In a Competitive Middle School, Triage for Aches and Anxieties

Jan Hoffman:

Sorting fact from fiction, tragedy from comedy, fever from fevered performances is the venerable part of a school nurse’s job. But as childhood and adolescence have become increasingly medicalized, and schools have been mandated to accommodate students with an array of physical and psychological challenges, the school nurse’s role has expanded exponentially.

Now in her seventh year in this affluent suburb 20 miles west of Manhattan, Mrs. Palmieri regularly confers with the school’s social worker, guidance counselors, psychologist. A registered nurse with certification in school nursing, she is a front-line medical manager, first responder, diagnostician, confessor, shrink. She coordinates tutors for the housebound and leads Lunch Bunch sessions for girls to discuss puberty. Every year, she checks all students for height, weight, vision and scoliosis. Upon request, she checks for lice.

The lone nurse for 1,100 sixth, seventh and eighth graders, Mrs. Palmieri is also a comfort zone. At 52, this mother of four adult children has a plain-spoken, savvy warmth that calms these awkward, goofy fawns.

Posted by Jim Zellmer at October 17, 2007 5:00 PM
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