CODE: Plot carious areas on chart. Teeth missing-M. Roots remaining-R. Fistulae-F. Caries-0. Draw line from defect and indicate its character and number of examination. Example, C (caries, first examination). ORAL EXAMINATION OF SCHOOL CHILDREN. Number each operation with serial number 1, 2, 3, 4, etc. Outline areas filled on diagram and draw a line from Eye clinics. Additional facilities for special eye work should be provided in the near future, and this service should be made a part of the school health supervision system. The physicians in direct charge should be under the supervision of the director of hygiene and paid by the board of education. VI. NUTRITION WORK. Children enrolled in nutrition classes should first receive a careful physical examination, the results of which should be a part of the child's class record. The special instruction given to the children enrolled in these classes should be under the direct supervision of the director of hygiene and be considered a part of the medical school inspection service. In addition to special advice and instruction given to individual children, mothers should be encouraged to attend these classes for instruction, individually and in groups, in order that the fullest cooperation may be obtained in the homes. Intensive follow-up work by the school nurse is essential to the success of nutrition classes. Steps should be taken to secure accurate height and weight measurements, periodically, of all the children in the first to eighth grades, inclusive, in order that a local standard of physical development applicable to sex and age periods may be calculated. Such a standard is of highest importance in the selection of candidates for the nutrition classes, and as one of the means of checking the value of the work from the standpoint of individual children. VII. PHYSICAL TRAINING, Owing to the intimate relationship of physical training to preventive medicine, it is recommended that the board of education reverse its action and make physical training a subdivision, and make the director of physical training an assistant director of the department of hygiene. The physical training work should be correlated with the school medical inspection service. VIII. HEALTH EDUCATION. Greater prominence should be given to health education work in the schools. This should include the preparation of instruction matter adapted to the age of the child, correlation of the work of the teaching staff with that of the school medical, physical training, and nursing personnel, and the organization of the children in practical health work in the schools and in their homes. Practical health education should be emphasized in the special classes, and the children in all the classes should be encouraged in the August 12, 1921. preparation of compositions, posters, and exhibit material relating to health subjects. The director of hygiene, the school medical inspectors, and the school nurses should stand in closer cooperative relation with teachers. and principals, and the subject of health education and health supervision should be discussed in conferences requiring compulsory attendance. The teaching of health in the schools should be given a place in the curriculum equal in importance to that of major subjects. IX. SCHOOL RECORDS. · No hard and fast recommendations can be made regarding school medical record forms. In general, the forms should be so devised as to make available at all times accurate information regarding the child's physical and mental condition, the relation of the physical and mental handicaps to school progress, the extent to which these handicaps have been removed, the effect of remediable measures on the child's health and school progress, and the efficiency of followup work in bringing about the relief of harmful conditions. The record should accompany the child's scholastic record throughout his school career. Greater care than seems to be the present practice should be exercised in recording the results of physical examinations in specific terms. At present no attempt is made to make use of the material collected in the course of physical examinations. All statistical material should be compiled and submitted to the board of education in an annual report showing the prevalence of physical and mental handicaps, the corrections made, and the improvement, if any, in the physical and mental efficiency of the children from year to year. In other words, the public can not be expected to support in a wholehearted manner this very important work unless its value can be clearly demonstrated. The accompanying form adopted by the Public Health Service may serve a useful purpose in the preparation of a schedule for recording the results of medical inspections in accordance with the suggestions made in the body of this report. Cause of sickness (name disease). Weight (nearest half-pound).. 1 Enter number of days school was open during the school month. Enter total number of days child did NOT attend school during the school month regardless of whether his name was temporarily dropped from the school roll or carried for the whole month. The number of days absent plus the number of days present should always equal the number of days school was in session. Accurate and careful entries should be made, as this is the most important part of the record. 3 Enter number of days child was absent because of sickness. 4 Note carefully in the spaces provided under each month the diseases causing absence from school during that month, i. e., cold, measles, etc. If other remarks are necessary, please note in this space. Do not count holidays, Saturdays, or Sundays. CHILD'S SCHOLARSHIP RECORD. Age first entered school.. What grades were repeated by child prior to this session?. were the causes of failure?. Name of parent or guardian....... Date this record was begun.. Poor...... Very poor. Character of child's work at school during present session (mark the proper grading with X): Excellent.. If child failed this session, what in your opinion Was child promoted at the end of THIS session?. |