Please read chapter 29 and 30 of the class textbook and review the attached PowerPoint presentations.  Once done answer the following questions; 1.  Discuss how Healthy People 2020 can be used to shape the care given in a school health setting.  Give at least one example. 2.  Identify common health concerns of school-age children and associated health interventions. 3.  Describe the historical perspective of occupational health nursing. 4.  Describe a multidisciplinary approach for resolution of occupational health issues.

1. The Healthy People 2020 initiative is a comprehensive set of national health objectives aimed at improving the health and well-being of individuals, families, and communities in the United States. These objectives can be used to shape the care given in a school health setting by providing a framework for assessing and addressing health needs and promoting evidence-based interventions.

One example of how Healthy People 2020 can be used in a school health setting is in addressing childhood obesity. According to the initiative, one of the objectives is to reduce the proportion of children and adolescents who are obese. In a school health setting, this objective can be translated into implementing programs and policies that promote healthy eating habits and physical activity among students. This could include providing nutritious school meals, offering opportunities for physical activity during recess or physical education classes, and educating students, families, and staff about the importance of a healthy lifestyle.

2. Common health concerns of school-age children can vary, but some commonly encountered issues include asthma, allergies, mental health problems, and infectious diseases. For each of these concerns, specific health interventions can be implemented.

For asthma, health interventions may involve educating students and families about triggers and management strategies, ensuring access to medications and inhalers, and creating an asthma-friendly school environment. Allergies may require similar interventions, such as identifying and reducing exposure to allergens and providing medications or emergency plans for severe reactions.

Mental health concerns in school-age children may include anxiety, depression, or attention-deficit hyperactivity disorder. Interventions may involve screening and assessment, counseling, referral to mental health professionals, and creating a supportive and inclusive school climate.

In the case of infectious diseases, interventions focus on prevention and control. This may include promoting vaccination, proper hand hygiene practices, and educating students and staff about symptoms and when to stay home from school to prevent the spread of disease.

3. The historical perspective of occupational health nursing dates back to the early 20th century when industrialization led to increased occupational hazards and health risks for workers. The profession emerged as a response to the need for specialized healthcare professionals who could address the unique health challenges faced by workers in various industries.

Occupational health nursing initially focused on workplace safety and injury prevention. Nurses worked alongside employers and labor unions to develop policies and practices that promoted a safe and healthy work environment. As occupational health concerns evolved, so did the role of occupational health nurses. They began to play a more prominent role in health promotion, disease prevention, surveillance, and case management for work-related injuries and illnesses.

Over time, occupational health nursing has evolved to include a broader perspective on worker well-being, including addressing psychosocial factors, ergonomic issues, and the impact of work on overall health and quality of life. Occupational health nurses collaborate with various stakeholders, including employers, employees, healthcare providers, and regulatory agencies, to ensure the health and safety of workers.

4. A multidisciplinary approach is crucial for the resolution of occupational health issues due to the complex nature of these problems. Effective resolution often requires the involvement of professionals from various disciplines, including nursing, medicine, industrial hygiene, ergonomics, and safety engineering, among others.

A multidisciplinary approach ensures that all relevant perspectives and expertise are considered, leading to more comprehensive solutions and improved outcomes. For example, in addressing a workplace-related musculoskeletal disorder, a multidisciplinary team may include an occupational health nurse, a physician, an ergonomics specialist, and a physical therapist. Each member of the team brings unique knowledge and skills to the table, allowing for a thorough assessment of the problem and the development of a comprehensive intervention plan. This approach also promotes collaboration and communication among team members, enhancing the effectiveness of the intervention.

In conclusion, the Healthy People 2020 initiative provides a framework for shaping care in school health settings by addressing specific health objectives, such as childhood obesity. Common health concerns of school-age children include asthma, allergies, mental health problems, and infectious diseases, and appropriate interventions can be implemented for each of these issues. Occupational health nursing has a historical perspective rooted in workplace safety and injury prevention, and a multidisciplinary approach is necessary to address occupational health issues effectively.