Category: Paraphrase exercise (Page 1 of 2)

School nurses across the United States have the major responsibility of being the bridge of communication between students, parents. and healthcare providers (Wahl et al. 2015, 97). The treatment plans often set forth by a given school’s nursing program may conflict with those pushed by a student’s doctors and parents. This conflict can delay the decisive treatment of a medical condition, and according to a recent study can pose a real danger to the student’s health (Boyce et al., 2010; Carlisle et a., 2010; Fleischer et al., 2012; Nowak-Wegrzyn, 2012b).

Overall, the major issue that many nurses in schools face while treating their students is the miscommunication between personal healthcare advisors and the policies of school districts as well. Unique emergency action plans school nurses have in play for their students sometimes coincide with the guidelines set by the students and parents’ doctors. Recent experiments have shown that lack of treatment due to these reasons have caused major repurcussions when dealing with student safety concern. (Boyce et al., 2010; Carlisle et a., 2010; Fleischer et al., 2012; Nowak-Wegrzyn, 2012b).

Throughout the United States, one of the several major challenges that school nurses have to deal with is that each school district has a distinct action plan in case of emergency, which may contradict the health care provider’s plan for a given student; this plan set by health care providers may also conflict with the American Academy of Asthma, Allergy and Immunology Guidelines, which may expose the dangerous risk of anaphylaxis if the patient is not treated in a timely manner. Recently, numerous studies have shown that the inadequate treatment of these allergic reactions with epinephrine can be a safety concern (Boyce et al., 2010; Carlisle et al., 2010; Fleischer et al., 2012; Nowak-Wegrzyn, 2021b). Due to the fact that school nurses are in the position in which they have direct communication with both parents and health care providers, they have an increased potential to keep students safe under their care (Wahl et al. 2015, 97).

According to the Centers for Disease Control and Prevention, it is being reported that since 1997 there has been an increasing amount of children with food allergies. Consequently, this has led to a growing number of children having an allergic reaction in school.  School nurses are facing a dilemma of having to abide by the guidelines of their school district while some children are being given different instructions in case of an allergic reaction by their healthcare provider. Administering epinephrine is the standard protocol for school nurses however this may not be sufficient during severe allergic reactions which is worrisome (Boyce et al., 2010; Carlisle et a., 2010; Fleischer et al., 2012; Nowak-Wegrzyn, 2012b).

Throughout the United States, school nurses face conflict while attempting to execute appropriate treatment to their patients as specific emergency action plans outlined by health care providers conflict with school district guidelines, and the Academy of Asthma, Allergy and Immunology guidelines. This conflict frequently causes a delay in treatments which creates confusion and chaos and increases potential risk of anaphylaxis. Recently, many studies conducted on this topic reveal the undertreatment of severe reactions with epinephrine as a major safety concern among school children ((Boyce et al., 2010; Carlisle et a., 2010; Fleischer et al., 2012; Nowak-Wegrzyn, 2012b)). Because school nurses are able to work with both providers and parents, they are instrumental in ensuring the safety of the children under their care (Wahl et al. 2015, 97).

School nurses may receive conflicting information about protocol for administering epinephrine in the case of anaphylactic shock from school administration and medical organizations. That is why they have a great responsibility to find a reasonable compromise with both sides to make sure that students are safe (Wahl et al. 2015, 97).

Due to the conflict between Doctor devised emergency plans and school district guidelines, school nurses are facing difficulties in treating students with severe allergies. The American Academy of Asthma, Allergy and Immunology maintains a set of regulations in dealing with emergencies, but a problem arises when rules clash, leading to a risk of delay in treating anaphylactic shock. According to several studies, there have been many cases in which not using epinephrine led to delayed treatment of allergies (Boyce et al., 2010; Carlisle et a., 2010; Fleischer et al., 2012; Nowak-Wegrzyn, 2012b). It is in the students’ best interests to train nurses to use EpiPens, as they can reconcile the school’s guidelines and the provider’s emergency plans (Wahl et al. 2015, 97).

School nurses in America face challenges when helping a patient experiencing an allergic reaction.  This is due to the fact that the guidelines put forth by the school district and the American Academy of Asthma, Allergy, and Immunology often times differ from what a specific patient needs at the time he or she is experiencing the reaction.  The difference between processes may cause hesitation and thus a delay in proper treatment, which could be dangerous for the patient (Wahl et al. 2015, 97).

The results of the experiment show that people who work with children feel more comfortable using EpiPens after being shown the correct usage by a nurse educator. This is very important for individuals who work with children to know, since many children have allergies to foods such as nuts. After training, the information delivered in the presentation was retained for about 12 months. The positive results of the experiment are uniform across all presentation attendees, regardless of whether or not they received prior training in EpiPen usage. The data also suggests that environments for children will become safer if individuals who work with children receive this training (Wahl 96).

School Nurses in America are currently confronted with the issue of conflicting emergency response instructions. The instructions from health care providers can be different from instructions by the American Academy of Asthma, Allergy and Immunology which can create confusion for the school nurses that may delay the response and increase the risk of anaphylaxis. According to several studies, the lack of treatment to severe reactions with epinephrine has been a safety concern. (Boyce et al., 2010; Carlisle et al., 2010; Fleischer et al., 2012; Nowak – Wegrzyn, 2012b).  The school nurses must work with parents and the healthcare providers in order to ensure the safety of the students. (Wahl et al. 2015, 97).