Question

John J. is a school nurse at Jackson Elementary School, which was built in 1960. Nurse John hasnoticed that many students from Ms. Zee’s second grade class have come to the clinic
complaining about coughing, sneezing, runny nose, and watery eyes. Nurse John has also observed that Steven Tea, the only asthmatic student in Ms. Zee’s class, has had more asthma
attacks this year than he did last year. Because the rest of the school is not experiencing the same respiratory problems, Nurse John is concerned that something in Ms. Zee’s classroom is
causing students to feel ill.
Nurse John decides to visit Ms. Zee’s classroom. Upon entering the classroom, one of the few located in the school’s basement, John is struck by the powerful musty smell that inhabits the
room. While talking to Ms. Zee, John learns that the classroom has “smelled bad for years,” and that students from previous years have complained about respiratory problems. Nurse John notes that Ms. Zee has stuffed a blanket at the base of the classroom’s small rectangular window near the ceiling because the window does not close completely. John suspects that Ms. Zee’s classroom walls are contaminated with mold. Upon further research, Nurse John learns that if water gets between the exterior and the interior of a building’s wall, mold can grow in the moist environment. This situation can occur as the result of construction defects in the building (e.g., leaky windows). Nurse John also learns that people who are exposed to extensive mold growth may experience allergic reactions, such as hay fever-like allergy symptoms, and that people who already have a chronic respiratory disease, such as asthma, may experience difficulty breathing when exposed to mold. Nurse John is concerned about the possible mold contamination effect on his asthmatic student, Steven.

DIRECTION: Using Nursing process you are assign to make a Community Care Plan, your main focus Of your nursing care plan is to facilitate standardized, evidence-based and holistic care.

Format

Introduction
- Introduction about the problem

Body
- Assessment
- Community Diagnosis or statement of the problem:

Recommendation:

Specific objective (at least two)	Intervention	Resources needed	Time Table	Outcome Criteria
Use SMART as your guide in creating a good objective	Independent Dependent Management	Link with available resources	Achieve within specified time frame	Determine if objective had met.

Answer 1

Mr.john, the school nurse who visited the class room of 2 nd grade students, located in the basement. because many of the students has experienced respirtaory problem mainly Mr. stewan Tea who has experienced more symptoms as he has history of asthma. mr. john saw the room occupied with mold due to incomplete closure of window.the room has had bad musty smell for years. last  year student had same respiratory problem. the room has leak from interior and exterior wall due to construction defects of the building and the mold can grow easily in the moist environment.now student presents with runny nose, sneezig, coughing and watery eyes.

Body

assessment: breathing difficulty and coughing, sneezing,runnynose and watery eyes due to mold exposure that present in the class room

community diagnosis: breathing difficulty due to swelling and spasm of the bronchial tubes as he exposure of mold.

ineffective airway clearence due to mucosal edema as evidenced by increased cough

increased body temperature due to allergic exposure

decreased knowledge regarding about environment

recommendation:

advice to provide safe environment by shifting students to another classroom

explain authorities to reconstruct the school building as it poses dangerous to school children

Specific objective

to improve breathing pattern

to improve air circulation

to decrease his body temperature

to provide healthful school environment

to provide a safty environment for him to decrease his symptoms

specific objective	intervention	time bound	outcome
to improve breathing pattern	assess the vital signs elevate head end of the bed transfer him to well ventilated room educate him about pursed lip breathing	it will take one week recover from illness	breathing pattern is improved
to increase airway circulation	assess the vitals signs ask him to limit activities ask to provide sputum sample which to be sent to lab educate him to take to rest inbetween encourage to take fluid adequately ask him to take previous medication	it will take one week to recover from illness	his airway circulation is improved
to provide safe environment	iinform authorities about unsafe environment of the school instruct to change school students into new class room explain teacher about health check up student yearly or 6 months	it will take nearly 6 months	health of student can be improved

Time table: his condition will be improved within one week

outcome criteria:

he will able to breathe easily

he can improve his circulation

his body temperature will be reduced