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Healthy food cannot be imposed from the top down, or students will see junk food as 'forbidden fruit.' Students must be solicited for their input in creating new cafeteria menus. They can work to formulate substitutions for traditional fundraisers like on-premises vending machines and selling candy bars. Staging a 'recipe contest' for different healthy recipes city-wide, with rewards for the school of the winner, might be one way to show students that eating healthier is a struggle they must engage in, alongside adults. Students must be encouraged to engage in healthy eating and weight loss strategies to facilitate their own health or they will use junk food and circumventing PE classes as a means of rebellion.
Source: Bruce, Emily. (2010) Dorothea Orem's Theory of Self-Care. PowerPoint. Retrieved February 12, 2010 at www.nipissingu.ca/faculty/arohap/.../DorotheaOremTheory.pp
Increase data about students: Parents naturally fear that keeping track of students' BMI and screening children for diabetes will stigmatize their sons and daughters. Parents must be encouraged to see this data-tracking program as wellness promotion. Ideally, the parent should be included in the process of assembling data to ensure that the data is not used against the student, but as a method of health promotion and caring.
Many...
In line with the ideals of Transcultural nursing, the school must understand that suggesting dietary changes and promoting the notion that overweight does not necessarily equal health may be a profound challenge to many parent's cultural norms. The school must engage in parent conferences and discussions as part of its data tracking, and not simply send home a note informing the parent that a child is overweight or obese.
Source: Transcultural nursing. (2009, June 1). Nursing Theories. Retrieved February 12, 2010.
http://currentnursing.com/nursing_theory/transcultural_nursing.htm#ECONOMIC%20BARRIERS
Quantitative measurements
Student BMI
Number of vending machines in schools
Nutritional breakdown of cafeteria meals
Availability of low-nutrition density foods in school
Conclusion
While the state of Virginia and the city of Richmond have already made notable strides in the fight against obesity, the battle is far from over. The city must set new goals, solidify its gains, and also recruit both students and parents in a supportive strategy to modify students' diets.
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