4.5.4: FRAME 4- Generate Solutions
- Page ID
- 90038
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Khloe was on the playground at school and walked in front of her friend who was swinging on the swings and got a bloody nose. The teacher accompanied Khloe to the school nurse's office for assessment. During the assessment, the nurse asked Khloe what the images were on the poster located on the back of the door. The nurse noticed Khloe walked closer to the poster to see images.
QUESTION: Multiple Response Select All That Apply
Scoring Rule: +/-
What social factors play an important role in vision loss?
Education
Food insecurity
Access to quality health care
Neighborhood Safety
Heredity
Putting It All Together
DEBRIEF
Schools and school nurses play a significant role in health promotion/disease prevention. The school nurse role is one of the broadest nursing roles, and school nursing is one of the few subspecialties responsible for the direct care of individuals as well as care of the school community and environment. School nurses provide hearing and vision screening and can apply topical fluoride varnish to primary teeth.
Schools help decrease health disparities by fostering learning, enhancing health literacy, providing health screening, nutritional lunches, opportunities for physical education, counseling, social support, and mental health promotion (WHO, n.d.). Furthermore, schools strive to improve the health of school personnel, families, and community members as well as students; and work with community leaders to help them understand how the community contributes to or undermines health and education (WHO, n.d.).
The Snellen Chart uses a geometric scale to measure visual acuity, with normal vision at a distance set at 20/20. The numerator represents the distance the client is standing from the chart (in feet), while the denominator represents the distance from which a person with perfect eyesight can still read the smallest line the individual can visualize. For example, a client standing 20 feet away from the chart who can clearly read until the line of font that a person with normal visual acuity can read from 40 feet away would be measured as 20/40 vision (Azzam et al., 2023).
RECOGNIZING SOCIAL DETERMINANTS OF HEALTH (SDOH)
Health Care Access and Quality is one of the Healthy People 2030 objectives. This domain aims to prevent sensory and communication disorders and improve the quality of life for those with them. Healthy People 2030 affirm that many people in the United States will have a sensory or communication disorder in their lifetime. This includes problems with vision, hearing, balance, smell, taste, voice, speech, or language.
Healthy People 2030 focuses on preventing, diagnosing, and treating these disorders in people of all ages. Many vision problems start before children enter first grade (Healthy People 2030). Sensory or communication disorders can have a major impact on social, emotional, and physical well-being. Individuals diagnosed or treated later in life often have poorer outcomes (Healthy People 2030).
What Do You Think About?
- Identify three ways school nurses engage in health promotion/disease prevention efforts.
- What activity at school can adversely affect a child wellbeing?
- What exam could the school nurse conduct to assess the second cranial nerve (optic nerve)?