Community Health Needs Assessment • • • • • • •
Provide health care counseling and education Review student health records for compliance with state mandates Facilitate student access to health care providers Facilitate communication between school, parents, and health care providers and/or community resources Monitor health status and trends Control communicable disease Promote health and safety
Of the over 13,000 students served in the 2011-2012 school year, there were 4,596 cases of students with chronic conditions and complex issues that required medication management and other skilled nursing procedures. The greatest number of cases involved children with asthma (13.1%), ADD/ADHD (11.7%), and allergies (6.4%). In addition, a host of other chronic conditions were managed by the school nurses, including: • • • • • • • • • • • • • • • • • • • •
Type I and Type II diabetes Seizure disorders Cardiac disorders Cystic fibrosis Kidney disorders Cancer Tube feeding Impaired mobility Hearing impairment Tracheostomy tube Autism spectrum disorder Acquired traumatic brain injury Sickle cell disease Juvenile rheumatoid arthritis Cerebral palsy Celiac disease Down syndrome Scoliosis Migraines Bipolar disorders134
In the 2011-2012 school year, school nurses began tracking BMIs of city school children and found that 32.8% of school children (kindergarten to 12th grade) had BMIs greater than the 90th percentile. In January 2011, Carilion Clinic assumed the management of the three Roanoke Adolescent Health Partnership (RAHP) Teen Health Clinics, the Adolescent and Student Health Services. Two of the clinics are housed in each of the city high schools serving Roanoke City Public 134
Carilion Clinic, Roanoke City Public Schools, School Nurse report, 2012
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