1. ©2016 Cengage Learning. All Rights Reserved. Chapter Thirteen: Providing for Special Health Care Needs  Researching Findings and Need for Health Policies for Children with Chronic Health Conditions  Children with chronic health conditions such as asthma, diabetes, and pre-diabetes  Using a team approach with parents, medical providers, and teachers  At LEAST one staff on shift every day who is certified in CPR and First Aid

2. Children with Chronic Health Conditions Chronic illness - illness that is long term and not curable Chronic illnesses or conditions: Affect as many as 1 in 4 children under age of 18 years 4 times as many children with chronic illnesses than 30 years ago ©2016 Cengage Learning. All Rights Reserved.

3. Chronic health conditions Most children with a medical diagnosis of "Chronic health conditions" will qualify for special education services if it impacts their learning. Their educational diagnosis would be "Other Health Condition" 2 qualifiers: Must have a chronic health condition The child's education must be significantly affected The most common Chronic Health Conditions are asthma, seizures, diabetes, and ADHD ©2016 Cengage Learning. All Rights Reserved.

4. Reality Check: Autism Spectrum Disorder  What is the controversy over autism and vaccinations?  List the two major indicators of autism. ©2016 Cengage Learning. All Rights Reserved.

5. Children with Chronic Health Conditions Allergies Def. - Heightened response to substance Occurs when a person is exposed to a substance that triggers a reaction. Triggers can be pollen, grass, trees, mold, dust, fur, feathers, More than 1 in 10 children have allergies Know the signs of a reaction and have an allergy plan ready. If the child needs an Epi-Pen, ensure the medication is at school and a permission form is signed. ©2016 Cengage Learning. All Rights Reserved.

6. Children with Chronic Health Conditions  Asthma  Def. - Narrowing of the small airways in the lungs. The muscles tighten, and resulting in difficulty breathing  Most common chronic health condition among children  Environmental factors can trigger an asthma attack such as household products, weather conditions, activity level  Signs are increased breathing, irritable, listless, rapid speech, fever, wheezing, coughing, spitting up mucus ©2016 Cengage Learning. All Rights Reserved.

7. Children with Chronic Health Conditions Attention Deficit Hyperactivity Disorder (ADHD) Inattention and/or combination of hyperactivity and impulsive behaviors 11% of children between 4-17 in U.S. have ADHD ADHD may be caused by neural connections and brain chemistry. - Exact cause is unknown. Signs: impulsive, easily distracted, appear not to listen, struggle to follow through with directions, difficulty with transitioning between activities, hard to wait and sit still ©2016 Cengage Learning. All Rights Reserved.

8. Children with Chronic Health Conditions Diabetes Mellitus Insulin not produced at rate body needs and the body cannot absorb sugar Type I = insulin dependent, also called Juvenile Onset Type II - not insulin dependent Must control food intake, blood sugar levels, and exercise One of the most common chronic diseases of children Signs of low blood sugar: disorientation, confusion, dissiness, excessive sweating, excessive thurst, sudden hunger ©2016 Cengage Learning. All Rights Reserved.

9. Children with Chronic Health Conditions Seizure Disorders Neurological condition where there is over activity of electrical impulses in the brain 1 in every hundred people in U.S. have this condition Seizure disorders can result from head injuries, infections, high fevers, lead poisoning, or genetics Signs: dazed behavior, disorientation, falling, rapid eye movement, drooling, involuntary movements Partial seizures - only effect one side of the brain Generalized seizures - effect most or all of the brain ©2016 Cengage Learning. All Rights Reserved.

10. Using a Team Approach Individualized Family Service Plan (IFSP) For children age 0-3 Provides for an organized goal and delivery of services One person designated coordinator or contact person regarding progress Based on the specific needs of the child All people in plan should share information Needed training should be provided Family is involved in the services Services can take place in the home, community, or early childhood program ©2016 Cengage Learning. All Rights Reserved.

11. Using a Team Approach Individualized Education Program (IEP) Children age 3-21 Local school district coordinates Services are for the student only Services only take place in the educational setting Guarantees every child a right to a Free and Public Education (FAPE) ©2016 Cengage Learning. All Rights Reserved.

12. Using a Team Approach Supporting the Child with Chronic Health Conditions Meet with team Access resources Connect with families and understand the cultural differences - communication is KEY! Understand the needs and strengths of the child ©2016 Cengage Learning. All Rights Reserved.

13. Using a Team Approach Cultural Differences Understand what are the main concerns of the family for the child Understand perspectives of family and your own perspective ©2016 Cengage Learning. All Rights Reserved.

14. Reality Check: Helping Vulnerable Children to Become Resilient List 5 things that foster resiliency in a child. ©2016 Cengage Learning. All Rights Reserved.

15. Optimizing Health in Early Childhood Education Environments  Child Care Health Consultant – Public health nurse, nurse practitioner or other health professional – Should have specialized training for early childhood health issues – Consult to help to maximize a healthy and safe environment – Review specific health needs – Perform on site assessments and training for teachers and families  Each child has a "medical home" – Medical Home - a primary doctor who gives regular medical care Lack of insurance is a barrier to establishing a medical home ©2016 Cengage Learning. All Rights Reserved.

16. Supporting and Engaging Diverse Families Engaging Diverse Families Need to work as a team, encourage visits to the classroom Have orientation meeting Use good role modeling Elicit cooperation Help with access to health care Solve any communication difficulties Use a communication notebook Provide parenting information Translate all info to home language ©2016 Cengage Learning. All Rights Reserved.

17. Building Curriculum For Children Inclusion Talk with children about chronic health conditions Use community helpers Books Dramatic play – Dr. kit, etc. ©2016 Cengage Learning. All Rights Reserved.