Question

1. The school nurse is notified of a fourth-grade child having pediculosis.
a. As the school nurse, discuss your plan of care for the school.
b. During the screenings for pediculosis, the nurse discovers three children with pinworm. Discuss your plan of care for these children.

Answer 1

1)ans) Pediculosis is an infestation of the hairy parts of the body or clothing with the eggs, larvae or adults of lice. The crawling stages of this insect feed on human blood, which can result in severe itching. Head lice are usually located on the scalp, crab lice in the pubic area and body lice along seams of clothing.

Head lice are a common problem, especially for kids. They spread easily from person to person, and sometimes are tough to get rid of. Their bites can make a child's scalp itchy and irritated, and scratching can lead to infection. Head lice are annoying, but they're not dangerous and they don't spread disease.

The school nurse is the health professional who provides leadership for the school community to implement evidence-based strategies for the management of head lice in the school setting. The role of the school nurse includes the following

✓Evidence-based strategies for the management of head lice in the school setting can reduce the incidence of infestations, the social stigma and caregiver strain experienced by students and families, and the negative impact on students’ education. The school nurse can provide leadership within the school community to effectively manage head lice by:

✓Attaining knowledge and competency that reflect current evidence-based school nursing practice related to the management of head lice

Providing accurate health education to the school community focused on dispelling common myths about head lice (e.g., incidence, life cycle of the head louse, mode of transmission, importance of regular surveillance at home, recommended evidence-based treatment options, care of the environment)
✓advocating and providing rationale for the elimination of mass school screenings for head lice

Educating families about how to assess their children for suspected head lice
✓Providing privacy when conducting student health assessment for suspected or reported cases of head lice
✓Returning affected students to class or other school sponsored activities with instruction to avoid head-to-head contact (ce or nits are found,

Eliminating classroom-wide or school-wide family head lice notification.

Notifying parents/caregivers at the end of the school day to teach about evidence-based treatment options and steps to follow.

Advocating for and providing rationale for the abandonment of “no-nit” school policies that require a child to be free of nits before he or she can return to school

Educating parents/caregivers about the chosen evidence-based treatment option, the importance of adherence with the treatment protocol, and the importance of reassessment for recurrence

Provide accurate health education to the school community about the etiology, transmission, assessment, and treatment of head lice;

Advocate for school policy that is more caring and less exclusionary (i.e., elimination of the “no-nit” school policies);

Implement intervention strategies that are student-centered;

Support the current treatment recommendation of the American Academy of Pediatrics and CDC; and

Participate in research that evaluates the effectiveness of head lice policies and educational programs.

It is unlikely that all head lice infestations can be prevented. Parents/caregivers will benefit from receiving support from the school nurse about the importance of regular surveillance at home, choosing and adhering to the protocols of evidence-based treatment recommendations, and educating to dispel head lice myths. The education mission of schools will be supported by implementing evidence-based policies and strategies under the guidance of the school nurse. The burden of unnecessary absenteeism to the students, families, and communities far outweighs the perceived risks associated with head lice.

B}Pinworm infection is an intestinal infection caused by small, white worms. Anyone can get it, but it is most common in young children. It is easily treated.

three children with pinworm There are ways to prevent or avoid getting pinworm infection—and reinfections.

Follow these tips:

Make sure your child washes his or her hands before a meal and after using the restroom.

Keep your child’s fingernails trimmed.

Discourage your child from nail-biting and scratching their anal area.

Be sure your child changes into a clean pair of underwear each day.

Have your child bathe in the morning to reduce egg contamination.

Open bedroom blinds and curtains during the day. Eggs are sensitive to sunlight.

After treatment, change your child’s night clothes, underwear, and bedding.

Most pinworm infections are mild and easily treated. Your doctor may prescribe a single chewable tablet of a medicine called mebendazole. A second tablet is taken about 3 weeks later if the infection is not cured. Or your doctor may recommend another kind of medicine called pyrantel, which is taken as a single dose.

Even if only one child in your family has pinworms, it is often important that everyone in the household be treated with the pinworm medicine at the same time

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