I need ya'lls help. I apologize up front for this being so long.
I have a student (grade 5, female) who has been diagnosed with "growing pains" - I put that in quotations because, at this point, I'm not convinced that is what is going on.
Last year this student had a PE activity restriction ALL year with no end date. Apparently, anytime the nurse or HA asked for an end date, the doctor's office just sent a renewal of the restriction. Of course, the child was seen running around at recess with no issue.
This year, she came in to the health room once, first or second week of school, for this leg pain. Walks without limp, flat affect. I think mom came and picked her up. I encouraged mom to get us a doctor's order for IBU at school (it's what mom gives at home) for exacerbation - as of yet, no meds and no order.
Thursday before last she slipped and fell down the stairs. I watched the video - her foot slipped on the edge of a step and she fell onto her bottom and slid down a couple of stairs. She came limping into the health room and after sitting down said she could no longer weight bear d/t pain. Mom came to pick her up and she has not been back to school since. I talked to mom yesterday and she said the child has been in so much pain, she couldn't get out of bed until this past Friday. Mom says she took her to the doctor and the x-rays were negative. Mom also says she had her seen by rheumatology and they said her blood work was good (she was worked up by rheum last year d/t this pain).
Have any of you dealt with this with a student (or yourself or your own child)? Do you have any resources for information ? (doctor google isn't much help) Any ideas? Am I crazy - is this how growing pains work? I thought they were more prevelent in the evenings, but, per mom, this child's pain is worse in the mornings. (chronically tardy and > 20 absences last year).
Mom re-enrolled LD this morning with a lease that expires next month. Mom also refused to sign the ROI for me telling me the doc's office is supposed to call me today or tomorrow and she would sign the ROI "after everything gets settled".
****pulling the bull-muffins flag out of my back pocket****
How can the doctor talk to you freely without the ROI? Such bass-akwards thinking.
Specializes in School Nursing, Ambulatory Care, etc..
***On today's episode of "How the Stomach Churns"****
Finally brought in a doctor's note with PE restriction "until further notice". We've reached out to the doctor's office for clarification and requested they fill out our form.
Specializes in Cardiology, School Nursing, General.
***On today's episode of "How the Stomach Churns"****
Finally brought in a doctor's note with PE restriction "until further notice". We've reached out to the doctor's office for clarification and requested they fill out our form.
My issue with parent told her doctor's office that we are not allowed to speak to anyone in that office without parent permission. :/
BunnyBunnyBSNRN, ASN, BSN
1,019 Posts
Getting ready to go check her out at recess.... stay tuned!