Case study: School-based care for a girl and her primary caregiver experiencing difficulties in managing diabetes treatment.

Purpose: To describe the use of the nursing process and standardized nursing language by the school nurse to facilitate the monitoring of the therapeutic regimen of a girl with type 1 diabetes mellitus and her caregiver.

Methods: Data were collected through clinical reports, observation, and physical examination of the girl and through interviews with her and her caregiver in accordance with Virginia Henderson's conceptual model.

Findings: Clinical reasoning informed the selection of NANDA-I nursing diagnoses. NIC nursing interventions were selected taking into consideration the available scientific evidence related to the care of children with type 1 diabetes mellitus.

Conclusions: The school nurse is a key figure in improving and supporting the monitoring of the prescribed therapeutic regimen for children with chronic disease.

Implications For Nursing Practice: This case demonstrates the importance of adopting a conceptual model to guide the nursing process, as well as showing that standardized nursing languages are suitable for school nursing practice.