RNCase ReportJournal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners2023

The Impact of the COVID-19 Pandemic on Children/Youth With Special Health Care Needs: A School Nurse's Perspective.

Susan J Macyko

PMID 36588055

WHAT IT FOUND

A school nurse's account of one student shows how building trust with a grieving family led to a modified education plan, weekly tutoring, and a referral to a pediatric psychologist.

The nurse also monitored medication adherence and facilitated telehealth therapy.

Key findings

01The school nurse worked with the student, grandmother, and teachers to modify the student's 504 plan and initiate a weekly tutoring program to address academic decline.

02Following the grandmother's concerns about the student's difficulty processing his mother's death, the nurse referred the family to a local mental health therapist for weekly telehealth sessions.

03The nurse's role included monitoring the student's medication adherence and collaborating with the primary care provider to ensure both asthma and ADHD needs were met.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This is a single case report, so the outcomes cannot be generalised to other students or schools. The interventions described, such as tutoring and therapy, were provided concurrently, so it is impossible to determine which specific action improved the student's situation. The report relies on the author's subjective account of the family's response and progress, with no standardised measures or follow-up data provided.

Declared interests

No conflicts of interest or funding sources are declared in the text.

The easy way to misread this

Do not assume that the specific interventions described, such as the modified 504 plan or telehealth referrals, were proven effective for this student. The paper reports a sequence of events in one case, not a controlled test of whether these strategies caused the student's improvement.

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