INTERACTIONS NURSING CARE AND SDOH INSIGHTS
Field Activity Description: Health Room Interactions and Collaborations with
Nurse Preceptor** Today’s activities in the health room involved providing care
and support to several students with various health needs. My interactions with
my nurse preceptor, [Preceptor's Name], were instrumental in reinforcing the
pivotal nursing roles of education, collaboration, communication, referral,
resource allocation, and addressing social determinants of health (SDOH). Below
are detailed accounts of each patient interaction, highlighting these roles.
A school nurse observed a 7-year-old girl with type 1 diabetes experiencing
hypoglycemia, including the nurse's response, consideration of social
determinants of health, and integration of wellness and disease management
strategies.
The case involved a holistic approach addressing physical, emotional, social, and
environmental factors to promote wellness and manage disease. This included:
1.Wellness Promotion:
- Education on healthy lifestyle choices, including nutrition, activity, stress
management, and screenings, empowering the student.
- Open communication to build trust and identify health concerns early.
- Connecting the student with community resources like nutrition classes and support groups.
In school, the nurse provided education on diabetes management and signs of
distress, fostering health literacy.
2.Disease Management:
- Collaborating with healthcare providers to create care plans.
- Monitoring vital signs, symptoms, and medication adherence.
- Ensuring access to necessary treatments and educational tools.
,For the student, the nurse assessed blood glucose levels, educated her on
managing fluctuations, and involved her parents and teachers to support her,
promoting her independence and effective disease control.
3.Regenerative/Restorative Care
Sphere of Care Components:**
- **Holistic Approach:** This aspect emphasizes treating the whole person
rather than just focusing on specific ailments. It involves understanding the
psychological, emotional, and social factors affecting a
, patient's recovery.
- **Rehabilitation Services:** Involvement of physical, occupational, or speech
therapists for tailored rehabilitation programs to support recovery from
injuries or surgeries.
- **Emotional and Psychological Support:** Providing counseling and
emotional support encourages healing and improves patient outcomes.
**Implementation:**
For the 8-year-old male student with a traumatic brain injury, the school nurse
facilitated care by utilizing a gait trainer and administering PRN Midazolam for
seizures. By monitoring his fatigue and altering the environment (e.g., rest
periods in the health room), the nurse supported his restorative care needs while
ensuring the environment was conducive to recovery and learning.
### Overall Integration of the Sphere of Care
The integration of the sphere of care in these three areas is critical for the following reasons:
- **Personalized Care:** By understanding the unique circumstances and
needs of each patient, healthcare providers can tailor interventions and
support that optimize health outcomes.
- **Proactive Management:** Continuous assessment and monitoring promote
early identification of potential health issues, allowing for timely intervention
and management.
- **Empowerment and Education:** Educating patients about their health
conditions promotes self- management and empowers them to make
informed decisions about their care.
- **Community Engagement:** Addressing social determinants of health through
community resources and support systems enhances overall well-being and
addresses factors that contribute to health disparities.
They demonstrated the sphere of care performed, was “wellness and disease
management.” During my shadow experience, I observed my nurse preceptor
provide and implement care for a 7-year-old female with Type 1 diabetes. During
this observation, the school nurse assessed her blood glucose levels and
provided education on how to manage her glucose fluctuations. Collaborated
with the student, her parents, and teachers to ensure that everyone was
informed of her needs and how to support her, thereby enhancing her disease
management while promoting her independence and self-care abilities.