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Case study: School-based care for a girl and her primary caregiver experiencing difficulties in managing diabetes
Ana Nombela-Franco1, Cristina Oter-Quintana2,3,4, Juana Robledo-Martín2,5
1Doctorate in Medicine and Surgery, Autonomous University of Madrid, Madrid, Spain.
Purpose:
To describe the use of the nursing process and standardized nursing language by the school nurse to facilitate the monitoring of the therapeutic regimen of a girl with type 1 diabetes mellitus and her caregiver.
Methods:
Data were collected through clinical reports, observation, and physical examination of the girl and through interviews with her and her caregiver in accordance with Virginia Henderson's conceptual model.
Findings:
Clinical reasoning informed the selection of NANDA-I nursing diagnoses. NIC nursing interventions were selected taking into consideration the available scientific evidence related to the care of children with type 1 diabetes mellitus.
Conclusions:
The school nurse is a key figure in improving and supporting the monitoring of the prescribed therapeutic regimen for children with chronic disease.
Implications For Nursing Practice:
This case demonstrates the importance of adopting a conceptual model to guide the nursing process, as well as showing that standardized nursing languages are suitable for school nursing practice.
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