Providing Education to Students With Complex Health Care Needs

Lehr, Donna H.

doi:10.17161/fec.v22i7.7523

Cited by 2 publications

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“…Students with complex health care needs do not demonstrate a common set of learner characteristics. The group includes students with average or above-average intellectual abilities; but others have accompanying handicapping conditions such as mental retardation or significant neuromotor disabilities (Lehr & Noonan, 1989).…”

Section: Characteristics Of Students With Complex Health Care Needsmentioning

confidence: 99%

“…No federal guidelines exist, nor are there comprehensive models demonstrating the best practices. Consequently, program administrators are making difficult case-by-case decisions regarding how to serve such children (Lehr & Noonan, 1989). Issues being addressed include:…”

Section: Issues In Providing Education To Students With Complex Healtmentioning

confidence: 99%

“…birth did not survive long enough to become students as they are doing now (Lehr & Noonan, 1989). Now, although they may survive, it is often with continued disabilities, sometimes very severe.…”

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Providing Education to Students With Complex Health Care Needs

Lehr¹

2018

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Ever since enactment of the• Education for All Handicapped Children Act (PL 94-142) in 1975, school districts have been opening their doors to students who pose greater and greater challenges to their teachers and administrators. The newest challenge is that of providing education to students with complex health care needs (Sirvis, 1988; Viadero, 1987). There has been a long tradition of providing education to students with chronic illnesses such as diabetes, asthma, spina bifida, sickle cell anemia, hemophilia, cystic fibrosis, and muscular dystrophy (cf. Hobbs, Perrin & Ireys, 1985; Kleinberg, 1982). But typically when those students' conditions progressed to the point that they needed health care services such as catheterization, respiratory therapy, tube feeding ventilation or oxygen, they were hospitalized or remained at home and did not attend school. The school(s) usually made adjustments for their absences or provided home or hospital instruction until their condition improved. Now students are not automatically removed from schools for prolonged periods when they need complex health care services. After their medical conditions stabilize, students with chronic illnesses or other complex health care needs requiring specialized, skilled care, and possibly medical technology to support them, are coming to today's schools. Schools may have to take measures to ensure that serious communicable diseases are not spread within the school. The special needs student may require apnea monitoring, tube feeding, mechanical or machine suctioning, mechanical ventilation, oxygen; or other health care that is different, and often much more complex, than the schools typically have provided in the past. Kathy, an 8-year-old student, is an example of such a child currently attending a public school. She was a healthy, normally developing child until age 2, when she wandered out of the family's summer cottage and found her way to the lake, where she nearly drowned. Kathy was in a coma for 4 weeks. Upon discharge from the hospital after regaining consciousness, Kathy was no longer able to walk, talk, or eat by herself. Kathy has difficulty swallowing and coughing-processes necessary to deal with food and saliva present in her mouth and throat. Consequently, Kathy cannot eat food by mouth, but instead is fed through a tube that enters directly into her stomach. Because she is unable to deal with the build-up of saliva and mucus in her mouth and throat, especially when she gets a cold, those fluids must be removed frequently by use of a suctioning machine. The machine has a long tube that is inserted into her mouth, and into her throat, when necessary, to remove the ~excessive fluid.

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Section: Characteristics Of Students With Complex Health Care Needsmentioning

confidence: 99%

Section: Issues In Providing Education To Students With Complex Healtmentioning

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Providing Education to Students With Complex Health Care Needs

Lehr¹

2018

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“…Over time, there has also been an increase in the number of Collaboration 22 students who require medical procedures during the school day. Such procedures include tube feedings, ventilator and oxygen management, catherization, and the administration of medication (Heller, Fredrick, Best, Dykes & Tucker-Cohen, 2000;Heller, Fredricks, & Rithmire, 1997;Lehr, 1990;Mulligan-Ault, Guess, Struth, & Thompson, 1988). As students with severe and multiple disabilities are increasingly integrated and included into education programs, the need for collaboration between the education and allied health professions has become more apparent and necessary (Hunt, Hirose-Hatae, Maier, & Goetz, 2001).…”

Section: Collaboration Among Special Educators and Related Services Pmentioning

confidence: 99%

An exploration of interdisciplinary collaboration when serving students with moderate and severe disabilities at the middle and high school levels: A current snapshot of perceived barriers and opportunities

Brannan¹

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Providing Education to Students With Complex Health Care Needs

Cited by 2 publications

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Providing Education to Students With Complex Health Care Needs

Providing Education to Students With Complex Health Care Needs

An exploration of interdisciplinary collaboration when serving students with moderate and severe disabilities at the middle and high school levels: A current snapshot of perceived barriers and opportunities

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