Organizzazione sanitaria
Il bambino con diabete a scuola: l’autonomia comincia con la maestra
Children with diabetes in school: autonomy begins with the teacher
VANNA GRAZIANI1, TOSCA SUPRANI2, MARTINO MARSCIANI2, MASSIMO FARNETI3, ANNA FAETANI3, TIZIANA PISCONE3, MARIA RITA GHINASSI3, GIULIANA MONTI4, EMANUELA RAVAIOLI5, AUGUSTO BIASINI2, FEDERICO MARCHETTI1
1UOC di Pediatria e Neonatologia, Ospedale di Ravenna; 2UOC di Pediatria, Ospedale di Cesena; 3UO di Pediatria di Comunitŕ di Cesena; 4UO di Pediatria di Comunitŕ di Ravenna; 5Servizio di Dietologia, Ospedale di Cesena, AUSL della Romagna
Dicembre 2015 - pagg. 644 -651
Abstract
The management of insulin-dependent diabetes in young children is challenging and,
despite the availability of technological devices, these children need assistance or supervision
by an adult to perform blood monitoring and insulin administration at school. Currently
in Italy the educational assistance is not standardized. This could imply problems
in proper management of therapy with potential risk of acute and chronic complications,
the need for intervention of outside personnel to administer insulin, sometimes limiting
participation in school activities, although there are laws that protect the rights of young
children to prevent discrimination. The project for school autonomy proposed in the
Health Districts of Ravenna and Cesena, which provides for the direct involvement of
teachers in the assistance, seems to have proved useful to encourage children autonomy,
obtaining positive effects in social life and diabetes management, without a significant
economic cost by optimizing existing resources. The project was realized thanks to the
fundamental contribution of Community Pediatrics, an institution that represents a sort of
link between hospital and community and that provided medical and nursing team for
the training of child care staff. This approach could be exportable to other situations.
Even in the absence of Community Pediatrics other trained health personnel or primary
care paediatricians could be involved.
Parole chiave
Classificazione MeSH
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Corrispondenza: vanna.graziani@gmail.com