Hygiene Issue

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How is the body odor/ hygiene issue typically handled in your (elementary) schools?? By the nurse or classroom teacher? Any tips for handling a situation without confronting or offending the student/parents? Thanks!

I do not police body odor. If it were causing an issue with peers teasing or something then I would probably talk with parents but otherwise, I do not.

Specializes in Pedi.

In my school, body odor it is handled by our adjustment counselor. It is looked at more as a social issue, rather than a medical issue. There have been a couple of times where a teacher has asked me to come speak to her class regarding hygiene in general, but I don't deal with specific cases.

Specializes in Pediatrics Retired.

No where in our school policy does it prohibit a child from stinking at school. On the elementary level, those that are most offended are the teachers..... but if a student is being made fun of by other students the counselor intervenes.

I have deoderant for the kids, but only if they ask.

Specializes in School nursing.
I have deoderant for the kids, but only if they ask.

Ditto.

If a particular student is having an issue with hygiene, generally the teacher will let me or the counselor know, and we will do what we can to help the child get cleaned up. (Wipes in bathroom, clean clothes,etc.) I follow up with a call home to a parent, which is generally uncomfortable to discuss, but necessary. Some children can be picked on if they have an offensive body odor. It's not fair to the child to not address it in a gentle, caring way. I had one student this year that must have worn the same clothes for 4 days and had that very strong "old urine" odor. (Probably slept in his clothes and peed the bed.) Poor kid. This is neglect, IMO. In a couple cases, we have had to involve DCFS, (It was really bad.)

So yes, I do address it. But I really try to be tactful.

In our classroom, there was a student that the teacher and aides talked about for having poor hygiene, even to incorporating fecal incontinence (moderate to severe developmentally delayed/not out of diapers). While they complained, nothing was ever done. When mother would come to the classroom, they would make comments when she departed. The consensus was that the parents would not be open to constructive criticism, so everyone left it alone.

Such a touchy conversation. But sometimes it has to be done and I am the one doing it. Usually 4th & 5th graders. I remind students they are responsible for themselves. I always ask if they have the supplies needed to clean and fresh if they didn't I would find a way to make sure the student could get them. Washing the clothes is an issue in which I don't have an answer. Most of the students don't have access to a washing machine and their clothes only get washed once a week. usually if thats the case I try to get a used uniform so at least they have a spare set.

In my elementary school they send everything to the clinic. Teachers tell me that having an accident in their pants and every other issue even sometimes behavior is a medical issue, they do not want to be bothered with anything even the special ed teachers and administration want me to deal with the parents. It is so frustrating some days I just tell the parents that so and so wanted me to call you.

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