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CHILDREN WITH

CHRONIC
DISEASE
Presenter: Jamaine G. Dominguez
BSIE-HE3A
WHAT IS CHRONIC DISEASE?

 A chronic disease is a condition you can control with treatment


for months. Asthma, diabetes, and depression are common
examples. Often, they don't have a cure, but you can live with
them and manage their symptoms.
ASTHMA
 Asthma is a condition in which your airways narrow and swell and
may produce extra mucus. This can make breathing difficult and
trigger coughing, a whistling sound (wheezing) when you breathe
out and shortness of breath.
 1975 Education for All Handicapped Act (Civil Rights Division, 1990)
mandated free and appropriate public education for all students with
disabilities in the least restrictive and most integrative environment possible.
This policy gives children with disabilities, including children with asthma, the
right to be educated and supported in public schools.
 Schools should have a system for finding and supporting students with asthma.
This system should offer a spectrum of services, including identifying students
with asthma, supervising medication, providing case management, and
educating students and school personnel on appropriate management skills.
 With improved knowledge, teachers should be able to manage the school
children with asthma and deal with emergency medical situations
appropriately. Students who require health care procedures are often found in
the school environment, and their procedures often need to be performed
during school hours.
DIABETES
 Diabetes is a chronic (long-lasting) health condition that affects
how your body turns food into energy. Most of the food you eat is
broken down into sugar (also called glucose) and released into your
bloodstream. When your blood sugar goes up, it signals your
pancreas to release insulin.
 Many studies indicate that there is a link between having the disease and
school achievement. It has been found that children with type I diabetes
demonstrate slightly lower attendance levels lower test scores on visuospatial
related measures , an increase of reported behavioral problems, and slightly
lower intellectual functioning.
 The social and emotional health of the young child is affected by this disease
as well. Studies have shown that de-stygmatizing of chronic diseases like
diabetes assist children in building and maintaining peer relationships that are
seen as helpful and supportive in diabetes care.
 It is suggested that the classroom teacher educate the children in the class as to
the nature and treatment of the disease in an effort to make peers comfortable
and more willing to support the child socially and emotionally
  it is illegal for schools and/or day care centers to discriminate against children
with disabilities.
 In addition, any school that receives federal funding or any facility considered
open to the public must reasonably accommodate the special needs of children
with diabetes. Indeed, federal law requires an individualized assessment of any
child with diabetes. The required accommodations should be provided within
the child’s usual school setting with as little disruption to the school’s and the
child’s routine as possible and allowing the child full participation in all school
activities.
 To facilitate the appropriate care of the student with diabetes, school and day
care personnel must have an understanding of diabetes and must be trained in
its management and in the treatment of diabetes emergencies.
EPILEPSY
 Epilepsy is a disorder of the brain characterized by
repeated seizures. A seizure is usually defined as a sudden
alteration of behavior due to a temporary change in the
electrical functioning of the brain.
WHAT ARE THE RIGHTS OF PERSONS WITH EPILEPSY TO
ACCESS INCLUSIVE EDUCATION? SECTION 5 OF THE SA
SCHOOLS ACT (1996) AS AMENDED
 A public school must admit learners and serve their educational requirements
without unfairly discriminating in any way.
 If an application for admission is refused, the Head of Department must inform
the parent in writing of such refusal and the reason.
 Any learner or parent of a learner refused admission to a public school may
appeal against the decision to the Member of the Executive Council.
WHAT IS NEEDED TO MAKE
INCLUSIVE EDUCATION
WORK?
 Full commitment to the philosophy of inclusion.
 A culture of caring and respect towards every person in the school.
 Creative and flexible teachers.
 A team of social needs advisors able to support specific schools and teachers as required.
 Parents who participate and are actively involved.
 A flexible curriculum that meets the needs of all children.
 Assessments that focus on the strengths and specific needs of children with epilepsy rather
than their disability or perceived deficiencies.
ALLERGY
 Allergy occurs when a person reacts to substances in the
environment that are harmless to most people. These substances are
known as allergens and are found in dust mites, pets, pollen,
insects, ticks, moulds, foods and some medications.
 Anaphylaxis – the most severe form of allergic reaction, often affecting
several parts of the body, including the respiratory system and/or the
cardiovascular system.
Review your enrolment policies and procedures
 Plan to gather information and keep it up-to-date.
Review your incident response register and procedures
 Schools and early learning services must report, record and investigate all
incidents, and identify any trends to their health and safety rep and WorkSafe
where appropriate.
Legal Requirements
 WorkSafe NZ must be notified when work-related incidents/events occur.
 Record and investigate all allergic reactions, whether mild or severe, that
require medication and teacher time/attention.
DEVELOP ALLERGY-AWARE
ENVIRONMENTS
 Knowing how people with food allergies need to take care of themselves enables everyone to
share the responsibility.
 This involves teamwork and a combination of awareness, avoidance measures, and
medication.
Value whānau expertise
 Attitudes to allergies will differ across and within communities, families, and cultural groups.

Food bans
 Banning food is not recommended.
PROVIDE PROFESSIONAL LEARNING
FOR ALL STAFF
 Ongoing professional development strengthens knowledge, skills,
attitudes and systems.
 Identify staff needs
 Public health nurses provide training
 Display emergency instructions
 
REFERENCES:
https://www.inclusive.tki.org.nz/guides/allergies-and-learning/
https://corescholar.libraries.wright.edu/cgi/viewcontent.cgi?article=1081&context=ejie
https://epilepsy.org.za/new/uploads/files/Epilepsy-information-2017/Epilepsy%20Inclusion%20
and%20Education.pdf
https://www.inclusive.tki.org.nz/guides/asthma-and-learning/

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