phb-porter-all.indb

Supporting Students with Special Health Care Needs

Guidelines and Procedures for Schools

Third Edition

edited by Stephanie M. Porter, M.S.N., RN Patricia A. Branowicki, M.S., RN, NEA-BC, FAAN and Judith S. Palfrey, M.D.

Contents

  1. Children and Youth Assisted by Medical Technology in Educational Settings

    • Caring for Children with Special Health Care Needs in Schools and the Community ... 3
    • Care Coordination for the Child Assisted by Medical Technology ... 6
    • Psychosocial Issues in Caring for the Child Assisted by Medical Technology ... 10
    • Children Assisted by Medical Technology in the School Setting ... 11
    • Summary ... 13
    • References ... 14

  2. Creating a Positive School Experience: Perspectives from the Team ... 17

    • Who Are the Students Assisted by Medical Technology? ... 18
    • The Complex Needs of Students Who Use Medical Technology ... 19
    • Meeting Social and Emotional Needs in the School Setting ... 22
    • The School Experience for Students Who Are Assisted by Medical Technology and Their Classmates ... 24
    • Building Comprehensive and Positive School Teams ... 27
    • Summary ... 35
    • References ... 36
    • Suggested Resources ... 36

  3. Legal Issues in the Education of Students with Special Health Care Needs ... 37

    • Individuals with Disabilities Education Act ... 37
    • Provisions of the Individuals with Disabilities Education Act ... 38
    • An Introduction to Case Law and the Judicial System ... 46
    • Rehabilitation Act of 1973 (Public Law 93-112), Section 504 ... 49

... (continue listing contents as necessary)

Tube Feeding

Gastrointestinal System Structure and Function

The gastrointestinal system breaks down food into basic nutrients that can feed the cells of the body.

Procedure for gastrostomy tube feeding: gravity bolus method

Procedure
1. Wash hands.
2. Assemble equipment: formula at room temperature, 60-mL/cc catheter-tipped syringe, clamp or cap for end of tube, water (if prescribed), gloves.
3. Explain the procedure to the student.
4. Position student.
5. Wash hands and put on gloves.
6. Unclamp the tubing and check residuals (if ordered).
7. Clamp tubing and disconnect the syringe.
8. Pour feeding fluid into syringe and allow to flow in by gravity.
9. When feeding is completed, pour prescribed amount of water into syringe and flush tubing.
10. Clamp tubing, remove barrel of syringe, and reinsert cap into end of tubing.
11. Document feeding and residual amounts on log sheet.

Possible Problems that Require Immediate Attention

Observations Reason/action
Facial color changes/breathing difficulty This may be due to aspiration of feeding into lungs. Stop feeding immediately.

Possible Problems that are Not Emergencies

Observations Reason/action
Nausea and/or cramping Check rate of feeding-it may need to be decreased.

... (continue with other sections and procedures as necessary)

Disclaimer

The recommendations contained in this manual reflect the best and most current medical, nursing, and educational advice.