Individualized Healthcare Plans: A School Nurse Primer

Abstract

According to the 2017 U.S. Census, 74.3 million children younger than 18 years of age live in the United States. Of this group, 14.6 million children and adolescents have special health care needs or a chronic illness. Students who attend school with complex health conditions, including mental and physical diagnoses, require comprehensive planning by a professional school nurse. School nurses should write an individualized healthcare plan (IHP) for these students. An IHP is written by the school nurse in collaboration with the parent/guardians, student, and health care providers. This plan serves as a tool to guide health care for a student throughout the school day and in mandated school-sponsored events.

Keywords

individualized healthcare plan (IHP)emergency action plan emergency care plan chronic disease management care coordination school nurses student-centered care

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References

American Nurses Association. (2024). American Nurses Association recognition of a nursing specialty, approval of a specialty nursing scope of practice statement, acknowledgement of specialty nursing standards of practice, and affirmation of focused practice competencies. https://www.nursingworld.org/~49b7d3/globalassets/practiceandpolicy/scope-of-practice/3sc-booklet-2024-05-16-bod-approved.pdf

American Nurses Association. (n. d.). Scope of practice. https://www.nursingworld.org/practice-policy/scope-of-practice/

Center for Disease Control and Prevention. (2019). Managing health conditions. https://www.cdc.gov/healthyschools/healthconditions.htm

Center for Disease Control and Prevention. (2021). Managing chronic health conditions. https://www.cdc.gov/healthyschools/chronicconditions.htm#:~:text=In%20the%20Unite%20States%2C%20more,%2C%20and%20behavior%2Flearning%20problems

Center for Disease Control and Prevention. (2022). Promoting health for children and adolescents. https://www.cdc.gov/chronicdisease/resources/publications/factsheets/children-health.htm

Child and Adolescent Health Measurement Initiative. (2024). Child and family health measures content map—Survey items displayed in the data query, 2023 National Survey of Children’s Health. Data Resource Center for Child and Adolescent Health supported by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). https://www.childhealthdata.org/docs/default-source/nsch-docs/2023-nsch-content-map_survey-items_cahmi.pdf

Johnson

(2017). Healthy and ready to learn: School nurses improve equity and access. The Online Journal of Issues in Nursing, 22(3), Article 1. https://doi.org/10.3912/OJIN.Vol22No03Man01

National Association of School Nurses. (2017). Principles for practice. The role of individualized healthcare plans (IHPs) in care coordination for students with chronic health conditions.

National Association of School Nurses. (2020a). School nurse workload: Staffing for safe care [Position statement]. https://www.nasn.org/nasn-resources/professional-practice-documents/position-statements/ps-workload

10.

National Association of School Nurses. (2020b). Use of individualized healthcare plans to support school health services [Position statement]. https://www.nasn.org/nasn-resources/professional-practice-documents/position-statements/ps-ihps#:~:text=With%20chronic%20health%20conditions%20affecting%20nearly%20one%20in

11.

National Association of School Nurses. (2022). School nursing: Scope and standards of practice.

12.

National Association of School Nurses. (2023). IDEIA and section 504 teams: The school nurse as an essential team member [Position statement]. https://www.nasn.org/nasn-resources/professional-practice-documents/position-statements/ps-ideia

13.

National Association of School Nurses. (2024). A contemporary framework update for today’s school nursing landscape: Introducing the School Nursing Practice Framework. NASN School Nurse, 393(3), 140–147. https://doi.org/10.1177/1942602X241241092

14.

National Council of State Boards of Nursing. (2024). About U. S. nursing regulatory bodies. https://www.ncsbn.org/nursing-regulation/about-nursing-regulatory-bodies.page

15.

Yonkaitis

C. F.

Crespo

(2023). Legal issues 101: Students with disabilities. NASN School Nurse, 38(2), 71–74. https://doi.org/10.1177/1942602X221146756

16.

Yonkaitis

C. F.

Shannon

(2019). Health and education plans for students with special healthcare needs. In Selekman

Shannon

R. A.

Yonkaitis

C. F.

(Eds.), School nursing: A comprehensive text (3rd ed., pp. 172–201). F. A. Davis.