different clinical presentation;

different clinical presentation;

200 words for each response

1)

The mission of the schools in the local area system that was investigated is to promote the health and wellness for the students and their families, their staff, and the community. The county schools believe that the nurses should be committed to providing comprehensive, quality health care to students using a systematic approach to identify and meet the dynamic health needs of all students including chronic health conditions, disabilities, and those with acute and emergency care situation (Maryland Department of Health, 2019). The professional school nurse is an important member of the multidisciplinary school team and collaborates with other disciplines to enhance the academic success of students. The school nurse promotes improvement of children’s health, removes barriers to learning, and improves overall potential for academic success. Parents are encouraged to contact their child’s school nurse to discuss any health related needs. Some of the schools in the county have Wellness Centers where the center provides care that minimizes the physical and emotional conditions that become barriers to optimal school performance. The goal is to make students available for learning by promoting health, preventing disease, and reducing behavioral risks.

One existing condition that the schools deal with is sickle cell disease (SCD). Children with SCD are more susceptible to infection. Infection is the most common cause of death in children with SCD (Maryland Department of Health, 2019). Most children with SCD are vaccinated against infectious organisms and generally use prophylactic measures to decrease risk of infections. Fevers should be taken seriously for a child with SCD. Other health complications include chronic pain, stroke, vision problems, progressive organ damage, acute chest syndrome, priapism, pulmonary hypertension, and anemia. Although people of all races and ethnicity can have SCD, in the United States SCD is most common among persons of African descent. The condition is also common among persons of Hispanic, Mediterranean, Caribbean, and Asian descent. There are various types of SCD ranging from mild to severe. Each individual with SCD may have a different clinical presentation; therefore students may have individualize care plans. The school nurse is always the leader of the school health services team. Some students with SCD may have a designated school case manager to coordinate his or her Individualized