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Case Study - School Nurse Scoliosis Screening questions and answers.
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Case Study - School Nurse Scoliosis Screening questions and answers.
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Case Study - School NurseScoliosis Screening questions
and answers
Client is a 13-year-old adolescent male who is referred to the orthopedic
clinic by his family healthcare provider (HCP). While conducting a physical
exam, the HCP notes an abnormality in client's spine. He is accompanied
to the appointment by his mother and his grandmother.
Safe and Effective Care: Health EducationThe school nurse plans a district-
wide scoliosis screening event for all 6th grade students. The nurse
recruits senior nursing students in a community health course to assist
with the screening. The nurse plans a training session for the nursing
students related to screening for idiopathic adolescent scoliosis.
The nurse reviews the pathophysiology of scoliosis with the student
nurses. What concepts should the school nurse include? (Select all that
apply. One, some, or all options may be correct.)
Scoliosis is a simple deformity that involves a lateral curvature of the
spine.
Most adolescents with scoliosis have a neuromuscular defect.
Scoliosis can be classified according to age of onset.
Intraspinal abnormalities can cause scoliosis.
Most causes of adolescent scoliosis are idiopathic.
Untreated mild scoliosis leads to cardiopulmonary disease.
Scoliosis is a simple deformity that involves a lateral curvature of the
spine.
Scoliosis is a complex curvature that involves rotational deformities and
kyphosis in addition to lateral curvatures.
Most adolescents with scoliosis have a neuromuscular defect.
Scoliosis can occur with a neuromuscular condition but most adolescent
cases are not associated with these conditions.
Scoliosis can be classified according to age of onset.
Scoliosis occurring: in the first 3 years of life is termed infantile; between
4-10 years is termed juvenile, and at age 10 or later is termed adolescent
scoliosis.
Intraspinal abnormalities can cause scoliosis.
, Spinal abnormalities such as tethered cord, syringomyelia, or
diastematomyelia can cause scoliosis.
Most causes of adolescent scoliosis are idiopathic.
For most cases of scoliosis occurring after age 10 years, no cause can be
detected, although there is growing evidence of a genetic relationship.
Untreated mild scoliosis leads to cardiopulmonary disease.
Severe, untreated curves can cause alterations in pulmonary functions,
however, persons with moderate curves do not necessarily need surgical
correction.
The school nurse will screen the 6th grade girls. The nursing students
question why screening is limited to this population.
What is the school nurse's explanation as to the purpose of scoliosis
screening in this population?
Avoid privacy issues that concern parents of younger children.
Target high prevalence age groups.
Avoid screening boys because they are not at risk for scoliosis.
Maximize privacy by separating boys and girls.
Target high prevalence age groups.
Adolescent idiopathic scoliosis is the most common form of scoliosis and is
most frequently found in girls following the adolescent growth spurt.
The school nurse prepares informational letters for parents and consent
forms for the screening.
A mother informs the school nurse that she does not want her daughter to
be screened at school. What is the appropriate response from the school
nurse?
The American Academy of Pediatrics favors school screening.
School screening is voluntary. She may have screening done at the
pediatrician's office.
School policy requires screening for all students who participate in team
sports.
State law mandates school screening.
School screening is voluntary. She may have screening done at the
pediatrician’s office.
This statement is supportive of the parent's preference and gives
guidance for appropriate follow up.
The school nurse discusses with the mother the rationale for the screening
and the mother agrees to sign the consent form for her daughter to be
screened at school.
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