chronic disease management

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Change Tool
Prospect Elem2015 Grades 3-5
3-10-15 Prospect Elementary School
36 South Prospect St. Oberlin,
Ohio 44074 (440) 774-4421
Fax: 440-775-2609
www.oberlin.k12.oh.us
Prospect Elementary Principal:
Jim Eibel 440-776-4652
jeibel@oberlinschools.org
Focus Group: Liz Rogel, Brian Carter, Jenny Mentzer
SCHOOL DISTRICT
To what extent does the district:
1. Require 225 minutes per week of physical education for all middle school and high school
students?
1/3
2. Require 150 minutes per week of physical education for all elementary school studnts?
District requires two 40 minute periods per week (80 minutes)
1/3
3. Provide 20 minutes of recess daily for students in elementary school?
20 minutes every day for recess, do recess before lunch
3/4
4. Ensure that students are not provided waivers or exemptions from participation in physical
education for other school and community activities, such as band, chorus, Reserve Officers’ Training
Corps (ROTC), sports participation, or community volunteering?
no exemptions provided
1/4
5. Require that either fruits or vegetables or both are available wherever foods and beverages are
offered?
yes, available at lunch and breakfast
4/4
6. Eliminate the sale and distributions of less than healthy foods and beverages during the school
day?
Got rid of really bad stuff, still offer snacks, but better (baked things, no slim jims)
4/4
7. Prohibit the sale of sugar-sweetened beverages (can exclude flavored, fat-free milk) during the
school day?
yes, prohibit sale of sugar beverages during school days, not in teacher lounges either – just Snapple
and water – however, if they bring them from home there is not much they can do about it
4/5
8.
Institute a tobacco-free policy 24/7?
4/5
9.
Ban tobacco advertising on school property, at school events, and in written educational
materials and publications?
4/4
10.
Ban tobacco promotions, promotional offers, and prizes on school property, at school events,
and in written educational materials and publications?
4/4
11.
Ensure access to a full-time, qualified healthcare provider (e.g., registered school nurse) in
every school?
4/4
12.
Establish a case management plan for students with identified chronic diseases or conditions
(e.g., asthma, diabetes, epilepsy) in consultation with their families, medical providers, and school
staff?
4/4
13.
Ensure immediate and reliable access to prescribed medications (e.g., inhaler, insulin,
epinephrine pen) for chronic disease management throughout school day?
5/5
14.
Have a district health group (e.g., school health council) comprised of school personnel,
parents, students, and community partners that help plan and implement district health activities?
4/3
15.
Have a designated school health coordinator who is responsible for overseeing school health
activities across the district?
Liz Rogel –
4/2
16.
Monitor schools' compliance with the implementation of the district school wellness policy
enacted as a result of the Child Nutrition and WIC Reauthorization Act of 2004 (i.e., requires that all
school districts that participate in the National School Lunch Program have local wellness policies)?
4/2
17. Allow the use of school buildings and facilities by the public during non-school hours (e.g.,
joint use agreement)?
Soccer uses, regular after school programs, there is use of building during non-school hours – share with
Applewood (counseling uses building) – lots of shared use – mental health people of Applewood
4/4
18. Adopt a physical education curriculum for all students in grades pre-K to grade 12, as part of a
sequential physical education course of study, consistent with state or National Physical Education
Standards?
yes, that is in place, it is required now with the state of Ohio – follow both state and national guidelines
 use fitness gram (grades 3-12) – use fitness gram to be able to report to the state
 5/5
19. Adopt a nutrition education curriculum, designed to help students adopt healthy eating behaviors
for all students in grades pre-K to grade 12, as part of a sequential health education course of study,
consistent with state or National Health Education Standards?
No health class – when interject she uses the standards, classroom teachers did a better job at one time,
but now it does not get addressed.  they do weekend themes, they could maybe find a way to
incorporate health into a themed week  supposed to have a personal self-education in every planner,
but they do not “there is room”  possible garden visits
1/2
20. Adopt a tobacco-use prevention curriculum for all students in grades pre-K to grade 12 as part of a
sequential health education course of study, consistent with state or National Health Education
Standards?
Not very much , Jenny – she addresses it but there is not more done about it
1/2
PHYSICAL ACTIVITY
To what extent does the district:
1. Ban using or withholding physical activity as a punishment?
There are lots of teachers who let children miss recess as punishment – it is not banned but it is
encouraged not too – Jim does not encourage it, he wants them out at recess – teachers still use it
2. Require that students are physically active during the majority of time in physical education class?
yes, main goal is as much physical activity as she can get in
3. Provide access to a broad range of competitive and noncompetitive physical activities that help to
develop the skills needed to participate in lifetime physical activities?
yes, teaching lifelong skills, “my job is to teach you all different kinds of ways to do things once you find
something you love”
4. Implement a walk or bike to school initiative?
Have not heard for sure – once it is funded they should hear about it – have done walk to school days at
prospect
5. Ensure the availability of proper equipment and facilities (including playground equipment,
physical activity equipment, and athletic or fitness facilities) that meet safety standards?
 Plan is to close school regardless because of plans to build a campus
 Prospect is in need of serious repairs
 This limbo time is hard
 Had kids come into the gym first thing in the morning, especially before testing
 Tried to get the zoned recess but was limited for people trained to handle x amount of moving
kids
 Had parents eager to come in and help, tried to teach them how to manage groups of kids 
they could either do it on day one, or could not grasp the concept – usually 5 or 6 kids in every
group that are not manageable
 One of the only districts that does not have teachers on the playground – could do a lot by
placing teachers there – makes those 5 or 6 kids have a teacher there who knows them
 Wish list: more activities for movement on playground – revisit zoned recess
NUTRITION
To what extent doe the school:
1. Ensure that students are provided only healthy food and beverage options beyond the school food
services (e.g., all vending machines, school stores, and food brought for celebrations)?





No vending machines, no school stores
policy regarding foods brought in for celebration but it is not practiced
no resources for ideas of healthy options for birthday snacks
revisit making it a practiced policy
used to be printed on back of the lunch menus (could possibly have something from the health
department placed on their about healthy celebration options)
 use websites possibly
2. Institute a school breakfast and lunch programs that meet the U.S. Department of Agriculture
School Meal Nutrition Standards?
Yes, follow all the standards
3. Ensure that healthy food preparation practices (e.g., steaming, low fat, low salt, limited frying) are
always used in the school cafeteria or onsite food services?
yes, do all the healthy food options, got rid of flyers
4. Ban marketing (e.g., counter advertisements, posters, other print materials) or less than healthy
foods and beverages onsite?
all healthy food marketing – Snackwise
5. Promote and market (e.g., through counter advertisements, poster, or other printed materials)
only healthy food and beverage options?
promote only healthy food and beverage options
6. Provide adequate time to eat school meals (10 minutes for breakfast/20 minutes for lunch, from
the time students are seated)?
breakfast: 10 minutes but have option for 20 minutes depending on when they get there, lunch: 20
minutes (20 minute lunch, 20 minute recess, 5 minute transition)
7. Ban using food as a reward or punishment for academic performance or behavior?
policy but may not always be practiced – not supposed to but some do
8. Provide safe, unflavored, cool drinking water throughout the school day at no cost to students?
 allowed to carry water bottles –
 could provide more access to water at lunch (take empty milk carton and fill it with water to
drink) – mostly an elementary problem
9. Provide school garden (e.g., access to land, container gardens, or raised beds) and related resources
(e.g., staff volunteer time, financial incentives)?
Small garden at prospect – not used much – maybe involve that more in curriculum
10. Ensure that multiple channels, including classroom, cafeteria, and communications with parents
are used to promote healthy eating behaviors?
feel that could be improved – maybe website, menus
TOBACCO
To what extent doe the school:
Does not really apply to age group
CHRONIC DISEASE MANAGEMENT
To what extent doe the school:
1. Provide access to chronic disease self-management education programs to individual identified
with chronic diseases or conditions (e.g., diabetes, asthma)?
thought it was handled well – bit of communication gap with nurses – had a situation with child who had
severe allergy with dairy  parent questioned their plan and nurse came through well
2. Meet the nutritional needs of students with special health care or dietary requirements (e.g.,
allergies, diabetes, and physical disabilities)?
yes - but feel they lack a health ed for obesity (“almost special ed because of their size”) – sends reports
to parents from fitness gram
3. Provide opportunities to raise awareness among students of the signs and symptoms of heart
attack and stroke?
yes talked about heart disease as #1 killer during jump rope for heart
4. Ensure students are aware of the importance of calling 9-1-1 for emergencies?
once a year in computer lab, they talk about 9-1-1 – gets everyone in school for 45 minutes  county
engineers
5. Ensure cardiopulmonary resuscitation (CPR) training is made available to students?
no CPR for students
6. Engage families in the development of the school plans (e.g., diabetes management plans) to
effectively manage students with chronic diseases or conditions?
Yes, it is involved in a child’s IEP, 504s
LEADERSHIP
To what extent does the school:
1. Participate in community coalitions and partnerships (e.g., food policy council, tobacco-free
partnership, neighborhood safety coalition) to address chronic diseases and related risk factors (e.g.,
poor nutrition, physical inactivity, tobacco use and exposure)?
Yes, Live Healthy Oberlin for example
2. Participate in the public policy process to highlight the need for community changes to address
chronic diseases and related risk factors (e.g., poor nutrition, physical inactivity, tobacco use and
exposure)?
yes, that is what is happening on coalitions
3. Have a school building health group (e.g., school health committee) comprised of school personnel,
parents, students, and community partners that help plan and implement the health activities at the
school building? No organized group that was active – teachers are so overwhelmed that no one wants
to give anything anywhere else
4. Have an individual who is responsible for leading school health activities within the school
building?
no, principal maybe, in past years it had been the nurse through practice, but depends on the
personality of the nurse
5. Have a health promotion budget?
no health promo budget
6. Have a written mission or position statement that includes the commitment to student health and
well-being?
not really part of mission statement, mental health has really been strengthened
7. Recruit teachers (e.g., physical education, health) with appropriate training, education, and
background?
yes, new teacher will, it is a state law now
8. Provide training and support to food service and other relevant staff to meet nutrition standards
for preparing healthy meals?
would assume, but not sure
9. Provide access to opportunities for professional development or continued education to staff (e.g.,
physical education, health, school nurse, food service manager)?
do provide those opportunities – never been denied
10. Provide training for all teachers and staff on physical activity, nutrition, and tobacco prevention
policies?
slightly addressed at the beginning of the year – could be incorporated at the beginning of the year
11. Permit only health-promoting fund raising efforts such as non-food options or only healthy food
and beverage options, physical activity-related options (e.g., fun run), or community service options
(e.g., car wash, directing parking at school events)?
outside groups, school does not do fundraising anymore - orchestra  candy bars, jump rope  pasta,
(not supposed to sell during school hours, but they do)
Any healthy ones? Jump rope does pasta – PTO does market day but may do away with it
No walkathons or fun runs for school (only for charity)
AFTER-SCHOOL
To what extent does the school:
3. Provide access to physical activity programs (e.g., intramural, extracurricular, interscholastic)?
jump rope program, intramurals is strong number of kids, city sport rec center program is very strong No
official after school program, math club
****Any possible areas to work on in the future??****
Clearer expectations of what they nurses role should be – option  involve nurse in administrative
meetings
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