RESUMO
The school nurse plays a pivotal role in the assessment and treatment of selective mutism (SM), a rare disorder found in elementary school children. Due to anxiety, children with SM do not speak in uncomfortable situations, primarily the school setting. Diagnosis of SM is often missed in the formative years because the child does speak at home. Early diagnosis and treatment provide the key to addressing this rare disorder. The school nurse plays a critical role as a member of the Instructional Support Team (IST). The school nurse, as team liaison, provides communication between parents, school staff, and medical personnel. School nurses make a difference by advocating for the child with SM and possessing the necessary knowledge to effectively intervene. This article discusses a team approach to the assessment and treatment of SM and the role of the school nurse in the school setting.
Assuntos
Ansiedade/psicologia , Mutismo/enfermagem , Equipe de Assistência ao Paciente/organização & administração , Serviços de Enfermagem Escolar/organização & administração , Criança , Diagnóstico Diferencial , Humanos , Mutismo/psicologia , Papel do Profissional de Enfermagem , Diagnóstico de Enfermagem , Fatores de Risco , Apoio SocialAssuntos
Comunicação , Mutismo/enfermagem , Avaliação em Enfermagem/métodos , Medição da Dor/enfermagem , Adulto , Idoso , Afasia/enfermagem , Afasia/psicologia , Pré-Escolar , Sedação Consciente , Humanos , Unidades de Terapia Intensiva , Mutismo/psicologia , Relações Enfermeiro-Paciente , Diagnóstico de Enfermagem/métodos , Manejo da Dor/enfermagem , Pessoas com Deficiência Auditiva/psicologia , Acidente Vascular Cerebral/enfermagem , Acidente Vascular Cerebral/psicologiaRESUMO
Posterior fossa syndrome can occur after neurosurgical resections of childhood posterior fossa tumors, such as medulloblastomas. Posterior fossa syndrome is characterized by transient mutism, emotional lability, cognitive deficits, weakness, ataxia, and cranial nerve dysfunction. Symptoms generally appear 1 to 3 days after surgery and persist for months to years. Neuroscience nurses play an integral role in helping affected children and their families through the diagnosis, treatment, and sequelae of this frightening syndrome.