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REPORT ON SCHOOL HEALTH PROGRAMME INTRODUCTION School health is a branch of community and family health service that promotes

the wellbeing of a child and their education for a healthy living. A school health programme refers to all activities that contribute to the initiation, maintenance and improvement of the health of school children and personnel. These include health learning, health practice during school hours and health services. The school health programme is a continuation of the infant and pre-school health programme. In 1909, the school health programme began in India. The medical examination was carried out in the city of Baroda for the school students. The objectives of the school health programme are as follows Objectives: School health service aims to 1. Promote health and develop concern for their health as well as their families and community. 2. Detect disease deviations from normal health at an early age and arrange for prompt treatment and follow-up. 3. Prevent communicable and non-communicable disease. 4. Provide a healthy and safe environment for all around development at childs physical, mental, social, emotional and moral well-being. 5. Help the children to make the best use of education to utilize leisure and recreation opportunities in a productive and constructive manner. 6. Help the children, their parents and teachers to be health conscious and develop a right attitude towards health and illness. 7. Increase the basic knowledge and skills of children and those concerned in their welfare in all levels of prevention.

STEPS TO CONDUCT THE SCHOOL HEALTH CHECK-UP The following steps are suggested for initiating and planning a The following steps were followed in conducting School health health programme programs in the Kailash Puram Government School. Step 1: Visit each school in the area where we work. Talk informally and unofficially with the principal and teachers to discover 1. Kinds of health problems that are evident in the school 2. What are the steps taken towards the problem? 3. What teachers think and should be done to prevent and subsidise the problem? 4. Observe the environment and note the latrine facilities, water supply, light and ventilation and provision for school lunch and record whether all the children were vaccinated. Step 2: Record your exploratory visit to each school and complete a report showing the location of each classroom. Step 1: Visited each school in the urban area and eventually the Kailaspuram Government School was selected. We did visit the school and spoke to the headmistress, staff and students in order to collect the necessary information about the health status of the students and their environmental status too. Physical facilities for the children in the school such as water supply, light, ventilation, latrine facilities and provision for school lunch and vaccination of children were observed. Step 2: The information collected is as follows 1. It is a Government school 2. Consists of 12 classrooms 3. Starts from 1st to 10th standard 4. It is co-education with facilities like a) Benches and chairs for all classrooms b) Black board and chalk in the classrooms c) Adequate lighting during daytime d) Toilet facilities for both boys and girls e) Drinking water facilities f) Lunch facility g) Playground h) Separate hall for conducting programs

Observation: i. Facilities are adequate for all children ii. Environment sanitation is maintained a) Presence of closed sanitation b) The toilets were clean c) Cleanliness was maintained in classrooms iii. There is a first aid box with proper equipments iv. Annual check-up is done and the health records were maintained v. Common problems among the children a) Fever b) Cold and cough c) Vision problem d) Dental caries e) Tonsillitis f) Upper respiratory tract infection g) Knee pain h) Anemia i) Poor personal hygiene Step 3: Discuss the school report with the supervisor and health director and obtain sanction to organize a school health check-up. Step 3: After visiting the school, we decided to conduct the health checkup and discussed the above report with the Supervisor, Govt. School, block officer and obtained the permission for the same. Step 4: The matter was discussed with the school principal, teachers and the administrative officer to conduct the health check-up for the children.

Step 4: Make arrangement for a conference inviting the school principal, teachers, medical officer, nurses, health visitors, social education officers, village worker, head of the Panchayat and other head professional and lay members of the school community and parents with the addenda for the need of a school health programme. a) The appointment of a representative committee to survey each school as a first specific step in diagnosing the health

needs of the school.

Step 5: At the second meeting, the agents should present the report of the school health survey and the appointment of school health planning committee with representation from the school health unit community project and the Panchayat board of the local body. Step 6: Work with the committee and develop a program based on the needs, no of students and the facilities available. The nurse who serves 10,000 to 20,000 population located in various villages wont be able to do a complete job in each school. However, the nurses never to do the whole job herself, and follow the vital job daily observation facilities. Step 7: The proposed plans should include realistic goals and estimated target data. Step 8: Make schedule with the help and approval of the school to include work with each school and health committee. Visits to the schools should be on the same day at the same time and each week.

Step 5: The report was discussed in detain with the school authorities and our community facilities and our Head of the Dept, Mrs. Hephzibah Shadrach and Mrs. Jyothi and finalized a date for the program.

Step 6: Based on the problems identified, we planned to conduct the health education program on Jaundice, Hepatitis A, Hepatitis B, menstrual hygiene.

Step 7: Arranged the articles and estimated target data

Step 8: The schedule is maintained and health program was conducted

Step 9: Plan on educational program for the school health staff, sanitarians and midwives will meet regularly to learn together about school health.

Step 9: Conducted an educational program for the students and staff.

Step 10: At the end of the school health program was evaluated.

Step 10: Evaluate the program at the end of the school year and make plans for the following term.

COUNTERS AND RESPECTIVE MEMBERS PLANNED FOR SCHOOL HEALTH CHECK-UP SL. NO 1. 2. 3. 4. 5. 6. 7. 8. 9. COUNTER Registration counter Anthropometric measurement counter Vital signs counter Physical examination counter Vision test counter Doctors counter Dressing counter Pharmacy Health Education counter NAME OF THE STUDENT Mrs. Anu Mrs. Geethanjali Miss. Josini Joy Mrs. Geethanjali Mr. Joby Thomas Mrs. Jasmine Miss. Sherine Babu Miss. Arunima Miss. Arunima Mrs. Jacintha Mrs. Gangamma MEMBER 2 2 1 1 1 1 1 1 1

RESOURCES PLANNED FOR THE HEALTH CHECK-UP


Sl. No I 1. II 1. 2. 3. 4. 5. III 1. 2. 3. 4. 5. 6. IV 1. 2. 3. 4. 5. 6. 7. V 1. 2. 3. 4. 5. VI 1. 2. 3. 4. 5. VII 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. VIII 1. Articles Invitation Photocopies Inauguration Match Box Candle Table and Table cloth Flowers Pots Refreshments Tang powder Sugar Mixture Biscuit Glass Disposable plates Registration counter School health check-up card Chair Table Table cloth Scale and pens Register Papers and pens Anthropometric measurement counter Weighing machine Measuring tape Pen, pencil and scale Table and table cloth Chair Vital signs counter Temperature tray B.P. Apparatus Stethoscope Table and table cloth Pen and papers Physical examination counter Cotton containers Torch Gloves Knee hammer Scale Measuring tape Stethoscope Coffee powder, salt and sugar Tongue depressor Benches, screen, sheet Vision test Pin hole Numbers

2. 3. IX 1. 2. 3. 4. 5. 6. 7. 8. 9. X 1. 2. 3. 4. 5. 6. 7. 8. XI 1. 2. 3. 4. 5.

Snellen chart Torch Doctors counter Chair Table Table cloth Medicine slip Writing pad Torch Spatula Stethoscope Gloves Pharmacy Table Chair Medicine slip Medicine cover Plastic cover Stapler, pen and scale Papers Medicines Health education counter Table Flash cards Charts Models Scale

Drugs: the following drugs were used to treat the school children in the school health check-up programme Sl. No 1. Name of Drug Tab. Paracetamol Dose 250mg Route Oral Action Anti-pyretic Side Effects Nausea, allergic reaction, skin rashes, acute renal necrosis GI discomfort, headache, nausea, dry mouth Nursing Intervention Check the vital signs, assess for any hyper sensitivity by reaction Advice to chew or crush and mix. Advice to drink more oral fluids Withhold the drug if the patient has any hypersensitivity reaction Advice to take with meals or milk. Advice to inform in presence of weakness Advice not to drink with fluids. Advice to take warm liquids. Diet which contains high protein and calorie should be advised Advice to store in cool place. Advice not to take calcium supplements with iron Supplements Quantity

23

2.

Tab. Albendazole

400mg

Oral

Anti-helmenthic

18

3.

Albendazole oral suspension

5mt

Oral

Anti-helmenthic

GI discomfort, headache, nausea, dry mouth

4.

Tab. Citrizine

5mg

Oral

Anti-nistamine

5.

Syp. Cofstop

5mt

Oral

Cough syrup

Insomnia, headache,dizziness, dry mouth, vomiting epistaxis, abdominal pain Insomnia, headache, epistaxis, abdominal pain Myopathy, fatigue, weakness, hallucination, blurred vision Hypertension, rashes, myalgia

17

6.

Tab. B Complex

75mg

Oral

Vitamin supplement

16

7.

Ferrous sulphate

100mg

Oral

Iron supplement

8.

Tab. Sporalac

5mg

Oral

Anti-diarrhoeal

9.

Syp. Orofer

5mg

Oral

Iron supplement

Abdominal pain, distension, discomfort, constipation Hypertension, rashes, myalgia Diarrhoea, dizziness, chest pain, nausea

5 Do not administer in case of hypersensitivity Do not administer to children below 12 years. Advice to take before food

10.

Tab. Pantop

40mg

Oral

Proton pump inhibitor

PROPOSED BUDGET FOR SCHOOL HEALTH EDUCATION PROGRAMME Sl. No


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

Items
Charts Colour paper Floating candles Candles Match box Ribbon Pictures Marker Pen Gum Flowers Refreshments Juice powder Sugar Disposable cups Snacks Miscellaneous Total

No of items
15 20 1 packet 1 packet 1 1 10 4 5 1 2 1 1.5kg 120 12

Proposed budget (`)


70/20/50/10/1/30/10/32/10/20/40/80/45/150/750/235/1553/-

LIST OF AV AIDS
The following are the audio visual aids used in the health education for students. SL. SUBJECT FLASH CHARTS MODEL NO CARD 1. Menstrual hygiene 4 2 2. Hepatitis A 2 4 3. Hepatitis B 2 4 4. Jaundice 1 3 5. Dental carries 2 6. Child safety 1 7. Prevention of diarrhoea 1 8. Personal hygiene 1 9. Worm infestation 2 2 10. Protein rich diet 2 Programme Agenda: 1. Prayer Mrs. Geethanjali 2. Welcome address - Mrs. Anu 3. Lamp lighting Headmistress, Mrs. Hephzibah Shadrach, HOD, Community Health nursing, HMCON, School teachers and Doctors 4. Health check-up programme 5. Vote of thanks 6. Refreshments

: 12/6/2012 :
10 1

: 12/6/2012 :
2 3

:
, . .

:
...() . () ( ) . .

SCHOOL HEALTH CHECK UP DATE: 12/06/2012 TIME: 10AM 1PM PLACE

SCHOOL HEALTH EDUCATION DATE: 12/06/2012 TIME: 2PM 3PM

GOVERNMENT HIGH SCHOOL KAILASH PURAM MANDI MOHALLA, MYSORE ORGANIZED BY 3rd YR G.N.M, 2nd YR P.C.B.Sc (N) AND 2nd YR M.Sc (N) STUDENTS HOLDSWORTH MEMORIAL COLLEGE OF NURSING (MISSION HOSPITAL) MANDIMOHALLA, MYSORE- 21

PRE-PLAN FOR SCREENING


Physical setup for school health programme: The physical arrangements are as follows 1. Registration counter 2. Anthropometric measurement counter 3. Vital signs counter 4. Physical examination counter 5. Vision test counter 6. Prescription counter 7. Dressing counter 8. Pharmacy 9. Health education counter The counters mentioned above were arranged in the classrooms as shown below

E n t r a n c e

Registration counter

Anthropometric measurement counter

Vital signs counter

Physical Examination counter

Vision test counter

E x i t

Health Education Counter

Pharmacy

Dressing counter

Prescription counter

IMPLEMENTATION PHASE: On 12th of June 2012, we conducted the school health check-up on behalf of Holdsworth memorial hospital, Mysore. The programme started with a lamp lighting ceremony by Dr. Avinash, Mrs. Hephzibah Shadrach, HOD, Community Health Nursing, HMCON and the school Headmistress. We had 10 counters and a student was allotted with specific responsibilities. 1. Registration Counter: Mrs. Anu and Mrs. Geethanjali were posted in the registration counter with the registration card which contained the following datas. Reg. No Name Age Sex Class Complaints Diagnosis Treatment : : : : : : : : Vital Signs :

Temperature : Pulse :

Respiratory rate: Height Weight Vision Test : : :

2. Anthropometric Measurement Counter: Miss. Josini Joy and Mrs. Geethanjali were posted in this counter where the following details were recorded a) Height b) Weight c) Mid arm circumference

3. Vital Signs Counter: Mr. Joby Thomas was posted in this counter which checked the following data

a) Temperature b) Pulse c) Respiration and blood pressure 4. Vision Test Counter: Miss. Sherin Babu was posted in this counter to record their visual acuity. 5. Physical Examination Counter: Mrs. Jasmine was posted in this counter, who conducted the following a) Head to foot examination b) Assisting the doctors 6. Doctors counter: Miss. Arunima was posted in this counter to assist the doctors. 7. Dressing Counter: Miss. Arunima was posted in this counter to conduct dressing as per doctors prescription. 8. Pharmacy: Mrs. Jacintha was posted to distribute the drugs which the doctor has prescribed. 9. Health Education Counter: Miss. Gangamma was posted here to provide health education to students using AV aids as per their complaints.

ACTUAL BUDGET FOR SCHOOL HEALTH EDUCATION PROGRAMME


Sl. No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15 16. 17. 18. Items Colour paper Charts Pens Markers Photocopies Stencil Gum Pictures Floating candles Flowers Refreshments Mixture Biscuits Rasna water Mineral water OTHERS Syp. Becion Tab. Sporolac Tab. Paracetamol Tab. Citrizine Total No of items 20sheets 15 7 3 20 1 1 3 1 2 140 packets 4 packets 1 packet 1 bottle 2 bottles 30 30 20 Cost (`) 16/67.50/40/24/20/15/18/6/40/40/520/60/80/15/100/ 50/ 35/ 35/ 1188/

REGISTRATION Sl No 1. Name Ms. Yashoda Age 14 Sex F Height Weight Vision test (cms) (Kg) Left Right 138 37.2 6/6 6/6 TPR T- 37C P- 88/mt R- 24/mt T- 37C P- 92/mt R- 22/mt T- 37C P- 86/mt R- 26/mt T- 37C P- 80/mt R- 24/mt T- 37C P- 84/mt R- 26/mt T- 37C P- 80/mt R- 22/mt T- 37C P- 82/mt R- 24/mt T- 37C P- 78/mt R- 24/mt T- 37C P- 84/mt R- 22/mt T- 37C P- 80/mt Health status Throat painacute tonsillitis Rheumatic arthritis Dental carries, cough Tonsillitis, cough Dental carries Treatment Tab. PCT Tab. Citrizine Tab. PCT Tab. Albindozole Tab. PCT Tab. Albindozole Tab. PCT Tab. Citrizine Tab. PCT Tab. Albindozole Remarks Advised hygienic practices Advised iron rich diet Advised hygienic practices Advised to avoid cold food. Advised hygienic practices Advised to prevent from infection Advised to avoid stress

2.

Ms. Akshatha

14

134

41.5

6/6

6/6

3.

Ms. Sukanya

15

147

42

6/6

6/6

4.

Ms. Lavanya

14

146

40

6/6

6/6

5.

Ms. Rani

14

134

36.5

6/6

6/6

6.

Ms. Devika

15

153

51.7

6/6

6/6

7.

Ms. Arpitha

14

144

47.6

6/6

6/6

Upper Tab. PCT respiratory tract Tab. Citrizine infection Stress, head ache Tab. PCT Tab. Albindozole Normal Tab. Albindozole

8.

Ms. Bhavani

14

146

41

6/6

6/6

9.

Ms. Jayalakshmi

14

142

50

6/6

6/6

Headache, cough Tab. PCT Tab. Albindozole Normal Tab. Albindozole

Advised to avoid stress

10.

Ms. Sindhu

14

136

45

6/6

6/6

11.

Ms. Sucha

15

144

58

6/6

6/6

12.

Ms. Meenaskhi

14

136

42

4/6

4/6

R- 22/mt T- 37C P- 82/mt R- 26/mt T- 37C P- 80/mt R- 26/mt T- 37C P- 84/mt R- 26/mt T- 37C P- 86/mt R- 24/mt T- 37C P- 88/mt R- 24/mt T- 37C P- 84/mt R- 24/mt T- 37C P- 82/mt R- 22/mt T- 37C P- 92/mt R- 26/mt

Upper respiratory tract infection Retractive carrier

Tab. Citrizine

Tab. PCT Tab. Albindozole

13.

Ms. Lakshmi

14

133

40

6/6

6/6

Sinusitis

14.

Mr. Jayanth

15

150

50

6/6

6/6

15.

Mr. Kumar

15

134

37.5

6/6

6/6

16.

Mr. Shivarudhra

15

155

46

6/6

6/6

17.

Mr. Rohith

15

153

45

6/6

6/6

Upper respiratory tract infection Upper respiratory tract infection Upper respiratory tract infection Normal

Tab. PCT Tab. Albindozole Tab. Citrizine Tab. Citrizine Tab. Albindozole Tab. Citrizine Tab. Albindozole Tab. PCT Tab. Citrizine Tab. Albindozole

Advised to prevent from infection Contact ophthalmologist for further evaluation Advised to avoid cold food Advised to prevent from infection Advised to prevent from infection Adviced to take boiled and cooled water

18.

Mr. Sunarth

15

146

41

6/6

6/6

Normal

Tab. Albindozole

19.

Mr. Kiran

15

150

40

6/6

6/6

T- 37C P- 86/mt R- 26/mt

Normal

Tab. Albindozole

20.

Mr. Siddhartha

16

155

45

6/6

6/6

21.

Mr. Chandrashekar

15

151

45.5

6/6

6/6

22.

Mr. Vinay Kumar

15

146

44

6/6

6/6

23.

Mr. Rajesh

15

150

43

6/6

6/6

24.

Mr. Manu raj

15

146

59

6/6

6/6

25.

Mr. Manoj kumar

15

154

43.5

6/6

6/6

26.

Mr. Syed sahid

14

159

48

6/6

6/6

27.

Mr. Narayana

15

150

48

6/6

6/6

28.

Mr. Neruha

14

132

27

6/6

6/6

29.

Ms. Shilpa. S

14

137

34

6/6

6/6

30.

Ms. Shilpa

14

132

35

6/6

6/6

T- 37C P- 88/mt R- 22/mt T- 37C P- 88/mt R- 22/mt T- 37C P- 82/mt R- 24/mt T- 37C P- 82/mt R- 24/mt T- 37C P- 74/mt R- 22/mt T- 37C P- 92/mt R- 22/mt T- 37C P- 82/mt R- 24/mt T- 37C P- 82/mt R- 22/mt T- 37C P- 86/mt R- 24/mt T- 37C P- 82/mt R- 22/mt T- 37C P- 82/mt

Dental carries

Tab. PCT Tab. Albindozole

Advised hygienic practices

Normal

Leg pain

Tab. PCT Tab. Albindozole Tab. PCT Tab. Citrizine Tab. Rantac Tab. Albindozole Tab. Rantac Tab. Albindozole

Advised to avoid stress Advised hygienic practices Advised to avoid spicy food Advised to avoid spicy food

Headache and throat pain Gastritis , fever

Gastritis , fever

Fatigue

Upper respiratory tract infection Neck pain, fever

Tab. Citrizine Tab. Albindozole Tab. PCT

Advised to prevent from infection

Acute gastritis

Normal

Tab. Rantac Tab. Albindozole Tab. Sporlac Tab. Albindozole

Advised to prevent from infection

31.

Ms. Sushmitha

14

137

37.8

6/6

6/6

32.

Ms. Akshatha

14

148

36

6/6

6/6

33.

Ms. Pooja

14

146

43

6/6

6/6

34.

Ms. Ayesha begum

14

151

55

6/6

6/6

35.

Ms. Bhuvaneshwari Ms. Prema

13

134

40

6/6

6/6

36.

14

132

35

6/6

6/6

37.

Ms. Megha

14

148

47

6/6

6/6

38.

Ms. Neha

14

148

45

6/6

6/6

39.

Ms. Pooja.K

14

134

45

6/6

6/6

40.

Ms. Chandana

14

141

44

6/6

6/6

R- 22/mt T- 37C P- 86/mt R- 24/mt T- 37C P- 82/mt R- 24/mt T- 37C P- 84/mt R- 24/mt T- 37C P- 84/mt R- 24/mt T- 37C P- 84/mt R- 24/mt T- 37C P- 82/mt R- 24/mt T- 37C P- 86/mt R- 24/mt T- 37C P- 82/mt R- 22/mt T- 37C P- 86/mt R- 26/mt T- 37C P- 88/mt R- 26/mt

Upper respiratory tract infection Upper respiratory tract infection Headache

Tab. Citrizine Tab. Albindozole Tab. Citrizine Tab. Albindozole Tab. PCT

Advised to prevent from infection Advised to prevent from infection Advised to avoid stress

Normal

Normal

Normal

Normal

Stress, headache

Tab. PCT

Advised to avoid stress

Normal

Headache

Tab. PCT

Advised to avoid stress

41.

Ms. Suhana

14

135

33

6/6

6/6

42.

Ms. Chaithanya

13

141

44

6/6

6/6

T- 37C P- 82/mt R- 24/mt T- 37C P- 84/mt R- 26/mt T- 37C P- 82/mt R- 24/mt T- 37C P- 84/mt R- 26/mt T- 37C P- 84/mt R- 24/mt T- 37C P- 82/mt R- 26/mt T- 37C P- 82/mt R- 24/mt T- 37C P- 84/mt R- 26/mt T- 37C P- 84/mt R- 24/mt T- 37C P- 84/mt R- 26/mt

Acute gastritis fever Headache , anemia

Tab. Rantac Tab. PCT Tab. PCT

43.

Ms. Aurena taj

14

140

42.5

6/6

6/6

Headache

Tab. PCT

Advised to prevent from infection Advised to avoid stress. Take iron rich food Advised to avoid stress Advised to prevent from infection Advised to prevent from infection Advised to prevent from infection

44.

Ms. Hemalatha

13

140

40

6/6

6/6

45.

Ms. Nishantha

14

139

35

6/6

6/6

46.

Ms. Razil

14

148

42.5

6/6

6/6

47.

Mr. Praveen kumar

16

157

44

6/6

6/6

Upper respiratory tract infection Upper respiratory tract infection Upper respiratory tract infection Normal

Tab. Citrizine Tab. Albindozole Tab. Citrizine Tab. Albindozole Tab. Citrizine Tab. Albindozole

48.

Mr. Taufeq pasha

13

124

25

6/6

6/6

49.

Mr. Sandesh

14

132

51

6/6

6/6

Upper respiratory tract infection Normal

Tab. Citrizine Tab. Albindozole

Advised to prevent from infection

50.

Mr. Raju

14

150

35

6/6

6/6

Upper respiratory tract infection

Tab. Citrizine Tab. Albindozole

Advised to prevent from infection

SCHOOL HEALTH EDUCATION ON MENSTRUAL HYGIENE

Submitted by Mrs. Geethanjali IInd year MSc Nursing HMCON Mysore

Submitted to Mrs. Hephzibah Shadrach Head Of Department Community health nursing HMCON Mysore

Submitted on:

Lesson plan on menstrual hygiene


Information data: Class: II nd year MSc Nursing Date: 12th June 2012 Place: 9th Std class room at Govt. School, kailash Puram Group: 8th and 9th Std girls Method of teaching: lecturing cum discussion AV aids: Flash cards, PowerPoint presentations Time: 2.00pm-3.00pm General objectives: At the end of the health education the school students will be able to understand regarding menstrual hygiene and apply the teachings in their day-to-day activity. Specific objectives: At the end of the health education, the students will be able to a) b) c) d) e) Define menstruation List the signs and symptoms during menstruation Enumerate some factors regarding menstrual cycle Explain the cleanliness and care during menstrual cycle Explain the diet during menstrual period

Time 1mt

Specific objectives

Content Introduction: Menstruation is the sign of a normal female body. It is not unhealthy or unhygienic. These facts are the basic demerits of hygiene during menstruation. Signs and symptoms: Physical and psychological changes accompanying the menstruation includes Pain in waist, legs and pelvis Tendency of fatigue Slight changes in the mood or psychological condition There may be some changes in the breast Some factors regarding menstrual cycle Menarche (first menstrual show) may appear any time between 10 to 17 years Quantity of menstrual discharge is approximately (30 to 180mt). Blood constitutes the major part of it. Menstrual cycle can be approximately 16-34 days General duration of discharge is 1-7 days. (clots are signs of abnormality) Major factors altering the menstrual cycle includes Change in environment, working hours, emotional setback, disease, use of medicines etc

Teaching Study activity activity

A.V. Aids

Evaluation

Define menstruation

What is menstruation?

2mts

List the signs and symptoms during menstruation

What are the signs and symptoms?

5mts

Enumerate the factors regarding menstrual cycle

What are the factors regarding menstrual cycle?

3mnts

3mts Explain the cleanliness and care during menstrual cycle

As soon as the girls step into adolescence, they should be taught about menstrual discharge and cycle. Menstrual discharge is a physical process which has nothing to do with purity and impurity of women Menstrual period is not a barrier for a normal daily life List out the cleanliness and care during menstrual cycle

5mts

Explain the health teaching for during menstruation

Cleanliness and care during menstrual cycle: Daily bath and keeping the genital organs clean is necessary. Clean sanitary pads should be used to absorb the discharge. Old clothes used to absorb discharge may cause infection. Physician should be consulted in case of more or less discharge or irregular periods Middle aged women should be educated about process of menopause. Health teaching for during menstruation: Knowledge of psychological process Stress, fatigue and exercise might alter the menstrual cycle. Emphasis on personal hygiene to wear pads during early period of heavy flow. Consult physician of Daily shower for comfort, Keep perennial Cotton underwear is recommended whereas the nylon panty and light fitting

List out the health teaching for during menstruation

3mts

5mts

Explain the diet during menstrual period

Myths and beliefs during menstrual cycle The girl is isolated from the family members by Giving separate plates to eat Not permitted into the altar room Not allowed to participate in the rituals Believe that menstrual period is an unhealthy period Diets during menstrual period Lots of fluid should be consumed like clean water around 2-3 litres a day Fruit juices like lemon and orange are advised Consume lot of green leafy vegetables like spinach, drumstick leaves etc Maintain a high calorie diet. Eg tender coconut & rice

List out the diets during menstrual period

Bibliography a) B.T. Basavanthappa; Community health Nursing;3RD edition; Jaypee brothers medical publishers; Page nos 206-208 b) Keshav swarankar; Community health Nursing; 2nd edition; N.R. brothers publications; P.no. 429-431

EVALUATION: Response from the children: The children understood the importance of menstrual hygiene and were motivated to follow the steps learnt during the teaching session. Self evaluation: I Geethanjali, from II year MSc in community health nursing along with the III year GNM students and II P.C.B.Sc (N) students planned a school visit and the school health check-up was conducted. The health education program concluded by teaching them about Hepatitis A and B and also a session on menstrual hygiene was conducted for the girls. PowerPoint presentations, flash cards and charts were used as AV aids in presenting the topics effectively. Conclusion: By organizing the health education program, we were able to explain to the children about Hepatitis A and B and menstrual hygiene. The response from the students and the staff showed that the health education was beneficial.

COMMUNITY HEALTH NURSING

REPORT ON SCHOOL HEALTH PROGRAM

SUBMITTED TO: Mrs. Hephzibah Shadrach Head Of Department Community health nursing HMCON, Mysore

SUBMITTED BY: Mrs. Geethanjali. N II yr M.Sc in comm. health nursing HMCON, Mysore.

SUBMITTED ON: