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Roles of the school nurse in an inner city hypertension screening, education and follow-up program
234
ABSTRACTS:
HIGH
BLOOD
PRESSURE
CONTROL
A-227 ROLES OF THE SCHOOL NURSE IN AN INNER CITY HYPERTENSION SCREENING, EDUCATION AND FOLLOW-UP PROGRAM Lois Price University
Spratlen, Department of Psychosocial of Washington, Seattle, Washington
Nursing, 98195
The school nurse assumed several major roles in a comprehensive hypertension screening program conducted during the 1977-78 school year in three Seattle When compared with the experiences of the previous inner city high schools. year, the program was made much more efficient through the number and kind As basic categories they included an of roles assumed by the school nurse. qdvocate Role (for preventive health emphasis and awareness along with a Clinical Role (providing information encouragement of student participation); about the students health status and information about family members with cardiovascular problems in the case of one of the schools); a Comnu,iicator students, teachers and administrators Role (involving contacts with parents, to gain permission and support when needed); an Educator Role (providing factual information about hypertension and incorporating preventive health in the provision services as well as in suggesting materials for health education classes); and, finally, a Monitor or Follow-up Role (including re-screening where needed and checking to ensure compliance with recommended health provider contact by those found to have elevated readings). The significance of these roles is demonstrated in the paper. By using the school nurse in an expanded set & roles as health provider in the special setting, a population which is known to have an above-the-national average of hypertension can be more Through such efforts at early detection and control effectively reached. it should be possible to reduce the cumulative and more severe conseqgences of high blood pressure.
~-228 A STATE-WIDE RISK FACTOR DETECTION PROGRAM William 17105;
Spring, Robert
Pennsylvania Ranberg
Department
of Eealth,
Irarrisburg,
Pennsylvania,
The Framingham Study and risk factor screening experience in Pennsylvania have demonstrated the importence of identifying the various risk factors commonly associated with cardiovascular disease. A key element of Pennsylvania's approach to high blood pressure control is the risk factor screenThe tests regularly provided under this program are: ing. a pertinent and concise family and personal history, real weight to ideal weight ratio, heart ratio, heart rate and rhythm, dual blood pressure measurements and the ratio of total to HDL cholesterol. After a public health nurse review, selective additional procedures may include Urinalysis, Dextrostix, five lead Electra Cardio Analysis, Electra Cardio Gram, blood glucose, and or creatinine. The impact of the risk factor probabilities when discussed individually with those screened is keyed to the exit interview and subsequent follow up. This is expected to measurably improve longterm adherence. The paper discusses: (1) the protocol for the screening procedure, (2) preliminary results broken down by various demographic variables, (3) cost figures, (4) and program evaluation.
ABSTRACTS:
HIGH
BLOOD
PRESSURE
CONTROL
A-227 ROLES OF THE SCHOOL NURSE IN AN INNER CITY HYPERTENSION SCREENING, EDUCATION AND FOLLOW-UP PROGRAM Lois Price University
Spratlen, Department of Psychosocial of Washington, Seattle, Washington
Nursing, 98195
The school nurse assumed several major roles in a comprehensive hypertension screening program conducted during the 1977-78 school year in three Seattle When compared with the experiences of the previous inner city high schools. year, the program was made much more efficient through the number and kind As basic categories they included an of roles assumed by the school nurse. qdvocate Role (for preventive health emphasis and awareness along with a Clinical Role (providing information encouragement of student participation); about the students health status and information about family members with cardiovascular problems in the case of one of the schools); a Comnu,iicator students, teachers and administrators Role (involving contacts with parents, to gain permission and support when needed); an Educator Role (providing factual information about hypertension and incorporating preventive health in the provision services as well as in suggesting materials for health education classes); and, finally, a Monitor or Follow-up Role (including re-screening where needed and checking to ensure compliance with recommended health provider contact by those found to have elevated readings). The significance of these roles is demonstrated in the paper. By using the school nurse in an expanded set & roles as health provider in the special setting, a population which is known to have an above-the-national average of hypertension can be more Through such efforts at early detection and control effectively reached. it should be possible to reduce the cumulative and more severe conseqgences of high blood pressure.
~-228 A STATE-WIDE RISK FACTOR DETECTION PROGRAM William 17105;
Spring, Robert
Pennsylvania Ranberg
Department
of Eealth,
Irarrisburg,
Pennsylvania,
The Framingham Study and risk factor screening experience in Pennsylvania have demonstrated the importence of identifying the various risk factors commonly associated with cardiovascular disease. A key element of Pennsylvania's approach to high blood pressure control is the risk factor screenThe tests regularly provided under this program are: ing. a pertinent and concise family and personal history, real weight to ideal weight ratio, heart ratio, heart rate and rhythm, dual blood pressure measurements and the ratio of total to HDL cholesterol. After a public health nurse review, selective additional procedures may include Urinalysis, Dextrostix, five lead Electra Cardio Analysis, Electra Cardio Gram, blood glucose, and or creatinine. The impact of the risk factor probabilities when discussed individually with those screened is keyed to the exit interview and subsequent follow up. This is expected to measurably improve longterm adherence. The paper discusses: (1) the protocol for the screening procedure, (2) preliminary results broken down by various demographic variables, (3) cost figures, (4) and program evaluation.