Sample Nursing Paper on Healthy People 2020 in a School Health Setting

The ambitious policy document launched in 2010 enshrined undertakings sought to be interrogated to attain a healthy nation by 2020. In schools’ heath settings these objectives have been fast tracked through the following: Immunizations:  It is mandatory for all individuals to be immunized and should bear evidence of immunization before they are admitted into school (Tyrer & Lee , 1985). Routine school immunization programs could also be worked out to ensure underprivileged and or immigrant populations get vaccinated. Through this initiative the sudden occurrence and spread of infectious immunzable disease is prevented. Such diseases include poliomyelitis, measles, yellow fever and tuberculosis (Tyrer & Lee , 1985) etc.

Health screening: As envisaged in the healthy people 2020 document, schools could undertake deliberate health screening programs for early detection of disease and early referrals and recommendations on procedures to be undertaken to remedy or cure the pathologies. Screening to be done could include: eye and vision screening to reduce road accidents and mediate onset of diseases such as ocular cataracts; Hearing screenings; Scoliosis screening; High blood pressure screening and diabetes etc. Emergency care: Schools and learning institutions should be well equipped with emergency response and fast aid services. Schools are premises for social, academic and curricular development and therefore accident-prone. School management, staff and learners have to be trained on emergency procedures to undertake in case of accidents etc. they have to be trained on Fast aid care, Cardio-Pulmonary Resuscitation and Emergency care procedures (Burger, 1978)etc.


Common Health Concerns and Interventions in Schools

Things to consider Children are social and quite interactive in most spheres. They are therefore at high risk of contracting germ-causing infections and spread these infections rapidly to their peers. Examples of common illnesses of concern rampant and of concern to children include. Common cold associated with running nose, sneezing, cough and watery eyes. It is highly infections. Treatment could include use of NSAIDs to reduce pain and fever, and antibiotics to prevent infection (Burger, 1978). The children should be advised to carry handkerchiefs for the running nose, coughs and sneezing.  Influenza and strep throat: associated with body ache, fever, fatigue among children. The disease is highly infectious so affected children should remain at home or in hospital until they recover fully before readmission in school. Influenza in managed using and array of medication, replenishing of lost fluids and plenty of sleep.

Gastroenteritis: associated with diarrhea and vomiting. Common cause is children tend to ingest substances without first cleaning their hands and what they intend to ingest. This condition is highly infectious. Treatment includes replenishing of fluids and rest (Burger, 1978). Ear infection and pink eye: associated with ear pain and eye redness respectively. These diseases are caused by bacterial infections and allergic reactions. Treatment includes allergen specific antihistamines and antibiotics. Apart from disease children are also prone to accidents in the nature of fires, cuts, bruises and nose bleeding from playground fights. First aid measures should be employed depending on the nature of the emergency.

Historical Perspective of Occupational Health Nursing. Occupational Health Nursing has its history in the pre-war period. Its informal mandate included visiting sick employees in their homes. Officially it began as a platform for pursuing health solutions for industrial workers. The war period saw an exponential increase in the number of nursing health workers. 1942 saw the formation of the American Association of Industrial Nurses and conferred with autonomy from NLN later in1951 (ILO, 1985). This meant that they could pursue their agendas and objectives independently. Later years saw an increase in the need for occupational health nursing leading to its recognition by OSHA. The 21st Century has witnessed a juxtaposed Occupational Health Nursing that has progressed steadily to encapsulate occupational health concepts and demographic-based approach in practice.  (Burger, 1978)

Multi-disciplinary Approaches. Occupational health safety officials face various challenges in practice. Mostly they come in the case of non-compliance to and violations of set standards. In this light, Occupation Health and safety workers require support from the community, law enforcement workers and the judiciary (ILO, 1985).  Politicians should also show commitment in fast tracking relevant legislations and proposals towards empowering occupational health policies. Through such cooperation standard health practicum will be achieved to the betterment of society.




Burger, G. C. (1978). From Factory Doctor to Health Centre. In Philips Occupational Health.      Eindhoven: Philips Medical Service.

ILO. (1985). concerning occupational health services. Recommendation No. 171. Geneva:             International Labour Organization.

Tyrer, F. H., & Lee , K. (1985). A synopsis of Occupational Medicine. Bristol,: John Wright           and Sons.