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Care of Clients in the School Setting Copyright ©2008 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Community Health.

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Presentation on theme: "Care of Clients in the School Setting Copyright ©2008 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Community Health."— Presentation transcript:

1 Care of Clients in the School Setting Copyright ©2008 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Community Health Nursing, 5/e Mary Jo Clark 23 CHAPTER

2 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Impact of Schools on Health Impact of health on learning

3 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. School Health Program Strategies, activities, and services provided by schools Promote students’ physical, emotional, and social development

4 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Goal of School Health Program: Ensure children reach their full academic and health potential through: –Health promotion –Protection –Surveillance activities

5 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Components of School Health Program Health services Health education Healthy environment Staff health promotion Parent and community involvement

6 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Components of School Health Program

7 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Health Services Activities Assessment and screening( assessment of vision) Case finding Counseling Health promotion and illness prevention( immunization) Case management

8 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Health Services Activities (continued) rehabilitation services Specific nursing procedures( insulin injection) Emergency care

9 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Health Services Activities (continued) For screening tests consider: 1.Sensitivity and specificity A.Sensitivity: if generates too many in appropriate referral is (oversensitive). B.Specificity: specific for the disease 2.Cost-Benefit 3.Acceptability of a test as blood test or urine test.

10 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Health Services Activities (continued Types of Screening Test –Vision screening –Cardiac screening( Bp, heart sounds) –Throat screening – Hearing screening –Scoliosis screening

11 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Health Education Health awareness and healthful behaviors Uses both cognitive and affective learning The provision of health instruction is aimed at knowledge, attitudes, and behaviors that maintain and enhance wellness and prevent or minimize disease.

12 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. School Health Environment 1.Physical environment 2.Psychological environment 3.Cultural environment

13 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. School Health Environment Physical environment –Geographic location –Listening –Noise –Safety –Space –Buses –Drugs

14 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. School Health Environment Psychological environment –Emotional and social conditions –Interactions for students, activity

15 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. School Health Environment Cultural environment –Values, beliefs, language, communication.

16 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Environmental Component Physical education Counseling, psychological, and social services Nutritional services

17 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Employee Health Component Reduce illness and absenteeism Role-model healthy behaviors

18 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Partnership Component School Family Community

19 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Assessment of School Health Factors Biophysical Psychological Physical environmental Sociocultural Behavioral Health system

20 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Biophysical Considerations Age and maturation Genetics Physiologic function

21 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Psychological Considerations Student and staff relationships School and family relationships Teacher discipline practices Mental illness presence

22 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Physical Environment School building age and hazards Proximity of school to community Potential for spread of disease Disaster preparedness

23 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Sociocultural Considerations Culture and ethnicity Economic resources Legislation Abuse and violence Terrorism potential

24 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Behavioral Considerations School attendance Physical and recreational activities Diet and nutrition Home and school lunch quality Substance use and abuse Safety practices Gambling habits of adolescents

25 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Health System Considerations Assessments at individual and community level –Availability of health and mental health services –Relationship between school and community –Structure for delivering health services

26 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Roles of School Health Nurse According to American nurses association: 1.Assessment of growth and development and health of children 2.Achieve higher level of wellness for students, family members and school team. 3.Apply nursing process, individualized plan for each student.

27 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Roles of School Health Nurse 4.Develop philosophy, Rules and instructions related to school health. 5.Develop and implement strategic plan for emergency situations(fire). 6.Provide healthy school environment for students. 7.Facilitate a comprehensive strategic health planning.

28 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Roles of School Health Nurse 8.Determine needed financial resources to improve the health of students and their families. 9.Evaluate the need of students and school team. 10.Prevent communicable diseases.

29 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Primary Interventions Immunization Safety and injury/violence prevention Exclusion from school Health education Diet and nutrition Exercise and physical activity Illness prevention

30 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Secondary Interventions Screening Referral Counseling Treatment

31 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Screening Goal is to detect disease and special needs Types of screening services

32 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Referral  Interpret data from screening and discuss with parents

33 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Counseling  Assist in making informed health decisions

34 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Treatment Emergency care Medical management Special procedures

35 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Tertiary Prevention Prevent recurrence of acute problems Prevent complications Foster adjustment to chronic illness and handicapping conditions Address learning disabilities Sustain school-based health services

36 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Resources The National Association of School Nurses improves the health and educational success of children and youth by developing and providing leadership to advance school nursing practice.The National Association of School Nurses School Health Index (SHI) to is used to score the health of the school’s population: help to include health promotion activities in the overall School Improvement Plan.School Health Index (SHI)

37 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Resources Open Airways in the Schools Open Airways for Schools (OAS) is a major American Lung Association initiative to help children in elementary schools better manage their asthma. The program is school-based, designed by health care professionals and operates in a variety of elementary school settings throughout the United States.Open Airways in the Schools

38 Community Health Nursing, 5/e Mary Jo Clark Copyright ©2008 by Pearson Education, Inc. Resources National School Boards Association website includes 101 packets of information on key topics, the School Health Resource Database, up-to-date health news important to school leaders.National School Boards Association Youth Risk Behavior Surveillance System offers the latest national government data and statistics concerning risk behaviors in Youth.Youth Risk Behavior Surveillance System

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