Review

Review:

1. What is Puberty?
2. What age does puberty occurs?
3. What is menarche?
4. What is spemarche?
5. Give examples of changes in
secondary sex characteristics
( boys and girls)
Objective

01. Explains the proper health appraisal

procedures

Applies coping skills in dealing with

health concerns during adolescence
02.
HEALTH APPRAISAL
 Health Appraisal
• Adolescents undergo a lot of physical changes as they
grow and develop. As such, it is important to monitor
their health. One way to do that is by using health
appraisal.
• Is a series of procedures done to evaluate, to assess and
to determine an individual’s health status. It is
performed to gather important information about an
individual’s body fitness and medical condition.
Health Appraisal 1. TEACHER OBSERVATION
Procedure
Over time teachers become familiar with their
students’ behavior and appearance. Teachers can
easily observe if there is something wrong with
their students physically, if a student is okay or
not feeling well, if a student is too small for
his/her age, if they are overweight or
underweight. Teachers can readily inform the
school health personnel about these cases.
Health Appraisal 2. SCREENING TESTS
Procedure
Screening tests are done to determine the
state of development and functions of
students’ different body organs. Examples
of screening tests are vision test and
hearing test.
Examples of Screening Tests:

A. Vision Test
B. Hearing Test
C. Height and Weight Measurement
D. Dental Examination
E. Medical Examination
F. Self-breast examination
G. Scoliosis test
Vision Test

It is done using the Snellen chart.

This helps to identify students
with vision problems
Hearing Test

It is performed to identify
students’ hearing ability using
an audiometer
 Height and Weight
Measurement
Measuring the height and weight of students
will help determine their physical growth
and development. Gathered data can be used
to compute for the BMI or body mass index
of individuals. Computed BMI can then be
used to identify if they are underweight,
normal, overweight or obese
 Dental Examination

To determine if students are practicing

proper oral hygiene and giving importance in
the proper care of teeth, school dentist
perform the dental examination. Dental
problems such as tooth decay, swollen gums
and bad breath could be checked and given
proper treatment.
 Medical Examination
A doctor checks a patient for symptoms of a
medical condition. The procedure includes
checking of body temperature, blood pressure and
heart rate. With the use of instruments, he/she
observes the condition of the eyes, ears, nose and
throat as well as the color and appearance of the
skin. He may also examine other parts of the body,
checking for unusual lumps and taking note of
patient’s responses.
 Self-breast Examination

This is a procedure recommended for women to

do every month. It is done to observe changes in
the appearance of the breasts and to help detect
for the presence of lumps in the breasts and
underarm areas.
 Scoliosis Test

is a medical condition where the spine shows an

abnormal side-to-side curvature. A forward bend
test is done and a scoliometer is used to detect if
there is an abnormal curve in the spine.
HEALTH APPRAISAL
PROCEDURES
 Health Appraisal
Procedures
• are used in determining the health status of students
or individuals. As such proper guidelines or steps are
followed in administering them from the height and
weight measurement down to the self-breast
examination and scoliosis tests.
• These health appraisal procedures are supposed to be
done properly and correctly to get the accurate
results in order to determine the correct health status
of an individual
 Height Measurement
1. Remove shoes or slippers and any hair ornaments.
2. Take the height measurement on uncarpeted flooring and
against a wall.
3. Student stands straight against the wall where a tape
measure is placed, feet flat together, looking straight ahead,
4. The one taking the measurement used a flat headpiece like a
ruler or level, placing it on the crown of the head of the student
whose height is being measured
5. Mark the place where the ruler/level touched the tape
measure and record the height measurement in meters
 Weight Measurement

1. Remove shoes, extra clothing like jacket or

anything in the pockets that may add to one’s
weight.
2. Using a bathroom scale placed on a firm
flooring, student stand with both feet at the
center of the scale.
3. Record the weight in kilograms.
 Vision Test
An ophthalmologist, a doctor who provides eye
care will usually do the vision test using the
Snellen Chart.

1. Patient is asked to stand 20 feet away from the chart

Doctor tells the patient to cover the right eye first and
read the lowest line he/she can read easily in the Snellen
chart.
2.Repeat step 2 with the left eye covered.
3. Lastly patient read with both eyes the lowest line
in the chart he/she can read without difficulty
 Hearing Test
To determine if you have hearing loss or not, an
audiologist will do the hearing test by doing the
following:
1. Get information about your hearing history or situation.
2. Do a visual examination of your external ear canal and eardrum.
3. Do a middle ear check that will evaluate if your middle ear is
working
4. Test your ability to hear even in the quietest sound by using an
audiometer in a sound proof room.
5. Give you a word recognition test where you are asked to listen and
repeat series of words.
6. Explains the result of your test and gives recommendation.
 Dental Examination
When you visit a dentist in the clinic, he/she will
normally do the following during dental examination:

1. Examines and evaluate your oral health, check for

gum problems, tooth decay or cavities.
2. Clean the teeth by removing stains or deposits on
your teeth
3. Gives advice on proper cleaning of the teeth and
oral care.
 Self-breast Examination
1. Examine your breast in front of the mirror with shoulders straight
and arms at side. to check if they are evenly shaped and there are no
swelling or redness.
2. Examine them again, this time with your arms raised. Look for
changes.
3. While looking at the mirror, see if there is fluid coming out of the
nipples that could look like blood, or watery fluid.
4. While lying down, feel around your breasts for lumps using circular
motion, with pads of your index, middle and ring fingers.
5. Do the same procedure (4) either standing or sitting down.
Scoliosis Test/Bend Forward Test

1. Stand facing away from doctor or screener.

2. Bend forward 90 degrees at the waist, with feet 10
cm. apart, knees straight.
3. Arms hang on your side with palms facing each
other.
4. Screener will observe if the hips are level and
symmetrical and if both sides of upper and lower back
are also symmetrical.
5. Patient may have scoliosis if there is curvature in the
alignment of the spine
 PUBERTY
BOYS GIRLS