childhood, second only to asthma. The American Diabetes Association (ADA, 2015) reports that about 193,000 Americans under age 20 live with diabetes and 17,900 are diagnosed with type 1 diabetes annually, and another 5,300 with type 2 diabetes. Children with diabetes are considered disabled and as such are protected under federal laws that prohibit discrimination against children with disabilities. Studies show that the majority of school personnel have an inadequate understanding of effective diabetes management. It is best for the student to monitor blood glucose and respond to the results as quickly as possible to avoid possible complications.
1. When the school nurse is unavailable, who is legally responsible for providing care to a child with diabetes? Explain your answer.
 
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Case Study Format

Introduction

Case learning is a method of applying theory to sound practical real world applications. Each selected case provides a description of a problem situation taken from a specific company and documented into the case to address specific International concepts and constructs. The purpose of each case is to augment the course content with applications that enable the to apply text materials to a problem and solve that application problem using Learner selected methods and procedures. 


Introduction of the case problem is the essential first step and requires a succinct problem statement and scope problem definition with a concise summary of the critical decision issues to be addressed in the case presentation. A paragraph of no more that 100 words is adequate.

Analysis of the case problem requires a thorough review of the critical elements of the case and provides a clear set of facts that on their own merit offers an indepth review of the essential issues to solve the problem statement. The analysis section should be approximately 300 words.

Solution section of the case study presents the recommended way to solve the problem statement and addresses the main points outlined in the analysis. The solution section is a description of the recommended problem application including details as to application and references specific to solving the problem definition. The solution section must also cite specific text materials in support of the recommended course(s) of action. No more that 300 words should be used for the solution statements. 

Justification provides the overall reasons why the selected solution recommended course(s) of action are correct and fit the case problem.

The justification section of the case sells the solution and offers reasons to implement the course of action and substantiates the methods of solving the problem statement. Justification should be in a bullet list format and be no more than 200 words.

Summary is a 100 word final set of key points on the problem analysis, solution and justification of the problem scope.

Sample Solution

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