Educator Resources Lesson Plan Five	Health-Related Lesson Plan For Educators. Session #5 Additional Resources Health-Related Websites

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	Lesson Plan Index     Handouts this Session     Homework this Session    Powerpoint Slides this Session      Online Interactive     Fetal Development
	Title: Self-Assessment Presenter's Name: Carol Cox, MSN, MPH Content Area: Self Protection Session Number: 5 Materials/Resources Needed: Handouts for Notebook: Danny's Ride, TRE(E) of Injury When Do Birth Defects Occur? Healthy Beginnings Handouts for Homework: TRE(E) of Injury Assignment Health History Part 2			A PowerPoint Presentation is available to be used as a method of delivering this information. Download the slide presentation thru either the graphic above or the "quick link" at the top of the page.
	"Healthful Living" Objectives Met: 4.1 Identify the major health risk behaviors of own age group. 4.2 Program potential short and long-term consequences (in all dimensions of health) of own age group's health risk behaviors. 4.3 Hypothesize chains of specific behaviors, in a variety of situations, that could result in either positive or negative health consequences. 5.1 Identify the most critical events and times in and before pregnancy for the prevention of birth defects. 5.2 Describe the causes, importance, and prevention of low birth weight. 5.3 Propose alternative methods of accessing appropriate health care for young pregnant women, taking into account various economic, transportation, and service availability difficulties.. 5.4 Utilize the principle of a decision/behavior chain to evaluate specific pregnancy related behaviors. 6.1 Identify the types of behaviors that are suitable for self-management. 6.2 Outline the factors to be considered when selecting a health risk behavior to be actively managed. Delineate a basic behavior self-management plan incorporating all major components. FOCUS and/or REVIEW Today we will continue to look at health risks and protective factors, even those before you were born. There were critical times when you were an egg, an embryo and a fetus. The assignment from last week should be turned in today and mailed to me. We will review that assignment next week. STATEMENT OF OBJECTIVES We will talk about short and long term consequences of risk behaviors; preventing consequences; and, decision-making. You will continue your own Health History Assessment Program. TEACHER INPUT How did you do with the Health History? What was the most difficult part? When you meet with your nurse again he/she will help you to work on the Genogram.Would anyone like to share a Genogram? (I have a sample ready in case no one volunteers). On the Genogram, were there any chronic illnesses? Examples? Were there any injuries? Example? What might of prevented that injury? What causes injuries? Let's brainstorm a list of injuries and prevention strategies. Have an overhead with two columns; one labeled Injury, one labeled Preventative Measures and ask for injuries first - then go back and ask for preventative measures. Instructor may need to remind students to focus on factors contributing to injury (Not on fault or blame). A common fallacy is: If you get hurt you have no one but yourself to blame. Have you heard that? We call it "Blaming the Victim". Look at factors that contribute to injury: (PowerPoint slides for each) Person injured or who inflicted injury. Emotions people feel and actions they take that can expose themselves or others to injury, (Examples: feeling angry, carrying a weapon, speeding, swimming alone). Product involved. The object that transfers the energy that causes the injury. (Examples: car, knife, bicycle) Physical environment. Elements which are in the environment. (Examples: housing or road conditions, surfacing materials on playground). Social and Economic Factors. The laws, attitudes, or situations. (Examples: seat belt laws, being out of work). Case Scenario: Danny's Ride. Each student has a copy in their notebook. Ask one student to read it aloud. Danny called Joe and sounded very angry. It must have been something Susan said ; maybe she had finally broken up with him. Danny was restless; he had taken the keys to his brothers old car, took some beer out of the refrigerator, and wanted Joe to go for a ride with him. He picked Joe up and said his mother had been yelling at him about staying out late the night before. Didn't she know he was upset about breaking up with Susan. Danny said he just couldn't take any more. They drove around for a while- to see if they'd run into any girls from school. Instead, they ran into Rudy who joined them. They sped off and headed toward out of town and drank beer. They were going 70 mph when the road took a sharp turn. There was no warning sign. Danny lost control of the car and it rolled off the road and flipped over into a ditch. None of the boys was wearing a seat belt; the car had no air bags. Rudy was crushed by the car as it rolled over; he was killed. Danny's spinal cord was injured and he ended up losing use of both his legs. Joe was hospitalized for two weeks and was left with deep scars on his face. Look at the factors that contributed to the injury. Work together (pairs) for a minute to fill in the four columns. Let class have 2 minutes to work on this. Then fill in responses on an overhead. Factors that Contributed to Injury Person Injured or Person Who Inflicted Injury Danny was angry. All three were drinking beer which is illegal since they were under 21. Danny was speeding. All three were not wearing seat belts. Product Involved The car did not have air bags. The car did not have seat belts. The car was 10 years old and may have been in poor condition. Physical Environment The road had a sharp turn in it. There was a ditch close to the side of the road. No warning sign posted. It was dark outside. Social and Economic Factors Beer was available in the family home. Danny's brother may not have had enough money to buy a new car with seat belts and air bags. Danny had access to car. Injury researchers collect data to prevent injuries. The TRE(E) of Injury Prevention in your packet shows the three areas of approaching this. Ask for definitions for the three: Technology Inventing better/safer products Regulation Laws for manufacture Education Teaching about dangers and proper use An example would be a child swallowing a parent's medicines. T = Pill bottle manufacturer's making safer containers R = Laws for safety caps E = Teaching parent's/ media campaigns A Homework assignment is to fill in responses on the tree of how Danny's Ride could be prevented using the Injury TRE(E). We will review it next Session. The situation with Danny and his friends involved decisions each of the three boys made. Decision-making is something we are confronted with everyday. Some are made slowly and some quickly - as with Danny and his friends. If your parents seem like they take time to make some decisions it's probably because they learned to think about them longer. Perhaps because they made some too quickly. Can you think of an example you made too quickly? (If time permits) A decision you will all make in the future will be about having children. Many couples take this decision seriously. Do we want to have children? When? How many? Let's take a look at decision-making with this example. Use overhead Decision Tree and ask students to give responses. What Makes Healthy Babies? Let's brainstorm for a few minutes some things you think help a baby before the mother becomes pregnant? during the pregnancy? at the birth of the baby? (below are a few examples- use an overhead to list these) Positive Factors preconceptual care folic acid nutrition early & regular prenatal care genes vitamins prenatal classes avoid harmful substances Harmful Factors substance abuse (male or female) HIV, STD's X-rays smoking alcohol over or underweight 1 caffeine during/day weight gain > 35 pounds When Do Birth Defects Occur? Most are between 2 - 8 weeks after conception when organs and body parts are first developing. Many women do not know they are pregnant at this time. The things we talked about can have already harmed the baby. And if the behaviors (smoking, drugs, poor nutrition) continue during pregnancy, they can make the situation worse. It is important a woman thinking about pregnancy, or who is pregnant, be aware of the risks and seek assistance on health-related behaviors. Now we will look at your other homework assignment: Part 2 of the Health History. This relates to your past health and begins with you as a fetus. Your mothers pregnancy, labor and delivery, and birth. Then you'll look at Developmental Milestones, right up to puberty. Include any illnesses, injuries, and hospitalizations. Next we'll look at your Current Health Status. Check any health concerns you have about your health. Since you have had your height and weight done we will calculate your BMI or Body Mass Index. You have a handout on this and can calculate this based on the Formula BMI = HF X Wt (lb.). Then compare your BMI to the percentile chart for your sex and age. This is not something to be real concerned about since you are all different! These are averages. An athlete may be in a high percentile due to the muscle mass. GUIDED PRACTICE Danny's Ride TRE(E) of Injury Prevention Decision-Making INDEPENDENT PRACTICE TRE(E) of Injury Prevention - apply Danny's Ride Health History Part 2 CLOSURE We covered a lot of content today. The nurses will assist you with any areas of the Health History you have questions. Your parents will help with this also. See you next week!

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