Educating Children with Multiple Disabilities, Fourth Edition
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Chapter ObjectivesKey TermsStudy QuestionsLinks  8: Children with Special Health Care Needs


Study Questions
  1. What is a communicable disease? What are some common examples?

  2. Why are communicable diseases of particular concern for children with severe and multiple disabilities?

  3. What factors may cause a child to have increased vulnerability to communicable diseases?

  4. What can professionals working with children with severe and multiple disabilities do to protect the children they serve and themselves from the spread of communicable diseases?

  5. What residential, educational, and sanitation issues may cause increased risk for communicable disease among children with severe and multiple disabilities?

  6. Why might a student not receive all standard vaccinations? What other precautions can be taken in this case?

  7. Why is it important for parents to inform teachers when their child is vaccinated?

  8. What role can teachers and other program staff play in the detection and treatment of communicable diseases?

  9. What are the three basic categories of risk requiring three different approaches to immunization?

  10. What is key to the control of common epidemics (e.g., lice, scabies) in the school?

  11. What health conditions can make a child more vulnerable to becoming infected by a communicable disease and experiencing more severe symptoms?

  12. Why and how should the educational and social advantages of inclusion be balanced against the potential health advantages of isolation?

  13. What are seizures? What is epilepsy?

  14. What are common causes of epilepsy?

  15. What is the basic mechanism of a seizure?

  16. According to ILAE classification, how are seizures grouped?

  17. When a seizure occurs, why is it better for the teacher to only observe and describe the seizure behavior, rather than try to label the seizure?

  18. What are some tools currently used to diagnose seizure disorders?

  19. What are some symptoms of a simple partial seizure?

  20. What are some symptoms of a complex partial seizure (CPS)

  21. How are primary and secondary generalized seizures different?

  22. What is seizure management?

  23. What are some tips for seizure prevention?

  24. What are some tips for protecting the child in case of a seizure?

  25. What types of first-aid measures may be required during or following a seizure?

  26. How is epilepsy commonly treated?

  27. How can epilepsy affect learning and behavior?

  28. What are some social implications of epilepsy?

  29. What is the role of the collaborative team in seizure management?

  30. Why are children and adults with mental retardation a high-risk group for emotional and behavioral difficulties?

  31. What might it be more difficult to diagnose mental disorders among children with severe and multiple disabilities?

  32. What are some screening and diagnostic instruments that have been developed for detecting mental illness in children and adults with mental retardation?

  33. What clinical phenomena specific to mental illness in mental retardation can help in diagnosis?

  34. What is diagnostic overshadowing?

  35. What four factors may influence the diagnosis of mental illness in mental retardation?

  36. What are the four major categories of SIB?

  37. What causes of SIB?

  38. Is SIB restricted to people with mental retardation?

  39. When designing a management plan for a person with SIB, what three factors should be considered?

  40. What types of interventions are used with SIB?

  41. What are some problems/risks associated with the use of restraints to manage SIB?

  42. What are some common classroom emergencies?

  43. What are some general strategies teachers and schools can use to prepare for and deal with classroom emergencies?

  44. Why are many children with severe and multiple disabilities at increased risk for choking/airway obstruction?

  45. How can choking/airway obstruction be prevented? What are signs and symptoms of choking/airway obstruction? How can choking/airway obstruction be treated?

  46. What are common signs of a concussion? How can a brain injury be treated?

  47. What poisonous materials are commonly found in schools? What prevention efforts should be practiced to avoid poisoning? What type of information should be noted in case of poisoning?

  48. What should be done in cases of external bleeding?

  49. What is the estimated prevalence of child abuse and neglect? How do these rates differ between children with and without disabilities?

  50. How are abuse and/or neglect related to disability and development problems?

  51. What factors may contribute to abuse and/or neglect?

  52. Why is it believed that children with disabilities are at higher risk for abuse? What is the multifactorial model of abuse?

  53. Why might instances of abuse be underdetected and underreported?

  54. What are some means of preventing abuse?

  55. What are some specific provisions in legislation that may serve as useful deterrents to abuse?

  56. What are some interventions used with victims of abuse?

  57. What is the collaborative team’s role in abuse detection and prevention?



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