hemophilia and school developing an individualized healthcare plan ihp
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Hemophilia and School:  Developing an Individualized Healthcare Plan (IHP). Ideal Setting. Collaboration School Parent Medical Team. School Issues. Frequent absences Hard to catch up Decreased peer support Activity restrictions No contact sports

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ideal setting
Ideal Setting
  • Collaboration
    • School
    • Parent
    • Medical Team
school issues
School Issues
  • Frequent absences
    • Hard to catch up
    • Decreased peer support
  • Activity restrictions
    • No contact sports
    • Immobilization during bleeding episodes
  • Pain
    • Chronic/acute
    • Medication side effects
  • Infectious diseases
medical management at school
Medical Management at School
  • Acute management
    • Factor replacement
    • Joint support
    • R.I.C.E.
    • Pain medications
      • Tylenol
      • Narcotics
      • NASIDS
medical management at school5
Medical Management at School
  • Subacute management
    • Exercise
    • Education
    • Counseling
individualized healthcare plan
Individualized Healthcare Plan
  • History
    • Type/severity
    • Bleeding patterns
    • Hemophilia Treatment Center (HTC)
    • Medical Plan
      • Treatment Plan
      • Student’s participation
    • Past attendance patterns
    • Participation
      • Activities
      • PE
      • Other sports
individualized healthcare plan7
Individualized Healthcare Plan
  • Assessment
    • Knowledge/perception about hemophilia
      • School
      • Student/family
    • Students ability to do self care
    • Motivation for self care
    • Barriers
    • Health Status
    • Environmental Assessment
individualized healthcare plan8
Individualized Healthcare Plan
  • Nursing Diagnosis
    • Potential for injury related to factor deficiency
    • Potential for alteration in comfort
    • Potential for alteration in mobility
    • Knowledge deficit related to disease/management
    • Potential for noncompliance
    • Potential for alteration in student role
individualized healthcare plan9
Individualized Healthcare Plan
  • Goals
    • Prevent injuries/safety measures
      • Not always able to prevent bleeds
    • Develop emergency plan
    • Comply with medical treatment
      • Prevention
      • Treatment
    • Good decision making
    • Good attendance
    • Maximum participation
individualized healthcare plan10
Individualized Healthcare Plan
  • Nursing Interventions
    • Environmental assessment to prevent injury
    • Safety measures
    • Emergency plans for bleeding episodes at school
    • Adequate knowledge of medications and side effects
      • Appropriate authorizations
    • Obtain needed equipment/supplies
individualized healthcare plan11
Individualized Healthcare Plan
  • Nursing interventions
    • Keep accurate records
    • Discuss bleeding prevention with staff
    • Inservices as needed
    • Provide/coordinate health education opportunities
    • Choose and implement motivators to compliance
      • Remove barriers
    • Monitor attendance patterns/academic performance
individualized healthcare plan12
Individualized Healthcare Plan
  • Outcomes
    • The student will:
      • Describe disease and treatment
      • Identify healthy lifestyle decisions
      • Take appropriate safety measures/protective equipment
      • Maintain good attendance
      • Be a normal kid!
individualized healthcare plan13
Individualized Healthcare Plan
  • History
  • Assessment
  • Nursing Diagnosis
  • Goals
  • Nursing intervention
  • Outcome
the school nurse s source book of individualized healthcare plans

The School Nurse’s Source Book of Individualized Healthcare Plans

M.J. Gerber et al. Vol 1, Sunrise River Press

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