Free Essay

School Screening

In:

Submitted By theartist1974
Words 652
Pages 3
Several standard and basic techniques were used during the physical assessment of elementary students. To start, the patients were informed of the procedures in very basic terms that were understood. Height was assessed using a measuring device marked in inches. To assess accurate height, the patient must stand straight with feet close together. Weight was measured using scales marked in ounces and pounds. The BMI was determined using the data collected from height and weight. Hearing was assessed using headphones and a device that sends tones at variable decibels and hertz. If the patient wore hearing aids during screening, it was noted. Hearing was screened at 1000, 2000, and 4000 Hz beginning with 20 db. Vision was screened using two charts from a distance of 20 feet. The first chart was the Snellen letter chart and the consisted of only pictures. If the patient wore corrective lenses during screening, it was noted . Also, scoliosis was screened for by examining the patients spine while changing posture. Upon screening the results were taken and compared to find if the patient was within normal limits for the appropriate age range. Abnormal findings occur if the following apply: vision is greater than 20/30 in either eye, or a difference of two lines between both eyes; hearing is greater or equal two 30 db in either ear; the spine is curved; and weight is charted in the 85th percentile or above. Also these findings are slightly altered by gender. Deficits in any category assessed can pose a great risk on the patient. Because hearing and vision are both sensory functions the following nursing diagnosis applies: risk for injury related to disturbed sensory perception and self care deficit related to disturbed sensory perception. Since height, weight, and BMI are related the following nursing diagnosis applies: risk for disproportionate growth and imbalanced nutrition related to “more” or “less” than body requirements. Scoliosis can lead to impaired physical mobility related to musculoskeletal impairment. If abnormal results are found, proper referrals need to be completed promptly. First the parents or guardians must be contacted . Depending on what assessment is abnormal, the following specialists need to be contacted: optometrist or ophthalmologist, ear nose and throat specialist or otolaryngologist, pediatrician, nutritionist, and physical therapist. It is crucial to the patient to seek appropriate care immediately. All data acquired needs to be recorded for each patient along with the date and patients age. Such data include the vision for each eye and both eyes including presence of corrective lenses; hearing for both ears, noting presence of hearing aids; height; weight; BMI; and detection of scoliosis. The height and weight, along with the BMI is graphed to determine the percentile for age group. All findings whether normal or abnormal need to be recorded along with any referral notes. An article discussing vision screening suggests that it is not completed enough for children to benefit. It suggests that it is due to the time consuming methods that have been implemented. A study was conducted using a noncyclolpegic autorefactor to perform eye exams on preschoolers. This study resulted in more accurate results and within less time. This method compensates for others with disabilities that may be overlooked using the standard method of examination. The article emphasizes the utilization of time. Because this method requires less time, it is more likely to be used. According to the article, several school districts have invested in this machine to share among surrounding schools. It is implied that if children are screened as often as needed, the pre-existing problems may be corrected in a more timely manner resulting in a reduction of the problem; which in turn, leads to a more normal functioning life.
Bibliography
Clarke, N., Shacks, J., Kerr, A., Bottrell, C., Poulsen, M., Yin, L. (2008). Use of a noncycloplegic autorefractor to perform vision screening in preschools. The Journal of School Nursing, 24(3), 158-163.

Similar Documents

Premium Essay

Outline for Prostate Cancer

...men 2. Men who are older than 60 3. Men who have a father or brother with prostate cancer f. Other People at risk 1. Men who have been around Agent Orange, paint, cadmium, tire plant and other toxic chemicals 2. Men who use too much alcohol 3. Men who eat a diet high in fat, especially animal fat g. Preventive Guidelines 1. Choose a healthy diet 2. Maintain a healthy weight 3. Exercise most days of the week 4. Talk to your doctor about your risk 5. Relax and enjoy life 6. Avoid smoking for many reasons 7. Seek medical treatment for stress, high blood pressure, high cholesterol, and depression h. Pints for Prostate Campaign i. Question 2 for audience participation j. Screening recommendations 1. Digital rectal exam (DRE) 2. Prostate-specific antigen test (PSA) k. Risks when screening for prostate cancer 1. Finding prostate cancer may not improve health or help a man live longer 2. Follow-up tests, such as a biopsy, may be done to diagnose cancer 3. False-negative test results can occur 4. False-positive test results can occur l. Earliest signs and symptoms of Prostate Cancer 1. Trouble Urinating 2. Erection Difficulties 3. Blood in the Urine or Semen 4. Lower Back and Body Pain m. Talk to Your Friends About Prostate Cancer Video n. References III. Conclusion a. Prostate Cancer Information Handouts to audience from American Cancer Society b. Prostate Cancer Presentation Quiz c. Question and...

Words: 291 - Pages: 2

Free Essay

Abc Inc. Study Case

...problems arose that needed to be handled immediately. BACKGROUND Carl Robins, a new recruiter for ABC, Inc. hired 15 new trainees in early April to work for Operations Supervisor Monica Carrolls. Mr. Robins could not accomplish the necessary procedures for the new hires to begin work, including drug screenings, completing applications, providing materials and scheduling a facility in which to hold the new hires’ training. Monica Carrolls did contact Mr. Robins May 15 in regard to his responsibility in the hiring process, without verifying if he fully understood his duties, Mr. Robins did not give any indication he was having trouble completing the tasks either. Mr. Robins failed to have a current orientation manual on hand himself and previous employees had failed to keep a current master copy. KEY PROBLEMS Mr. Robins needs to address several problems to resolve the issue in order to meet his goal of having the new hires working by July. The key problems needed to be overcome before the new hires are to report to Mrs. Carrolls are the following four obstacles. First the incomplete trainee applications and transcripts files. Secondly the mandatory drug screenings were not scheduled. Thirdly incomplete orientation manuals must be handled. Lastly he must resolve the facility scheduling conflict. ALTERNATIVES With incomplete applications and transcripts on file, Mr....

Words: 1174 - Pages: 5

Free Essay

Do the Benefits of Routine Cancer Screening Outweigh the Drawbacks?

...Do the benefits of routine cancer screening outweigh the drawbacks? Living in the twenty-first century with all the medical technology available you would think one would be indestructible. Am I right? Scientist keeps coming up with cures, and modern machines seem to detect diseases early on. Or do they? Have you ever been given bad news just to find out later it was false? This has happened to most all of us sometime in our life. Somebody is being told today they have cancer. They have instantly been thrown into a sea of emotions, caught and knocked down by every wave of evil thought. They are eventually relieved that they had denied treatment only after finding out the test was wrong. All the worry this family went through could have been avoided. Some would go ahead with treatment, finding out later that they shouldn’t have. Don’t get me wrong, it is a great benefit to have all the modern updates of medical science at our fingertips. But, have we come to rely on the answers of machines rather than our own self-exams and our own intuition? Instead of being on a roller coaster of emotions, or taking dangerous amounts of unnecessary treatments, shouldn’t we wait until there’s a reason for concern and then use the force of science to combat the enemy? Until the ratio of routine screenings rise to meet a level of accuracy, I feel they are hardly as necessary as one is lead to believe. Routine cancer screenings bring too many false positives with premature and over...

Words: 1136 - Pages: 5

Free Essay

Drawbacks of Cancer

...example is the most feared form of skin cancer: melanoma. Melanoma rates have gone up since the late 1980s. Most of the increase is in early cancers detected as skin-exam screening became more common. But late-stage melanoma cases didn't decline, Kramer says. Neither did the death rate. Brawley agrees. "I cannot quote a study showing that melanoma screening definitely saves lives," he says. "We cure some melanomas that don't need to be cured. “Nobody wants to live with cancer. Nobody wants to be over diagnosed or over treated. It's just that we want -- need -- answers that medical science does not yet have. "What we really need is a 21st century definition of cancer so we can move away from 20th century screening and diagnosis using a 1840s definition of cancer," Brawley says. There are limits to science, says Susan G. Fisher, PhD, professor and chair of public health sciences at the University of Rochester, N.Y. "People are uncomfortable and concerned because they think we are recommending less screening in some groups," she says. "The message for the public is that science is hard. As we get more and more information we get smarter about our advice. The most recent evidence says that in groups at low risk, we are creating more problems than benefits with early screening." The USPSTF recommends routine screening -- that is, for people at normal risk -- for only three...

Words: 302 - Pages: 2

Premium Essay

Pharmacy Tech

...As you complete your weekly reading, answer the questions below. | Please review the following writing guidelines prior to answering the questions: * Remember to respond to the questions using your own words. * Do NOT copy responses from the textbook, internet or other resources.  This is plagiarism, which is illegal, and may result in a failing grade. * You MUST paraphrase information in your own words and not transfer word-for-word.  * For information on how to avoid plagiarism, please visit the Writing Center in the Student Success Center. | (Scroll to the next page to view the questions for this assignment) After reading the assigned pages in your textbook, answer the following questions. | 80 points | | 1. Provide the correct Evaluation and Management code for initial hospital care with comprehensive history and examination level and a moderate medical decision making complexity.992222. Provide the correct code Evaluation and Management for a 35 year old patient seen in the critical care unit for 55 minutes on November 5.992913. Identify the correct Evaluation and Management code for a physician who provided an initial comprehensive preventative examination to a 6 year old.993834. Identify the correct Evaluation and Management code for a previously seen 14 year old receiving a periodic comprehensive preventative examination.993945. New patient and ____________________ are the subcategories in the Office and Other Outpatient Services category.Establish...

Words: 432 - Pages: 2

Free Essay

Prostate Cancer

...it may not cause serious harm. While some types of prostate cancer grow slowly and may need minimal or no treatment, other types are aggressive and can spread quickly. Prostate cancer that is detected early — when it's still confined to the prostate gland — has a better chance of successful treatment. One of the biggest and prevalent issues with prostate cancer is the rates of sensitivity and specificity. Sensitivity and specificity measure the number of false positives and false negatives, and are useful in evaluating the effectiveness of screening methods. Sensitivity is the number of true positive results divided by the sum of the true positive results and false negative results. Specificity is the number of true negative results divided by the sum of the true negative results and false positive results. The article explains that the PSA test and Digital Rectal Examination (DRE) are the most widely used forms of prostate cancer screening. The PSA test is simply a blood test. Even though the PSA is widely available to the general population it’s the sensitivity is 34.9% and the specificity is 63.1% which is not good at all. The DRE test is available by appointment in a doctor's office; there is discomfort for the patient and a risk of slight bleeding. The sensitivity is 27.1% and the specificity is 49.0%, which is worse than the PSA test. To help ensure that the readings will be more reliable most doctors use the two tests together, the sensitivity remains low at 38.0%, and...

Words: 617 - Pages: 3

Premium Essay

Third Initiative in Brasilia

...Our third initiative will focus on partnering with the community, especially its leaders, in Brasilia, the capital city of Brazil. By building relationships with the community, we can create shared value as we help educate the population about the disease while marketing our product implicitly. Now, I am going to talk about why we chose Brasilia as our location and how we will carry this plan out. First of all, we decided to carry out this project in Brasilia because prostate cancer is the most common cancer for men in Brazil. But, the more important reason for selecting this location lies in that there are Brazilian leaders, who have had cancer, living in the region. To soften the market for our bigger expansion into South America in the future, it is important to respond to the culture there and interact with the community. When we attempt to enter the market in Brasilia, people can be on alert and oppose us since we are a foreign pharmaceutical company. In response, becoming friendly with the Brazilian leaders with some kind of connection to cancer will help the population accept our company better. In Brazil, the current president and ex-president have both suffered and recovered from cancer. So, we believe that these important figures obviously know the importance of treatments and of awareness of such diseases. And since they are major influencers that the citizens listen to, it would be easier to enter the market in Brasilia if we could get them in on our project....

Words: 373 - Pages: 2

Premium Essay

Requiring Newborn Screening of Critical Congenital Heart Disease

...Requiring Newborn Screening of Critical Congenital Heart Disease Date With the numerous technological advances that have occurred in today’s health care system, one would think newborn screening would be required in Maryland for the most common birth defect in the United States, critical congenital heart disease (CCHD), but only just this year has the state considered the requirement (Department of Legislative Services, Office of Information Systems [DLSOIS], 2011). Critical congenital heart disease, a disorder in which an infant’s heart or blood vessels near the heart develop abnormally before birth, affects approximately 8 out of every 1,000 infants each year in the US, amounting to around 36,000 infants (DLSOIS, 2011). CCHD is the leading cause of death among infants within the first year of life, amounting to nearly 40% of deaths, often due to the fact that a large number of infants with this disease go undetected (Martin, Bradshaw, & Wright, n.d.). Although some babies are diagnosed with congenital heart disease shortly before or after birth, many diagnoses are not made until days, weeks, or months later; sometimes not at all. Many benefits are associated with implementing CCHD screening, many treatment options are available for those diagnosed with CCHD, and a bill is being proposed to the State of Maryland’s General Assembly about including this screening in the Department of Health and Mental Hygiene’s Newborn Screening Program (DLSOIS, 2011). The benefits...

Words: 1743 - Pages: 7

Free Essay

Whatttt

...Commonwealth of Pennsylvania, Department of Health Authorization to Obtain Newborn Screening Results and for Disclosure of Protected Health Information Fax form to the Department of Health’s Bureau of Family Health Newborn Screening Section at 717-213-3784 1. I authorize the Pennsylvania Department of Health (Department) to use/disclose individual newborn screening information/results obtained from the records of: (Please Print) Name at Birth: ___________________________________________________________ Date of Birth: __________________________ Sex: M F Telephone:__________________________________ Address:________________________________________________________________ Hospital of Birth: _________________________________________________________ Mother’s Full Name: ______________________________________________________ Mother’s Maiden Name: ____________________________________________________ Last 4 digits of Mother’s Social Security Number: _______________________________ 2. Reason for disclosure of Department Newborn Screening Results:(Describe each specific purpose – such as: use for direct patient care or college application) _College Application__________________________________________________________________ 3. I understand that: a. This authorization may be revoked at any time by writing to the Department except to the extent that information has already been disclosed. If information has already been disclosed...

Words: 309 - Pages: 2

Premium Essay

The Review

...sentence strike interest because of the words issue, healthcare and controversial. The second sentence introduces the reason for the argument. Look at the essay’s introduction. Is there a thesis statement or “statement of purpose” drafted? (Look for a sentence that tells the reader what to expect from this essay.) What is the statement? Patients and Practitioners should not adhere to the guidance form the U.S. Preventive Services Task Force against prostate-specific antigen. C. Based on the introduction, what specific points do you think the writer will make about the essay’s subject? Based on the introduction I believe that key points will be about the strong disagreement with the decision of the Task Force not recommending regular PSA screening, considering prostate cancer is the most wide spread form of cancer. D. Based on the way the main points appear in the essay’s introduction, in what order do you expect to see them in the essay? The recommendation was given without: First, regards to the...

Words: 752 - Pages: 4

Free Essay

Newborn Screening

...ENSURING NEWBORN SCREENING Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: ARTICLE 1 GENERAL PROVISIONS SECTION 1. Short Title. - This Act shall be known as the "Newborn Screening Act of 2004." SEC. 2. Declaration of Policy. - It is the policy of the State to protect and promote the right to health of the people, including the rights of children to survival and full and healthy development as normal individuals. In pursuit of such policy, the State shall institutionalize a national newborn screening system that is comprehensive, integrative and sustainable, and will facilitate collaboration among government and non-government agencies at the national and local levels, the private sector, families and communities, professional health organizations, academic institutions, and non-governmental organizations. The National Newborn Screening System shall ensure that every baby born in the Philippines is offered the opportunity to undergo newborn screening and thus be spared from heritable conditions that can lead to mental retardation and death if undetected and untreated. SEC. 3. Objectives. - The objectives of the National Newborn Screening System are: 1) To ensure that every newborn has access to newborn screening for certain heritable conditions that can result in mental retardation, serious health complications or death if left undetected and untreated; 2) To establish and integrate a sustainable newborn screening system within...

Words: 2239 - Pages: 9

Free Essay

Cystic Fibrosis

...Cystic Fibrosis Latisha Long HCS/245 March 26, 2012 Cathy Coyle Cystic Fibrosis In today’s society there are many diseases out there. It is to contract these diseases by coming in contact with a carrier. People who are into sharing dirty needles, having unprotected sex, or not being able to maintain a healthy and clean environment, can become infected with these transferable diseases. There are some diseases out there that you can inherit; one in particular that stands out is Cystic Fibrosis (CF). CF is a life threating disease; there are 1,000 new cases each year. With the new treatments and studies, people are living longer with CF. Before people with CF were only living into the early years of their childhood, and now they are living well past their 30s. CF is an inherited disease that affects the lungs and digestive system. A defective gene and its protein cause the body to produce an abundance of thick sticky mucus in the lungs. The production of this mucus causes the lungs to clog and can lead to life threating infections. CF can also cause the pancreas to obstruct and stop enzymes, which allows the body to absorb and breakdown food. This can cause slow growth and malnutrition in the body, and the sticky mucus can block the airway which makes it difficult to breath causing this disease to be life threatening. People with CF have shorter life expectancy, because of the way CF controls the body. The treatment for CF is improving every day...

Words: 1105 - Pages: 5

Premium Essay

Black Men and Prostate Cancer

...MODEL, AND PROSTATE CANCER What is the Impact of the New Prostate Cancer screening guidelines on Black Men? And The Health Belief Model Calvin Sneed Marymount University August 1st 2014 Introduction Prostate cancer is a highly prevalent disease with an estimate of 30,000 deaths and 233,000 new cases predicted for the United States in 2014 (ACS, 2014). It is the second leading cause of cancer death in American men but is highly survivable if diagnosed correctly. In fact, the American Cancer Society (2014) has stated the relative five and ten year survival rates for the disease are 100 percent and 99 percent respectively. These figures indicate the importance of early detection screenings like the Prostate Specific Antigen test (PSA) and the Digital Rectal Exam (DRE) in regards to surviving the disease. “Since using early detection tests for Prostate Cancer became relatively common in the United States (about 1990), the prostate cancer death rate has dropped” (ACS, 2014). However, there has been a contentious debate in recent years involving many organizations on the adequacy of these early detection measures (American Society of Clinical Oncology, 2013). Controversy stems from studies like the Prostate, Lung, Colorectal, and Ovarian (PLCO) cancer screening trial. The early research from this study indicated there was no evidence of a mortality benefit in having an annual PSA screening done (Andriole, Crawford, Grubb, Buys, and Chia, 2009). After Extensive...

Words: 9539 - Pages: 39

Premium Essay

Ess Environmental Stress Screening

...can be used in new product qualification testing. An ESS system usually consists of a test chamber, controller, fixturing, interconnect and wiring, and a functional tester. These systems can be purchased from a variety of companies in the environmental test industry. The stress screening from this process will help find infant mortality in the product. Finding these failures before the product reaches the customer yields better quality and lower warranty expenses. Associated military terminology includes an operational requirements document (ORD) and on-going reliability testing (ORT).[2][3] Standardized Definitions and Methods[edit] 'The following is extracted from a paper on ESS testing prepared by the U.S. Air Force to provide standardized definitions and methods. The paper is available for unrestricted distribution by writing to OO-ALC/ENR, Hill AFB, Ut. 84056. Ask for OO-ALC Technical Note 01-2002, Environmental Stress Screening of Replacement and Repaired Components, Standardized Definitions and Process, by David Franz.' Introduction[edit] The purpose of this paper is to provide standardized definitions and a roadmap of test processes for the Environmental Stress Screening (ESS) of replacement and repaired components used on...

Words: 489 - Pages: 2

Free Essay

Airline Security

...from the suspected terrorists -- money that could have been spent to actually make us safer. Consider CAPPS and its replacement, Secure Flight. These are programs to check travelers against the 30,000 to 40,000 names on the government's No-Fly list, and another 30,000 to 40,000 on its Selectee list. They're bizarre lists: people -- names and aliases -- who are too dangerous to be allowed to fly under any circumstance, yet so innocent that they cannot be arrested, even under the draconian provisions of the Patriot Act. The Selectee list contains an equal number of travelers who must be searched extensively before they're allowed to fly. Who are these people, anyway? The truth is, nobody knows. The lists come from the Terrorist Screening Database, a hodgepodge compiled in haste from a variety of sources, with no clear rules about who should be on it or how to get off it. The government is trying to clean up the lists, but -- garbage in, garbage out -- it's not having much success. The program has been a complete failure, resulting in exactly zero terrorists caught. And even worse, thousands (or more) have been denied the ability to fly, even though they've done nothing wrong. These denials fall into two categories: the "Ted Kennedy" problem (people who aren't on the list but share a name with someone who is) and the "Cat Stevens" problem (people on the list who shouldn't be). Even now, four years after 9/11, both these problems remain. I know quite a lot about this...

Words: 951 - Pages: 4