School Health Nurses Flashcards
Primordial prevention
Primordial prevention includes broader activities that focus on preventing the emergence of risk factors that are known to create the conditions for disease. I
What is the Health Living Strategy (HLS)?
a conceptual framework for sustained action to promote healthy living.
What are the 5 principles to guide healthy living as proposed by Canada’s Declaration on Prevention and Promotion?
(1) prevention is a priority;
(2) prevention is the hallmark of a quality health system;
(3) prevention is the first step in management;
(4) many approaches can be used in health promotion; and
(5) health promotion is everyone’s business.
How do finances play into the role of chronic illness and therefore the creation of HLS?
The economic burden of chronic illness in Canada is enormous.
Current thinking believes that prevention of chronic illness begins at what stage of life?
Current thinking holds that healthy living is learned in childhood; therefore, prevention is key during the formative years to work toward reducing the number of chronic illnesses that occur in adulthood
What did the Chief PHOs Report on PH in Canada (2017) focus on and why?
the priorities for healthy living focused on “designing” healthy living environments because of the tremendous potential that changing the built environment can have on helping Canadians live healthier lives
What are the 3 elements of healthy child development
(1) stable, responsive, and nurturing caring; (2) safe, supportive environments; and
(3) appropriate nutrition
Name the 2 major roles that CHNs have in the area of Child and Adolescent health.
- Provision of direct services to children and their families: assessment, management of care, education, and counselling.
- Assessment of the community and the establishment of programs to ensure a healthy environment for its children.
Define Comprehensive School Health.
Healthy child development can be promoted through the Comprehensive School Health Framework (CSHF). This approach to child health moves beyond the behavioural and healthy living approach, to, as its name implies, a comprehensive framework for health promotion. Central to the philosophy of Comprehensive School Health (CSH) is the belief that “healthy learners are better learners”
Which WHO documents provided the basis for CSH?
CSH has its roots in population health, particularly the 1986 WHO’s seminal Ottawa Charter for Health Promotion and 1997 Jakarta Declaration
Social and physical environment pillar
Social and physical environment (e.g., programs support physical activity, environments are inclusive and welcoming, schools are built in environmentally safe areas).
CHS pillars
- Social and physical environments
- Teaching and learning
- Healthy school policy
- Partnerships and services
Teaching and Learning Pillar
Teaching and learning (programs are typically universal and upstream in their approach; programs build developmental assets, nurture development of protective factors and resiliency, and target students’ knowledge, attitudes, skills, and behaviours).
Healthy School Policy Pillar
Healthy school policy (e.g., nutrition policies, tobacco-free policies).
Partnership and Services pillar
Partnerships and services (e.g., programs involve intersectoral and interprofessional partnerships between the school and community; and the accessibility of health services in the school, particularly primary and secondary preventions, are considered)
What are the benefits of a CSH approach?
- better learning outcomes for students;
- better health and well-being for students, educators and staff;
- more effective learning and teaching; and,
- a more cooperative and connected school environment.
How would all Canadians benefit from improved early childhood development?
- increased feelings of support from school;
- improved behavior and healthy choices at home and in the community;
- enhanced resources and opportunities;
- development of unique networks of services and programs for all; and,
- increased understanding of connections between curriculum and real life.
What factors have led to obesity in child/youth?
- Students who skipped breakfast were more likely to have weight issues and to eat unhealthy foods at lunch at school.
- Poverty puts populations at increased risk for poorer health.
- Slow eating
- Picky patterns
- Food preferences
- Allergies
- Acute or chronic health problems
- Changes with acceleration and deceleration of growth
Why might the eating habits of a 4-year-old be important?
- Atherosclerosis begins during childhood. Other diseases such as obesity, diabetes, osteoporosis, and cancer may have early beginnings also.
- Children’s weight and growth are documented prior to the age of 4. Assessing what their dietary intake is like can help parent’s reorientation to make better choices and prevent poor health outcomes for developing
An important role in the work of CHNs is in the area of injury prevention. Why is this such important work?
- Most injuries and accidents are preventable.
- most parents were unaware of the serious risks of injury to children under 14 years of age
- The CHN identifies risk factors by assessing the characteristics of the child, family, and environment. Interventions include anticipatory guidance, environmental modification, and safety education. Education should focus on age-appropriate interventions based on knowledge of the leading causes of death and risk factors.
What type of focus is more successful in terms of Anti-smoking programs for children and teens? Why?
- Antismoking programs directed at children and teenagers are more successful if the focus is on short-term rather than long-term effects. Developmentally, children and teenagers cannot visualize the future to imagine the consequences of smoking. Also, teenagers often perceive themselves to be invincible and believe “it will not happen to me.”
How can CHNs work upstream to combat the negative effects of smoking or vaping with youth?
- Enforcement of restrictions on the sale of tobacco to minors
- An increase in funds for antismoking education
- A ban on the sale of e-cigarettes to youth under the minimum age for tobacco consumption
Schools are where:
Children & youth learn, play and love
Adults work and engage
Families and neighbourhoods gather
BC Adolescent Health Survey gathers data on
Child Behaviour
Child Physical & Mental Health
Family Economic Well-being
Youth Goals
HELP
Human Early Learning Partnership –UBC
EDI
Early Development Instrument
MDI
Middle Development Instrument
What Is Comprehensive School Health?
“CSH is an internationally recognized framework for supporting improvements in students’ educational outcomes while addressing school health in a planned, integrated and holistic way.” (Healthy Schools BC, 2015)
What is a health promoting school?
A health promoting school is one that constantly strengthens its capacity as a healthy setting for living, learning and working.” (Healthy Schools BC, 2015)
Obesity prevelance Canada
Over 1 in 4 Canadian adults are obese, and children/youth aged 6-17, 8.6% are obese (obese: 20% or more above ideal weight)
