So I'm a little unsure about my role while I'm at school with the patient. As a private duty nurse, when you are at school with the patient, do you mostly work with them or are the teachers predominately supposed to do that. I do as much as I can, but I'm limited because of patient's comprehension level and attention span (teen-aged, non-verbal, unknown comprehension level-but likely that of a toddler). The only type of instruction that is done for the patient is either myself or the teacher will show patient two flash cards & ask patient to identify the correct one. Patient usually will look away and just grab the closest one to patient's hand. Sometimes patient gets it right, but I think it's just a guess.
The classroom has about 8 other kids in it- all of which are at elementary school level comprehension, so they are certainly more advanced than patient, which leaves patient usually just sitting in their w/c, throwing around the toys that are tied to the w/c (which patient seems totally okay with). There are three teachers for the classroom and they will do activities as a class, but patient is left behind because patient is definitely not at a level to write the days of the week (or hold a crayon without throwing it). Sometimes they split off into groups of 2-3 kids per teacher and the teacher works with those in their group on things like words & number identification. So ultimately, because there isn't much patient is able to do and seems incredibly uninterested in anything presented to them other than throwing whatever they can, patient is left just sitting there.
Patient will only allow you to go through flash cards once or twice a day, and after that, will refuse to look at them or will just grab them and throw them as far as they can.
I don't know if I'm supposed to be trying harder to work with patient, or if that's even my role. I do the personal care stuff for patient while I'm there and administer meds through the tube, but other than that, I don't know what else to do.
Is this the norm? Anyone want to share their experiences with what they do while they're at school with their patients? What about during summer break? Should I be required to work on patient's schooling with them during the summer break at the family's request?