Kronik Hastalığı Olan Çocukların Bakımında Okul Hemşiresinin Görev ve Sorumlulukları

Kronik hastalık, prevalansı yıllar geçtikçe artan, tıbbi bakım gerektiren, çocukları fiziksel, psikososyal ve akademik olarak etkileyen bir durumdur. Kronik hastalığı olan çocukların günlük gereksinimleri sağlıklı akranlarından farklılık gösterebilmektedir. Kronik hastalığı olan okul dönemindeki çocukların okulda ilaç kullanma, ölçüm yapma, beslenme, hareket etme, solunum ve boşaltım ile ilgili fiziksel gereksinimleri bulunmaktadır. Kronik hastalığı olan çocukların psikososyal ve davranışsal değişiklik gösterdiği ve psikososyal olarak desteklenmesi gerektiği belirtilmiştir. Çocukların motivasyonunun artması için desteklenmeye gereksinimleri bulunmaktadır. Okulda kronik hastalık yönetiminin sağlanabilmesinde okul hemşiresine olan gereksinim kaçınılmazdır. Bu derlemede kronik hastalığı olan çocukların okuldaki gereksinimlerinin karşılanması ve bakımında okul hemşiresinin görev ve sorumlulukları, bakım, eğitim, sağlık politikaları ve yönetsel yönleri ele alınmıştır.

Duties and Responsibilities of School Nurses in Care of Children with Chronic Disease

Chronic disease is a condition which prevalence has increased over the years, requiring medical care, affecting children physically, psychosocially and academically. Daily needs of children with chronic diseases may differ from their healthy peers. They may need medication and blood glucose, nutrition and excretion monitoring at school. Associations between chronic diseases and emotional, behavioural, social and overall vulnerabilities were reported. The children should be supported psychosocially. Children need support to increase their motivation. The needs for a school nurse is inevitable in ensuring chronic disease management at school. In this review, the duties and responsibilities of the school nurse, care education, health policies and managerial aspects and care of the needs of children with chronic diseases are discussed. 

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