School Health Nursing- COPAR

8/7/2019 School Health Nursing- COPAR

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School Health

Nursing

Prepared by: Ceelin T. Robles


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IntroductionThe practice of school nursing beganin the United States on October 1, 1902when the initial role of the school nurse

was to reduce absenteeism by interveningwith students and families regardinghealth care needs related tocommunicable diseases. While the

nurses role has expanded greatly from itsoriginal focus, the essence of the practiceremains the same. The school nursesupports student success by providing

health care assessment, intervention, and-


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BackgroundIn 1999, the National Association of School

Nurses Board of Directors defined school

nursing as:

A specialized practice of professionalnursing that advances the well-being,academic success, and life-long achievement

of students. To that end, school nursesfacilitate positive student responses to normaldevelopment; promote health and safety;intervene with actual and potential healthproblems; provide case management services;

and actively collaborate with others to buildstudent and famil ca acit for ada tation self


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DOH defined School Nursing, a typeof public health nursing that focuseson the promotion of health and

wellness of the pupils/students,teaching and non-teaching personnelof the schools. School nurses Alsoassist young people in making choices

for a healthy lifestyle, reduce risktaking behavior and focus on issuessuch as prevention of drug andsubstance abuse, teenage pregnancy,

sexually transmitted infection,


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Objectives of

School Nursing


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Specific:

1. Provide quality nursing service to theschool population;

2. Create awareness among school childrenpersonnel and administrators theimportance of the promotive and

preventive aspects of health throughhealth education;

3. Encourage the provision of standardfunctional facilities;


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4. Provide nursing personnel with

oppurtunities for continuing education andtraining;

5. Conduct and participate in researchers

related to nursing care; and

6. Establish/strengthen linkages with

government and non-government

organization/agencies for school

community health work.


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Health advocacy Health and nutrition assessemnt

including other screening procedures

such as vision and hearing Supervision of the health and safety

of the school plant

Treatment of common ailments andattending to emergency cases

Referrals and follow-up of pupils and

ersonnel


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Home visits

Community outreach like attending

community assembles andorganizing school community health

councils

Recording and reporting ofaccomplishments

Monitoring and evaluation of

programs and projects


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Functions of theSchool Nurse


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Functions of the School

Nurse

School Health andNutrition Survey

Putting up aFunctional Clinic

EarExamination

MedicalReferrals

Establishment of Data

Bank on SchoolHealth and Nutrition

Activities

Attendance to

Emergency

Cases

Rapid

Classroom

Inspection

Standard

VisionTesting

Organization ofSchool-Community

Health andNutrition Councils

Student HealthCounselling

Home Visitation

Height and Weight

Measurement and

Nutritional Status

Determination

CommunicableDisease Control

School Plant

Inspection forHealthy Environment

Health and NutritionEducation Activities

HealthAssessment


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School Health and NutritionSurvey

This should be done initially to providedata

for evaluation for planning process. Thesurvey

shall include among others the currenthealth and nutritional status of thechildren, situation on health facilities aswell as actual status of health educationactivities undertaken by the teachers and


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Health AssessmentIt aims to discover the signs of illness and

physical defects in order to correct them,

check on health habits of pupils and prevent

the progress of those which cannot be

corrected. In order to attain the purpose, the

examination must be thorough.


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Standard Vision

Testing

Vision is very important sensory

skill that affects learning and generaldevelopment. Early detection and treatment

of eye and vision problems can prevent

childhood blindness and visual disorder.The students visual status must be 20/20

for him to perform his visual task demand

clearly and comfortably at far and near

distances.


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Ear Examination

Children who do not see or

hear will often experience difficulty in theeducational environment. The earlyrecognition of hearing loss is extremelyimportant not onlybecause it may interfere

with the teaching-learning process as wellas school achievement but also becausethe development of clear speech andsocial skills is facilitated by good hearing.

This will also help in attaining effective


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Height and Weight

Measurement and

Nutritional Status Determination

Height and weightmeasurement is aprocedure for evaluating thetallness or the shortnessand the heaviness of apupil. It offers the mostacceptable parameter and isthe simplest way to

determine the nutritional


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Medical Referrals

Whenever necessary, the school nurse

may recommend that a student with anexisting condition be referred for further

assessment and intervention by the

appropriate professional/agency.


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Attendance to Emergency

Cases

It is incumbent upon the nurse to attend

to emergency cases while they are inschool. However, majority of the nurses

are assigned to several schools. In their

absences, the school authorities and the

clinic teacher have the responsibility ofattending and referring them promptly.

Parents must be informed of the

occurrence of the emergency as soon as


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Student HealthCounselling

School nurses welcome

the opportunity to helpconcerned parents andguardians of students in anyform of individual healthcounselling. The school nursealso help to make appropriatereferrals either to school-

provided or outsidecounsellin services


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Health and Nutrition EducationActivities

The school nurse takes every

opportunity to talk on health related topicsboth in formal and informal settings. She

would be willing to use her ability,

knowledge and background to influencethe school and community in a healthy and

positive way.


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Organization of School-

Community Health andNutrition Councils

The school nurse shallinitiate/encourage the

organization/reactivation of School-

Community Health Council, themembership of which shall come form

both school and community. The school

shall conduct school-community

assemblies to interpret the school health


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Communicable Disease Control

Prevention and control of communicabledisease is a responsibility shared by parents,school personnel, community and the DOH. Ifa child is suffering from a recognizedcontagious or infectious disease, he/sheshould be referred and sent home and not be

permitted to return until school authorities aresatisfied that any contagious and infectiousdisease does not exist. The school nurseencourages immunization requirements, aids

in early detection, helps to provide parental


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Establishment of Data

Bank on SchoolHealth and Nutrition

Activities

Accurate and up-to-date health recordsare essential in helping monitor the health

of students while they are in schools.

Findings are recorded in the healthexamination card and reviewed and

updated annually.


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School Plant Inspection

for Healthy Environment

The school plant shall be inspected in order

to provide healthful environment and safety inschools. Aside from the minimum standards forschools in relation to school site, area, location,space and sanitation, classroom and otherrooms and facilities shall be inspected for size,

lighting, ventilation, and arrangement of seats.Particular attention shall focus on the provisionand maintenance of toilets, school clinics, watersupplies, sanitation of school canteen, andsafety and nutritional value of foods beingserved.


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Rapid Classroom Inspection

It is done as a routine procedure when

frequent and regular visits can be made to aschool during the year, in addition to the

individual health assessment.


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Home Visitation

It is necessary in the

effective implementationof the total serviceprogram particularly theIntegrated School Health

and Nutrition Program.Home visitation is a social,educational andpreventive work and

should not be regarded as


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Legal Bases of theSchool Health Program


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PD 603 Child and Youth Welfare Code

1936 Constitution of the Philippines-Article VII, Sec. 11,12, and 13

Executive Order No.14 s. 1946

RA No. 951 s. 1947RA No. 847 s. 1953

RA No. 1082 s. 1954

RA No. 2620 s. 1961 Presidential proclamation No. 225 s. 1967

Article V sec. 29 s. 1972


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PD No. 491 s. 1974

PD No. 491 s. 1974

RA No. 856 s. 1976

LOI No. 441 s. 1976

LOI No. 764 s. 1977

LOI No. 764 s. 1978

Section 938 of the Revise Administrative

Code

E.O. No. 234 s. 1987

P.P. No. 335, s. 1988


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