RESUMEN
Food allergy (FA) impacts 8% of U.S. children, thus it is critical to document allergic reactions to assist schools in managing FAs. We implemented and evaluated an online tool to assist school health personnel in tracking the characteristics of allergic reactions occurring at schools. The Online School Allergic Reaction Registry (OScARR) was modified from the Epinephrine Administration Form developed by the Massachusetts Department of Public Health, adapted for integration into existing school health records, and implemented in three Chicago schools during the 2016-2017 school year. All allergic reactions occurring at participating schools were recorded by school nurses. Twenty-five percent of the 20 allergic reactions reported were characterized as anaphylaxis by school nurses. School nurses reported that they would recommend OScARR for use in other schools. Detailed data obtained from three Chicago schools underscore the importance of proper documentation to improve the understanding of the causative allergen and location and management of allergic reactions in schools.
Asunto(s)
Anafilaxia/prevención & control , Hipersensibilidad a los Alimentos/enfermería , Servicios de Salud Escolar/organización & administración , Servicios de Enfermería Escolar/métodos , Chicago , Niño , Humanos , Masculino , Proyectos PilotoAsunto(s)
Anafilaxia/enfermería , Hipersensibilidad a los Alimentos/enfermería , Conocimientos, Actitudes y Práctica en Salud , Enfermeras Pediátricas , Servicios de Enfermería Escolar/educación , Anafilaxia/epidemiología , Niño , Epinefrina , Estudios de Seguimiento , Hipersensibilidad a los Alimentos/epidemiología , Humanos , Relaciones Enfermero-Paciente , Facultades de Enfermería , Encuestas y Cuestionarios , Apoyo a la Formación Profesional , Estados Unidos/epidemiologíaRESUMEN
A parent's ability to confidently manage a child's food allergy (i.e. food allergy response capability) is considered instrumental toward treating this disorder; however, little is known regarding this measure and associated factors. A questionnaire survey among 280 qualified participants identified the greatest food allergy response capability as "spousal collaboration", followed by "elimination diet capacity", "gathering information from medical professionals", "knowledge about food allergies", and "stress coping". These capabilities were associated with maternal and household health status, food items eliminated and their number, anaphylaxis experience, and type of medical facility used. This measure represented a predictor of maternal quality of life and health status, household health status, and overall life stress (not related to childrearing). Thus, to improve food allergy response capability, multidisciplinary cooperation and support are required from professionals, such as physicians, nurses, nutritionists, and clinical psychologists. Nurses in particular must take an interest in the situations these mothers face and in their emotions; elicit their power to cope with stress; provide knowledge about food allergies; provide individualized, specific information about elimination diets; and conduct interventions to enable spousal cooperation.
Asunto(s)
Hipersensibilidad a los Alimentos/dietoterapia , Conocimientos, Actitudes y Práctica en Salud , Madres/psicología , Calidad de Vida , Adulto , Niño , Preescolar , Estudios Transversales , Femenino , Hipersensibilidad a los Alimentos/enfermería , Humanos , Lactante , Recién Nacido , Madres/estadística & datos numéricos , Esposos , Estrés Psicológico , Encuestas y CuestionariosAsunto(s)
Conducta Alimentaria , Hipersensibilidad a los Alimentos/complicaciones , Hipersensibilidad a los Alimentos/enfermería , Cefalea/etiología , Cefalea/enfermería , Trastornos Migrañosos/etiología , Trastornos Migrañosos/enfermería , Evaluación en Enfermería , Diagnóstico de Enfermería , Aminas Biogénicas/efectos adversos , Aditivos Alimentarios/efectos adversos , Hipersensibilidad a los Alimentos/diagnóstico , Humanos , Factores de RiesgoAsunto(s)
Lactancia Materna , Dermatitis Atópica/prevención & control , Hipersensibilidad a los Alimentos/enfermería , Hipersensibilidad a los Alimentos/prevención & control , Hipersensibilidad/prevención & control , Fórmulas Infantiles/administración & dosificación , Hidrolisados de Proteína/administración & dosificación , Dermatitis Atópica/genética , Dermatitis Atópica/enfermería , Método Doble Ciego , Hipersensibilidad a los Alimentos/genética , Humanos , Hipersensibilidad/genética , Hipersensibilidad/enfermería , Lactante , Recién Nacido , Estudios ProspectivosAsunto(s)
Unión Europea , Hipersensibilidad a los Alimentos/enfermería , Etiquetado de Alimentos/legislación & jurisprudencia , Legislación Alimentaria , Adolescente , Pan/análisis , Niño , Preescolar , Hipersensibilidad a los Alimentos/etiología , Hipersensibilidad a los Alimentos/prevención & control , Industria de Alimentos/legislación & jurisprudencia , Alemania , Análisis de Peligros y Puntos de Control Críticos , Humanos , LactanteRESUMEN
Los problemas crónicos de salud en estudiantes son cada vez más frecuentes (alergias alimentarias, diabetes mellitus, etc.). La existencia de una enfermera escolar en el centro educativo puede ser clave en el control y buen pronóstico de estos problemas de salud. Objetivo. Revisar el papel de la enfermera escolar a propósito de la atención a la diabetes en la escuela en Extremadura. Metodología. Revisión bibliográfica de la literatura científica y experiencia propia sobre la figura de la enfermera escolar y la atención a la diabetes en los centros educativos no universitarios. Resultados. Esta figura está establecida en muchos de los países de nuestro entorno y desarrolla actividades fundamentales en pro de la salud de los estudiantes, aunque su presencia física generalmente no es constante y requiere de algunas mejoras. Conclusiones. Se debe promover la instauración de la enfermera escolar en España, para prevenir y abordar muchos problemas de salud en edad infantil y juvenil, preferentemente con dependencia del sistema sanitario e integrada en los equipos de Atención Primaria, lo cual favorece el trabajo comunitario de enfermería (AU)
The amount of chronic health problems in students is increasing with the time (food allergies, diabetes mellitus...). The presence of a school nurse in the educational sites could be the key to control this kind of health issues. Objective. Overhaul the function of a possible nurse in the schools of our region, with the target of trying to control and prevent diabetes mellitus and other illnesses. Methodology. We have reviewed the figure of a school nurse and the diabetes care in non-university schools, using scientific sources of information and the own experience. Results. Many countries of the European environment are performing really important activities which have their benefits on the students health; using the figure of a school nurse. However, the presence of this person is generally not constant in the educational sites, and requires some improvements. Conclusions. We must promote the establishment of school nurses in Spain so that we can take care and prevent many health problems which mostly affect youth and childhood (AU)
Asunto(s)
Adolescente , Niño , Femenino , Humanos , Masculino , Enfermeros de Salud Comunitaria/organización & administración , Enfermeros de Salud Comunitaria/normas , Enfermeros de Salud Comunitaria , Enfermeras de Salud Pública/organización & administración , Enfermeras de Salud Pública/normas , Servicios de Salud Escolar , Servicios de Salud Escolar/normas , Servicios de Enfermería Escolar/métodos , Servicios de Enfermería Escolar/organización & administración , Servicios de Enfermería Escolar/normas , Atención Primaria de Salud/métodos , Atención Primaria de Salud/tendencias , Estudiantes/estadística & datos numéricos , Diabetes Mellitus Tipo 1/epidemiología , Diabetes Mellitus Tipo 1/enfermería , Diabetes Mellitus Tipo 1/prevención & control , Enfermedad Crónica/enfermería , Hipersensibilidad a los Alimentos/enfermeríaRESUMEN
Gluten is a protein complex found in the endosperm portion of wheat, rye, and barley. "Gluten-related disorder" is a term used to describe conditions related to ingestion of gluten-containing foods. Gluten has been implicated as the cause of a variety of gastrointestinal (GI) and extraintestinal symptoms. These symptoms are often non-specific and variable, making it difficult for the primary care provider to diagnose the cause and develop a management plan. Recently, gluten-related disorders have received much attention in the popular press, and the sale of gluten-free foods has become a multi-billion dollar business. It is important for pediatric primary care providers to understand the potential role of gluten in GI health and symptomatology so appropriate screening, diagnostic testing, and management can be provided.
Asunto(s)
Enfermedad Celíaca/inmunología , Enfermedad Celíaca/enfermería , Hipersensibilidad a los Alimentos/inmunología , Hipersensibilidad a los Alimentos/enfermería , Enfermedades Gastrointestinales/inmunología , Enfermedades Gastrointestinales/enfermería , Glútenes/inmunología , Enfermería Pediátrica , Dieta Sin Gluten , Humanos , Evaluación en EnfermeríaAsunto(s)
Anafilaxia/enfermería , Hipersensibilidad a los Alimentos/enfermería , Alimentos/efectos adversos , Niño , Preescolar , Diagnóstico Diferencial , Enfermedades del Sistema Digestivo/etiología , Hipersensibilidad a los Alimentos/inmunología , Humanos , Inmunoglobulina E/inmunología , Lactante , Enfermería Pediátrica , Guías de Práctica Clínica como AsuntoRESUMEN
Nurses in the Milwaukee Public Schools implement a lifesaving response protocol.
Asunto(s)
Anafilaxia/enfermería , Urgencias Médicas , Epinefrina/administración & dosificación , Hipersensibilidad a los Alimentos/enfermería , Rol de la Enfermera , Servicios de Enfermería Escolar/normas , Adolescente , Niño , Preescolar , Femenino , Guías como Asunto , Humanos , Capacitación en Servicio , Masculino , Servicios de Enfermería Escolar/educación , Servicios de Enfermería Escolar/legislación & jurisprudencia , WisconsinRESUMEN
Ecocultural theory considering family as an entity may serve as a new point of view instead of "impact of disease"-perspective. Aims were to reveal ecocultural themes and activities of daily routines in the treatment of a child's food allergy and eczema. Interviews (N=24) were held with mothers with allergic children aged 12 months and mothers repeat interviews at 24 months. The theme; "living an ordinary family life", was implemented across the family activities of routines essential for treating the child's allergy. New or altered treatment regimens can be tailored to families on the basis of existing activities.
Asunto(s)
Actividades Cotidianas , Relaciones Familiares , Hipersensibilidad/enfermería , Madres/psicología , Adulto , Niño , Eccema/enfermería , Femenino , Finlandia , Hipersensibilidad a los Alimentos/enfermería , Humanos , Entrevistas como Asunto , Investigación CualitativaAsunto(s)
Hipersensibilidad a los Alimentos/enfermería , Lactancia Materna , Hipersensibilidad a los Alimentos/etiología , Hipersensibilidad a los Alimentos/genética , Hipersensibilidad a los Alimentos/prevención & control , Predisposición Genética a la Enfermedad/genética , Alemania , Adhesión a Directriz , Humanos , Lactante , Alimentos Infantiles , Fórmulas Infantiles , Recién Nacido , Factores de RiesgoAsunto(s)
Ginecología , Bienestar del Lactante , Partería , Grupo de Atención al Paciente , Pediatría , Lactancia Materna , Conducta Cooperativa , Hipersensibilidad a los Alimentos/enfermería , Hipersensibilidad a los Alimentos/prevención & control , Alemania , Adhesión a Directriz , Humanos , Lactante , Alimentos Infantiles/normas , Recién Nacido , Comunicación Interdisciplinaria , Necesidades Nutricionales , Obesidad/enfermería , Obesidad/prevención & control , Atención PrenatalRESUMEN
In the UK, up to 6% of children are affected by food allergy. Accurate diagnosis, appropriate dietary management, family education, support and continuing follow up are essential to prevent further reactions and optimise the child's nutritional intake and growth. Setting up an improved, one- stop service to achieve these goals, which includes the multidisciplinary team, is feasible and cost neutral. This audit and service evaluation involved questionnaires with parents and staff focus groups to examine provision in one area of England. The views of children were not included. Practitioners involved should consider further training if necessary.