RESUMEN
Annually an estimated 3 million or more children are exposed to acts of domestic violence between adults in their homes. These children are at risk for abuse themselves as well as other immediate and long-term problems, especially if they have been exposed to repeated episodes of domestic violence. Multiple behavioral manifestations, including anxiety, depression, and posttraumatic stress disorder, may be associated with violence exposure, and it is imperative that school nurses recognize these. All children should be screened for domestic violence exposure at regular intervals, and those who are at risk should have a more thorough health assessment. Planning for the safety of the child, nonoffending caregiver, and siblings and the school nurse involved in the situation is of utmost importance.
Asunto(s)
Hijo de Padres Discapacitados/psicología , Violencia Doméstica/psicología , Rol de la Enfermera , Psicología Infantil , Servicios de Enfermería Escolar/organización & administración , Cuidados Posteriores , Ansiedad/etiología , Niño , Hijo de Padres Discapacitados/estadística & datos numéricos , Comunicación , Depresión/etiología , Violencia Doméstica/prevención & control , Violencia Doméstica/estadística & datos numéricos , Humanos , Tamizaje Masivo , Relaciones Enfermero-Paciente , Evaluación en Enfermería , Planificación de Atención al Paciente , Factores de Riesgo , Administración de la Seguridad , Trastornos por Estrés Postraumático/etiología , Estados Unidos/epidemiologíaRESUMEN
As providers of care for children and adolescents with Type 1 diabetes mellitus (DM), it is imperative that the school nurse is familiar both with the legal framework guiding protection of these students' rights in school and with ongoing developments regarding management of this disorder. Federal legislation, designed to prevent discrimination and to allow children and adolescents with certain disabilities and chronic disorders such as Type 1 DM to fully participate in activities within the academic setting, is a major consideration for those providing care in schools. Understanding of recent developments and future trends in the management of Type 1 DM is essential for the school nurse to facilitate optimal care for students with this disorder. These consist of new types and activity of insulin preparations, alternative devices for insulin delivery, improvements in glucose monitoring, and changes in nutritional management along with upcoming developments in Type 1 DM management.