Educating Children with Multiple Disabilities, Fourth Edition
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Chapter ObjectivesKey TermsStudy QuestionsLinks  9: Integrating Health Care and Educational Programs


Study Questions
  1. What steps can teachers take to prevent injuries in their classrooms?

  2. What are universal precautions as related to integrating health procedures in the classroom? How can a student be taught universal precautions?

  3. What can teachers do to be certain that classroom emergency evacuation procedures can be carried out for students who use mobility devices?

  4. How can school personnel be prepared for a wide range of emergencies?

  5. What are some of the most common medical problems of children with severe and multiple disabilities?

  6. What causes nutritional problems? Anemia? What are the signs of a nutritional problem? How can nutritional problems and anemia be treated and prevented?

  7. What causes dehydration? What are the signs of dehydration? How can dehydration be treated and prevented?

  8. What causes skin irritation and pressure sores? What are the signs of skin irritation and pressure sores? How can skin irritation and pressure sores be treated and prevented?

  9. What causes a respiratory infection? What are the signs of a respiratory infection? How can respiratory infections be treated and prevented?

  10. What causes asthma? How prevalent is asthma in children? What are the signs of an asthma attack?

  11. What causes ear infections (otitis media)? What are the signs of an ear infection? How can ear infections be treated and prevented?

  12. What are contractures? How can contactures be prevented or their progress slowed? What can teachers do in the classroom to help prevent contractures?

  13. Which types of medications do students with severe and multiple disabilities commonly take?

  14. Why is it important for teachers to understand the reason for and potential side effects of their students’ medications?

  15. What guidelines should school personnel follow when receiving medications? When storing medications?

  16. What can schools do to ensure proper administration of medications? What specific type of information should be noted about each medication?

  17. What are the “Five Rs” of medicine administration?

  18. What common problems can occur when administering medications?

  19. How can students be taught to participate in the administration of their medications?

  20. According to Irving Independent School District v. Tatro, what criteria, if met, obligate a school to provide health care procedures in school?

  21. Are there national guidelines regarding which health care procedures can be delegated to non-medical school personnel?

  22. What type of information should be covered in a school system’s guidelines for performing health procedures?

  23. What should be covered in health care procedure training?

  24. When might a health care procedure not be delegated (i.e., can only be performed by a nurse or other medical professional)?

  25. What is tube feeding? What are the basic guidelines all personnel should be familiar with to ensure safe and correct tube-feeding management?

  26. What is clean intermittent catheterization (CIC)? What are the basic guidelines all personnel should be familiar with regarding CIC?

  27. What is an individualized health (care) (IHP) plan? What type of information do IHPs contain?

  28. What are the four levels at which a student can be taught a health care procedure? What factors influence the level at which a student is taught?

  29. Using task analyses, how can students be trained to perform their health care procedures?

  30. How do motor or sensory limitations affect students’ school performance? How can teachers address these limitations?

  31. How do communication limitations affect students’ school performance? How can teachers address these limitations?

  32. When determining the content of the communication system, why is it important to consider vocabulary addressing health needs?

  33. How do fatigue and endurance affect students’ school performance? How can teachers address these factors?

  34. How do general health factors affect students’ school performance? How can teachers address these factors?

  35. How do experiential deficits affect students’ school performance? How can teachers remain aware of these deficits?

  36. How does neurocognitive functioning affect students’ school performance? How can teachers address this?

  37. How do psychosocial and environmental factors also affect school performance?

  38. How can team members work together to successfully integrate health care and educational programs?

  39. What types of information regarding a student’s condition(s) can and should be shared among team members?



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