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Related Services, SCHOOL NURSE UNDER IDEA, SECTION 504, Counseling -…

- - - - The physical therapy differs from standard physical therapy. IT is not taking place in an outpatient area of hospital. The focus of the therapy is also different. In a standard physical therapy session, the aim is to improve their physical impairments or clinical deficits.
        
        School based physical therapy is not meant to replace therapeutic physical therapy. It is there only to provide the student with the best way to access their education.
    - - Physical therapy may only be offered in specific situations. A child who would NOT qualify for physical therapy for example would be a child with mild motor delay skills. Although they have problems and may not be able to skip or jump, they are still able to contribute in gym class. Furthermore, they can get to and from their classroom with any issue and work in the classroom with out a problem. Due to this, they would NOT qualify.
        
        A student who would qualify is someone who is struggling to navigate the school. A child who is in danger of causing harm to themselves by falling over, bumping into something while they move. The student may also need help to get in and out of their seat in the classroom or to reach certain materials.
        
        A student who has low muscle tone or muscle weakness would also qualify. This would result in the student being unable to be seated in the chair or have difficulty maintaining an upright posture.
      - According to federal law, every child is entitled to have the best means possible to help them succeed in the classroom. The benefit of physical therapy is that it allows them to participate fully in the school.
      - What is the process of a student getting a physical therapist?
        
        If the student is struggling in the classroom or school, they can be recommended for physical therapy. They can recommended by a number of the stake holders.
        
        The people who can recommend are a teacher, caregiver, teacher or member of staff. If the Childs pediatrician recommends physical therapy, then that may also accepted.
        
        Once a child has been deemed to be potentially in need of physical therapy then they will go through a screening process. The screening process could include a variety of members o f the school healthcare professionals. The social worker, school psychologist and physical therapist. The physical therapy will be part of their IEP. They will have goals set and will have frequent check ins to see how the child is progressing.
        
        What happens in a typical physical therapy session?
        
        Physical therapy can be either push in or pull out sessions.
        
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- - - - What is PET THERAPY
        
        Pet therapy is a guided interaction between a person and a trained animal. It also involves the animal’s handler. The purpose of pet therapy is to help someone recover from or cope with a health problem or mental disorder.
        
        Pet therapy is also referred to as animal-assisted therapy (AAT). AAT is sometimes confused with animal-assisted activities (AAA). AAT is a formal, structured set of sessions that helps people reach specific goals in their treatment. AAA involves more casual meetings in which an animal and its handler interact with one or more people for comfort or recreation.
        
        Benefits from Pet Therapy
        
        Pet therapy builds on the pre-existing human-animal bond. Interacting with a friendly pet can help many physical and mental issues. It can help reduce blood pressure and improve overall cardiovascular health. It can also release endorphins that produce a calming effect. This can help alleviate pain, reduce stress, and improve your overall psychological state.
        
        The goals of a pet therapy program can include:
        
        improving motor skills and joint movement
        
        improving assisted or independent movement
        
        increasing self-esteem
        
        increasing verbal communication
        
        developing social skills
        
        increasing willingness to join in activities
        
        improving interactions with others
        
        motivating willingness to exercise
        
        Other benefits of pet therapy include:
        
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        Pet therapy can be used in many different ways. Defined objectives are an important part of therapy, and your progress will be recorded and tracked at structured sessions.
        
        WHO should consider Pet Therapy
        
        Pet Therapy can be useful for
        
        people undergoing chemotherapy
        
        residents in long-term care facilities
        
        people hospitalized with chronic heart failure
        
        veterans with post-traumatic stress disorder
        
        children having physical or dental procedures
        
        stroke victims and people undergoing physical therapy to regain motor skills
        
        people with mental health disorders
        
        Before an animal and its handler can participate in pet therapy, the team has to fulfill certain requirements. This process typically includes:
        
        a physical examination of the animal to confirm that it’s immunized and free of diseases
        
        an obedience training course to ensure proper animal control
        
        an instructional course to teach the trainer about interaction with other people
        
        an evaluation of the animal’s temperament and behavior with the handler
        
        a certification from the sponsoring organization
        
        How is Pet Therapy administered
- - - - Developing IHPs and EAPs based on nursing assessments
        
        Recommending health-related accommodations or services that may be required for the student to access the educational program
        
        Assisting students, parent(s)/guardians, and teachers to identify and remove health-related barriers to learning
        
        Providing in-service training for teachers and staff regarding the individual health needs of the student
        
        Training and supervising unlicensed assistive personnel to provide specialized healthcare services in the school setting according to state delegation guidelines
        
        Participating in transition planning, including promotion of successful post-school employment and/or education, and transition of medical care
        
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  - - - CONCLUSION
        
        The school nurse is the recognized healthcare expert in the school setting. School nurses have the unique knowledge and experience essential to evaluate the health of students in order to identify health-related barriers to learning and the accommodations necessary to provide access to education. School nurses work collaboratively with other team members to identify, evaluate, and develop plans for students in need of services. School nurses should be involved in and present at all meetings where an IEP and/or Section 504 plan related to a student’s health condition is being discussed and developed. School nurses are integral to ensuring the civil rights of all students so that they can achieve optimal success and well-being at school
  - - - The school nurse may also conduct his/her own assessment of the student’s needs and the results would be included in the Summary of Evaluation Results (DEC 3). As appropriate, the school nurse can help the team consider and/or describe medical needs and concerns as they develop various sections of the Individualized Education Program (IEP):
        
        Student profile
        
        Consideration of transitions
        
        Consideration of special factors
        
        The student’s present level of academic and functional performance
        
        Annual goals
        
        Benchmarks/short-term objectives
        
        and in other areas
    - - The school nurse may be responsible for addressing health-related goals themselves, or integrating school nursing services to address other student goals. The school nurse would monitor and report on the student’s progress on the relevant IEP goals as specified on the student’s IEP.
    - - They can help plan for potential health issues such as seizures, asthma attacks, allergic reactions, etc. so that school staff know who will do what, when and where, identifying both response and prevention activities when possible.
        
        It is extremely important for significant medical and health needs be clearly and thoroughly documented on an IHP, IEP or 504 Plan and also communicated to those who will be working closely with the student
        
        Updated information from the student’s medical provider(s) is periodically needed to keep the records and plans current and appropriate. Parents, teachers, administrators and school nurses should work as a team to ensure that children with special medical or health needs can remain safe and ready to learn.
- - - - Although there are a variety of things a counselor may be required to do, the top 5 things according to Studer and Quigney (2003) are as follows: 1. Provide individual counseling
        
        Meeting with admin and supervisors to provide information about supporting special needs students.
        
        Utilizing conflict and resolution skills to help reduce conflicts involving certain students.
        
        Scheduling classes, programs and services that may be of benefit to the students.
        
        Offer career and education counseling.
        
        The Counselor needs to follow the standards of the American School Counselor National Standards for Students.
  - - - What do these services do?
        
        Counseling services are intended to help all children in areas of academic achievement, developing self knowledge, making effective decisions and helping them improve their responsibility and maturity.
    - - A student who needs counseling may present themselves in a variety of ways.
        
        Student who are not being social, stuggling to finish homework, frequently late to class, having difficulty form friendships may be recommended to have counseling. These student may require one to one counseling to help them achieve a better state of mind.
        
        Student who are in elementary school and are low on confidence, possibly due to their disability may also be referred for counseling. They may need help with learning strategies or self-management. This could be done in a small group or the student could be given strategies to help them succeed in the classroom.
      - What are examples of a counseling session?
        
        There can different types of conuseling sessions. These will vary depending on the need of the student. The main goal can be academic, social/behavior or career.
        
        Guidance Curriculum
        
        Guidance curriculum would have lessons that follow the standards the are being taught in the classroom. The goals would be to help the student with their knowledge acquisition and application of the knowledge that they are learning in the classroom. Thee would in small/large group and be the least intensive for of counseling.
        
        Responsive services
        
        These services are for students who need to have urgent matters addressed. This would be to teach student skills to help them overcome their learning difficulties. This would be in a one to one setting. The counselor would help the student develop confidence and motivation. In this type of situation, the student may need help I controlling their feelings and understanding the feelings of others.
        
        Individual planning/system support
        
        This would involve the student working less on the standards that are followed in the classroom.
        
        Counseling seesions should generally not be longer than 20-30 minutes. There needs to be clear guidelines from the start.
        The counseling session should always have a clear goal that the student is told about before the session starts. It should also take place in an environment that is free of distractions. There should be a variety if manipulative and sensory toys/equipment available to the student depending on their needs.