LESSON PLAN

Name of supervisor: Respected Mrs. Harpreet kaur

Name of student teacher: gurjeet kaur
Class: M.Sc. 2ND year
Subject: community health nursing
Topic: School health sevices
Date: 9-1-2019
Time: 45 min.
Place: B.Sc. 4th Year class room
A.V.Aids: flash cards , chart, black board
Method of teaching: Lecture cum discussion method
General Objective: At the end group will be able to answer the question related to school
health services.
Specific Objective: At the end of the topic the group will be able to :
-Explain the definition
-describe the objective
-enlist the common health problems
-explain the components
-explain the records
-describe the school health nurse
-explain the fuctions of school health nurse

1
Sr. Specific Tim Content Teaching A.V.Aid evaluatio
no objectiv e learning s n
e activities
1) To 2 INTRODUCTION: My self Gurjeet Student
maintain min kaur.I am student of M.Sc.2nd year teacher
IPR with in national institute of nursing. gave self
group. introducti
on

2) To 2 Ask the question like what you What do

review mint known about school health services? you
the know
previous about the
knowled swine flu
ge of
group

3) To 1 Today I am going to present my Student

announc mint topic on school health services teacher
e the announce
topic the topic

4) To 2 school health is an important branch Student White Give the

introduc min of preventive and social teacher board introduct
e the medicine.the beginning of school introduce ion of
topic health services in india dated to the topic the topic
1909 when the first time the medical
examination of school children was
carried out in baroda city , gujrat.

2
5) To 2 school health services is a procedure Lecture black What is
define min that contribute to the mainainance cum board school
the and improvement of the health of discussio health
school pupils and school personnel. n method services
health
services
6) To 6 OBJECTIVES OF SCHOOL HEALTH Student black Explain
describe min SERVICES The main objectives of this teacher board the
the service is the prevention of illness as described objective
objectiv well as the promotion of health and the of
e of well being of the students through: epidemio school
school  Early detection and care of logical health
health students with health problems factor services
services  Development of healthy attitudes
and healthy behaviors by students
 Ensure a healthy environment for
children at school
 Prevention of communicable
diseases at school.
7) To enlist 1. ADHD, Lecture transpar Explain
the (Attention-Deficit/Hyperac cum ency the
tivity Disorder) – According
common to the CDC, as many as 6.8 discussio different
problem percent of 3- to 17-year-old n method health
Americans have been
s of diagnosed with ADHD. Short problem
school attention spans, easy s in
distraction, too much talking
children school
and constant interruptions
as well as hyperactivity are children
just a few of the symptoms
of this mental health
disorder. This condition can
have a strong impact on a
student’s ability to learn as

3
 well as a teacher’s ability to
maintain the classroom.
Educators can refer
students to mental health
assessments if the condition
is suspected. Often
medication can curb the
symptoms and aid students,
although sometimes these
symptoms can signify
another mental health
disorder such as bipolar.
2. Anxiety – One of the most
significant ways that anxiety
can display itself in students
is not in the classroom at all.
Some students with anxiety
disorders are frequently
absent due the anxiety they
feel about school. Anxiety is
among the most common
mental health disorders in
students in K-12 with about
3 percent diagnosed with
the condition, according to
the CDC. Students with
anxiety may struggle to
finish work, have difficulty
completing assignments up
to their high standards, have
fear of failure or new
experiences, and excessive
worry about grades or
homework. Students with
anxiety may be among the
12 to 17 year olds with
mental health issues that
the CDC noted turn to drugs
and alcohol use.
3. Depression – Diagnosed in
2.1 percent of 3-17 year old
students, depression can
lead to sudden drops in
student grades, rises in

4
 absences and a general loss
of interaction and
motivation in the classroom.
Other symptoms that
teachers and family
members should be aware
of include excessive
tardiness, sleepiness,
isolation and incomplete
assignments. Suicidal
tendencies can also
increase.
4. Autism Spectrum
Disorders – There are a
wide array of autism
spectrum disorders that can
affect students. Students
with autism spectrum
disorders may exhibit signs
of repetitive behavior,
significant social difficulties,
inability to read nonverbal
language and many more.
Autism disorders are typical
noticed before school age in
children today and can vary
from very severe to milder
forms, such as Asperger’s
Syndrome.
5. PTSD (Post-Traumatic Stress
Disorder) – PTSD may be
difficult for educators to
notice in their classroom.
Students may experience
unpredictable and
significant mood swings, act
younger than their age or
become behaviorally
unpredictable. PTSD
develops in children who
have experienced or
witnessed a traumatic
event. This disorder can lead
to flashbacks to the

5
 traumatic event with
physical or emotional
consequences. There are a
wide range of symptoms
including self harm,
hostility, depression and
fear.
6. OCD (Obsessive-Compulsive
Disorder) – Students
with OCD have chronic,
long-term thoughts and
behaviors that they want to
repeat or act on specifically
without any control. From
inappropriate thoughts for a
classroom to compulsions to
extreme order or
cleanliness, OCD can make
learning difficult for
children. Low grades,
missing school work and
lack of classroom
concentration are common
student symptoms of OCD
because the compulsions
and obsessions are so
distracting. Social issues are
also common.
7. Tourette Syndrome – About
0.2 percent of 6 to 17 year
old Americans have been
diagnosed with Tourette
Syndrome according to the
CDC. It is most common
with females and develops
in children between the
ages of 3 and 9. Tourette
Syndrome iss neurological
condition and can manifest
itself many different ways
from uncontrollable physical
tics and movements to
vocalization, words or
grunts. Both the tics and the

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 effort to suppress the tics
can distract students from
learning, as well as impact
others in the classroom.
8. ODD (Oppositional Defiant
Disorder) – Students
with oppositional defiant
disorder are typically
hostile, negative and angry
toward the teacher and
other students. From
blaming other students for
mistakes to consistently
challenging the rules of the
classroom, ODD impacts all
of the students in the class.
Anger is one of the most
common symptoms and is
often unpredictable.
9. CD (Conduct Disorder) –
Similar to ODD students
with conduct disorder will
challenge class rules and
argue with students.
Students with CD may act as
bullies, picking on some
children and hiding their
own self esteem issues with
toughness. Frequent
absences, discipline and
lying are all signs of CD.
10.Eating Disorders
(Anorexia/Bulimia) –
Affecting both male and
female students, eating
disorders include unhealthy
eating habits, obsession
with weight and food, and
skewed self image. Eating
disorders typically occur
with young teenagers but
can occur earlier. Wrestlers,
dancers and gymnasts are
often affected. Distraction

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 by body image or unusual
food habits may be warning
signs in the classroom,
however eating disorders
are often difficult to identify
because those with the
disorders can thrive
academically.

 elf-Esteem: Even once

confident kids may
experience a severe drop in
self-esteem in the middle
school years. Your child will
compare herself to her
peers, and she may decide
that she just doesn't
measure up to others whom
she believes to be smarter,
prettier and more popular.
It's difficult to watch a child
deal with self-esteem issues,
especially when you know
how wonderful they really
are. Help your child focus on
her talents, and find
activities that she enjoys. Be
sure to avoid being too
critical of yourself, so that
you can model bye behavior
you desire in your tween.
With a little luck, self-esteem
may resurface once your
tween feels like she has a
core group of friends and
interests that she enjoys.
 Academic Pressure: They
seem so young, but middle
schoolers are already feeling
the pressure that was in the
past reserved for high
schoolers. Even in middle
school, students hear about
the competition to get into a

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 good college, score well on
SATs and other academic
pressures. Some of this
pressure comes from the
school staff; other times it's
well-meaning parents who
place it directly on their kids'
shoulders. Resist the
temptation to push your
child to the point that he or
she can't enjoy the middle
school experience because
they're so concerned about
success or failure. They still
have a lot of growing up to
do, and they don't need any
more pressures than they
already have. Save the
college talk for when they're
in high school. You'll be glad
you did.

 Drama: Bullying and other

antisocial behaviors tend to
peak in the middle school
years. It can be a tough time
for kids who are on the
receiving side of bad
behavior. In popular kids can
be bullied or made to feel
badly by others. Girls can be
particularly cruel. Be on the
lookout for mean girls,
frenemies, and bullies, and
arm your child with ideas on
how to deal with them, who
to turn to for help, and how
to move on.

 Temptation: Middle school

may be the first time your
child decides to experiment
with smoking, drinking,
drugs, and other dangerous

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 behaviors. There's no one
right way to prevent your
child from making a terrible
mistake, but having frequent
conversations about what's
right and wrong, what's
dangerous and why, and
what you expect and hope
for your child is certainly a
good start. It's also very
important to know what's
going on in your community
by staying in touch with
other parents, and by
keeping yourself in the loop
at your child's school.
 Disappointment or
Rejection: Is there a tween
who doesn't experience a
broken heart at some point
during the middle school
years? Doubtful. It's hard for
a parent to watch their child
experience puppy love and
the heartache that goes with
it, but if your child hasn't
known rejection or
disappointment yet, he will.
You can help your tween put
it all into perspective to help
ease the pain, and find
distractions to take his mind
off his troubles. Before long,
all will be forgotten, and
your tween will have moved
on
 Obesity
There is an increasing trend of
being overweight and obese in
school-aged children, mainly
attributable to reduced physical
activity. Focus on reducing obesity
and improving diet and physical

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activity is therefore a priority in
many countries. Obesity is a
nutritional disorder and is a major
risk factor for cardiovascular
disease in adulthood. Obesity is also
implicated in the development of
insulin resistance limiting the body’s
ability to absorb glucose. Studies
indicate that children have too
much fat in their diets. Eating diets
high in fat and being less physically
active leads to positive energy
balance which may be a
predisposition to lifelong health
problems (for example,
hyperlipidemia, cardiovascular
problems, type 2 diabetes
mellitus and obesity) in older adult
years.
 Eating disorders
An increasing prevalence
of anorexia nervosa and bulimia is
associated with this age group.
Lured by media propaganda and
other social pressures, some
children feel pressure to be
extremely thin. This extreme
measure of weight control is
achieved by restricting food intake.
Blood cholesterol levels
To reduce risk of heart disease,
children should form habits related
to healthy eating and exercise early
in life including the following:

 Consume a variety of food that is

nutritionally adequate.
 Consume enough calories to
support growth and
development, and to reach or
maintain desirable body weight.
Dental caries
Dental caries are caused by over

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 indulging in sugary foods such as
soft drinks and confectionery may
predispose school aged children to
poor dental health. The risk of tooth
decay is greatest with the
consumption of large amounts of
sticky sugary and starchy foods that
stick to the teeth (or example,
sweets, sodas, lollies, and candies).
Anaemia
Iron-deficiency anaemia may
develop in children whose diet is
iron-deficient. Iron is an oxygen-
carrying component of blood.
Anaemia in school-aged children
may result in deleterious effects
including lower school achievement
due to impaired cognitive
development, poor attention rate
and general fatigue. A study
involving 5398 children between the
ages of 6 and 16 in the United
States, found that lower
standardised maths test scores
were found among those with iron
deficiency. Children deficient in iron
were twice as likely to score below
average on math tests, this finding
was more pronounced among girls.
.

8) enlist 13 Components lecture chart What are

the min cum the
I.Curative services:
compon discussio compone
The SHNs takes proper medical care
ents of n method nts of
of minor ailments of the children
school under her charge. school
health health
Preliminary Medical Screening all
services the studentsonce a year and enter services
relevant data in the health record.

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Timely referral of students in need to
the appropriate health facilities.

Multi Speciality Medical campsare

conducted block wise once a year.
Specialities such as dermatology,
dental, ophthalmology and
gynaecology were included.

II. Preventive services:

Health education classes by SHN,

Medical Officers Supervisory Staff and
Vaccination services

III. Counseling: The JPHNs identifies

various emotional and behavioural
problems in students refer them to
appropriate authorities.

IV. Documentation: The details of

screening done by the SHN are
recorded in Health record on daily
basis. Other data such as record of
treatment given for minor ailments,
health awareness programme done,
medical camps stock at school etc are
done in registers provided.

Home

Role of Health Department is to

provide:

Manpower

Medicines

Equipments

Display boards, Registers for

documentation of day to day activities,
Health awareness materials

Role of Education Department is to

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provide

Infrastructure facility for Health corner

Room/Private space

Chairs, Tables Bench Almirah

Temporary facility for the conduct

Medical camps, exhibitions, seminars

etc

Assign 2 nodal teachers (female &

male)

Provide necessary arrangement for

Health activities

Home

Equpment Kits provided to the

schools

*An Equipment kit consisting of 13

items including the BP apparatus,
stethoscope Snellens chart,
thermometer, height and weight
measuring scales are provided by the
NHM. Basic Medicine needed was
supplied by the concerned Health
Centers.

Display boards and Registers

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 In
the initial phase of SHP, Display boards
were placed in schools implementing
the programme.For recording various
data a comprehensive health record
and 7 types of registers are provided at
all schools.

1. Minor ailments register

2. Health record register

3. Medical camp register

4. Health education class register

5. Observance of important Health

days register

6. Health club activity register

7. Stock register

9) To 6 1. The School Calendar lecture black Explain

explain min The school calendar is a mirror where
cum board about
the the probable dates of various events discussio the
school and activities to be done during the n records
coming session are reflected. It is
health usually prepared at the beginning of method.
record each academic session. It should
contain the following Stems of
information.

15
(i) Information about the general, local
and gazette holidays.

(ii) Dates for the submission of

monthly, quarterly, holidays and annual
reports and returns.

(iii) Dates of monthly, quarterly and

annual examinations.

(iv) Dates of the meetings of the school

and faculty committees, Teachers'
Associations, different societies, school
excursions and educational tours,
school tournaments etc.

(v) Dates of important school functions

like the annual prize day, the parents
day, (he U.N.O. day, Independence Day,
Republic Day, Birthday of eminent
persons etc.

Thus the school calendar provides

important information about various
activities to be carried out throughout
the academic session.

2. Log Book:

The Log Book is specifically designed

for the purpose of containing remarks
of the school inspector or other
important officers of the education
department, who pay an official visit to
the school. But it should not be
confined to the remarks of the
inspecting officers only. It should
contain a complete record of the
important events that occur during the
session. It should also contain the
history of the school of a particular
year.

Information like the introduction of

16
new text books or apparatus, visits of
the inspecting officers, changes in the
school routine, absence or illness of
any of the official staff etc., should be
written in the Log Book. The
headmaster is the only authority to
make entries in this book.

3. Admission Register:

It is a record of all the pupils who arc

admitted to a school. According to
departmental rules, the admission
register is to be preserved permanently
in the school. Therefore, it is essential
that it should be got specially bound
and kept in safe custody. It is to be free
from mistakes because this register is
at times required by superior
authorities in a court of law as an
evidence for the date of birth of the
pupils. The admission register should
contain the following items.

(i) The serial number and name of the

pupil.

(ii) His father's name, caste, occupation

and address.

(iii) His date of birth.

(iv) Date of admission to the school,

(v) The class to which he is admitted.

(vi) Dale of withdrawal or migration

from the school.

4. Pupil's Attendance Register:

This is another important register

which is maintained in each class and
section, showing the names of the
pupils on the roll of the class or section,

17
during a month. The attendance is
marked in the beginning of (he school
hour. Entries should be made in ink.
Blanks should not be left. Students who
remain absent from the school without
leave for fifteen consecutive
attendance is struck off from the rolls.
Holidays are marked in red ink.
Monthly fees and fines are collected
from the pupils in this register.

5. Teacher's Attendance Register:

To record the daily attendance of the

teachers, schools maintain the
teacher's attendance register. This
shows the time of arrival and departure
of the teachers on each day. The
teachers are to sign regularly in the
forenoon and afternoon everyday.
Time of arrival of the late comers
should be indicated. Leave taken by (he
teachers during the month holidays
etc., are to be written on it. It should be
kept outside the room of the
headmaster. When the first period
starts, it should go to the headmaster
for verification.

6. Cash Book:

Cash Book is a record of all money

transactions occurring from day-to-day
in the school. Money received by the
school from different sources like fees,
fines, donations, stipends, scholarships,
grant-in-aid are entered on the credit
side. On the debit side the payments
like the salaries of the teachers,
stipends, scholarships, contingent
expenditure incurred, deposits made in
the Treasury, bank and post office are
shown. Balance is shown in red ink. It

18
should be regularly written and the
day's business should be closed with
the signature of -the headmaster. It
should be an up-to-date record.

7. Cumulative Record Cards:

It is a document in which the relevant

information about a particular students
at one educational institution is
recorded cumulatively. This gives a
complete and growing picture of the
individual student, which helps him
during his long stay at the school and at
the time of leaving it, in the solution of
his manifold problems of educational,
vocational; personal and social. It
follows the pupil from class to class and
from school.

It provides an opportunity to have a

comprehensive picture of the all-round
development of the personality of the
child. It is a very important record
which should be maintain in every
school. Therefore, The Secondary
Education Commission opines "these
should be a common feature all over
the country."

8. Stock Register of Equipments:

This register keeps information of all

the movable property of the school.
While purchasing equipment or
furniture, it must be duly entered in
this property register. The head of the
institution should check this register
physically at least once in a year.
Verification report should be recorded
in the stock register. It can show which
articles are missing and which need
immediate repairs. The register should

19
contain the following information :

(i) Name of the article.

(ii) Quantity of the articles.

(iii) Date of purchase.

(iv) Name of the firm which supplied

the articles.

(v) The authority ordering purchase, (vi)

Signature of the authority.

9. Reports to the Parents:

To get cooperation from the parents

reports containing various information
about the child should be sent to the
parents periodically. It should contain
information like the academic progress
of the child, his health condition,
participation in curricular and co-
curricular activities and other
important information.

As a result, the parents can know the

physical, intellectual, social, moral and
emotional growth of their children.
Parents are also requested to guide
their children according to the
information given in [he report.

10. Service Book:

`The service book contains the service

history of the employees. Information
like the employee's dale of
appointment, his date of birth,
educational qualifications,
identification marks, permanent home
address, transfer, leave accounts, dale
of increments, reversion if any of
reinstatement etc., are carefully
written in this book. The original

20
 service book is kept in the custody of
the headmaster in the secondary
school.

The authorities should duly verify the

service book and make necessary
entries. The first page of the service
book contains the following
information :

1. Name

2. Residence.

3. Date of birth by Christian era as

nearly as can be ascertained.

4. Educational qualification.

5. Exact height by measurement.

6. Personal mark for identification.

7. Father's name and residence.

8. Left hand thumb and finger

impression.

9. Signature of the teacher.

10. Date of entry into service.

11. Signature of the Headmaster.

From the next page the name of the

post, temporary or permanent,
monthly pay, date of increment, details
of leave account etc., are written
neatly. The entries of the first page
should be renewed or re-attested at
least every five years except in the case
of finger prints.

10) To 1 school health nurse act as care Student black Explain

21
 define min provider, advocate, change agent, teacher board what is
school manager and educator.the school used school
health health nurse collaborates with lecture health
nurse parents , educator and community cum nurse
health care professionals. discussio
n
method.

11) To 3  Ensure compliance with Lecture White What are

describe min procedures, protocols, and cum board the
the other instructions provided discussio function
function by the coordinator of health n method of
of services or contained in school
school health
division manuals and
health nurse
protocols. Provide nursing
nurse
care and physical screening
to students; assess students
and implement first aid
measures for students as
needed.
 Assume responsibility for
appropriate assessment,
planning, intervention,
evaluation, management,
and referral
 activities for students.
Counsel with students
concerning problems such as
pregnancy, sexually
transmitted diseases and

22
 substance abuse in order to
facilitate responsible
decision making practices.
 Implement and record
required screening
programs; notify parents
when further medical
evaluation is indicated
 Establish and update health
and immunization records
 Prepare and maintain
student clinic records and
prepare required reports
 Administer daily and PRN (as
needed) medications and
nursing care procedures
prescribed by the student's
physician.
 Initiate emergency
procedures for students and
staff as needed.
 Develop Individual Health
Care Plans and 504 Plans for
students on a case by case
basis.
 Complete the preliminary
nursing assessments and
assist the physician with the
child‐study

23
  physical examinations for
students in the child study
process.
 Orient the staff and teach
specific medical procedures
for the evaluation and
maintenance of the
medically
 involved student in the
classroom. Present, train
and maintain appropriate
standards from OSHA
regarding contact with, and
possible exposure to blood
borne pathogens and other
potentially infectious body
materials within the school
or employment setting.
 Provide health education
and anticipatory counseling
. Follow procedures for suspected
cases of child abuse and neglect
. Act as a liaison between the
school, home health department
professionals, and other community
agencies.
 Coordinate presentations by
various agencies and professionals
on pertinent health care topics for

24
 school staff
. Maintain clinic equipment and
assesses the need for consumable
supplies on an annual basis
. Manage the process for third
party billing with Medicaid to obtain
reimbursement for skilled nursing
care.
 Perform related work as
required.
17) To 2 student teacher summarize the Student
summari min topic today we learn about school teacher
ze the health services , objectives,common summariz
topic helath problems, common e the
components of school health topic
services, school health nurse ,
functions of school health nurse

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