SUMMARY With changing public attitude to health and health care, health indicators and health care priorities are changing too. This situation is increasing special demands for health care system and for schoolchildren health care in schools too. Health care situation in schools has changed, because become popular to think that school was responsible for schoolchildren health education but not for their treatment (Vienonen, Springett, 1998/1999). Health indicators of children and young people are going lower (Juskelienė, Kalibatas, 2003). We have to pay a big attention to children and youth health service. Aim of study – to analyze school nurses view of schoolchildren health care and it‘s developing possibilities. Objectives: 1. To reveal schoolchildren health problems in a view or school nurses. 2. To analyze school nurses problems in a process of their work. 3. To present schoolchildren health care developing possibilities/ways. Methods. This research methodology consists of theoretical analysis (scientific literature and documents) and written questionnaire with quantitative data analysis. The questionnaire was answered by 202 school nurses from the biggest Lithuania cities (Vilnius, Kaunas, Klaipeda, Siauliai, Panevezys) schools. The written questionnaire was analyzed using descriptive statistics methods, counting average of respondents opinion, discriminantive analysis. The SPSS 12.0 (Statistical Package for Social Sciences) was using for data analysis. Results... [to full text]

Crohn's disease is a chronic inflammatory disease that affects the entire gastrointestinal tract in all its layers.The theoretical part deals with the characteristics of the disease, its causes, symptoms, complications, treatment and psychological aspects. It also touches on the needs of children and communication with a chronically ill child.At first, this work set out to achieve two goals: mapping the provision of nursing care to children with Crohn's disease in hospitals and determining the impact of Crohn's disease on the everyday life of a child. A third goal, gathering respondents' views on the possibilities of community nurses in collective institutions, was encountered during the research and was added.The empirical part was carried out using qualitative research method using semi-structured interviews both with health professionals working at pediatric wards, as well as children with Crohn's disease and their parents.Survey results show that children with Crohn's disease come in contact with health workers at various departments of health facilities. The most common early symptoms of Crohn's disease in children included abdominal pain, diarrhea with blood or mucus and failure to thrive. The most common areas affected were the gastrointestinal tract, the small intestine, the colon in one case and the rectum in another.Some workers did not know which tests or treatments their hospital prescribes to the children.They report pain as the main nursing challenge, but this did not reflect in nursing practice.In all departments, except one, there was no material on Crohn's disease, which would have been helpful to the workers.Interviews with children and parents, as well as with health workers confirmed that the disease has a socio-cultural impact on the child and those around it. The results of this diploma thesis were presented at three conferences and will be published.