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Encompasses a range of conditions that include having limited

strength, vitality, or alertness, including a heightened alertness to
environmental stimuli, that results in limited alertness with
respect to the educational environment, that— (a) is due to

chronic or acute health problems such as asthma, attention
deficit disorder or attention deficit hyperactivity disorder,
diabetes, epilepsy, a heart condition, hemophilia, lead poisoning,
leukemia, nephritis [a kidney disorder], rheumatic fever, sickle
cell anemia, and Tourette syndrome; and (b) adversely affects a

child’s educational performance. - IDEA

ADD and ADHD, Diabetes, Epilepsy, Heart Conditions, Hemophilia, Lead Poisoning,
Leukemia, Nephritis, Rheumatic Fever, Sickle Cell Anemia, Tourette Syndrome, Fetal
Alcohol Syndrome, Bipolar Disorder, Dysphagia, At-risk, Asthma

Asthma is a condition in which your airways narrow and
swell and produce extra mucus. This can make
Asthma Characteristics
- Medications may lead to irritability and cognitive
breathing difficult and trigger coughing, wheezing and
shortness of breath.
- Continual monitoring required

Student's Challenges - Students may need to take frequent trips to the nurse’s
office or store inhalers inside the classroom.
Absence - Attacks can be life threatening. 
- Potential to miss class time due to illness.
- Causes the student to catch up to the rest of the class Teacher Recommendations
- In 2008, asthma accounted for an estimated 14.4
- Positive family-school relationship(nurse/teacher/ -
million lost days of school among children nationally
- Anxiety can accompany Asthma
- Know the Diabetes Medical Management Plan (DMMP)
- Causes the student to lose focus on classwork
- Don’t draw unnecessary attention to students condition
- Asthma related sleeping problems
- Provide inconspicuous and gentle reminders
- May lead the student to be sleepy
- Do not “Label” Student
- Sleeplessness causes the student to lose focus on
- Always be prepared
class work
- Use the buddy system
Emotional - Allow unrestricted bathroom breaks
- Students can develop emotional problems due to the - Be patient
medical demands of the illness, frequency of attacks, - Communicate
physical discomfort, and time spent at home.
- This can cause the student to feel isolated and cause
them to lose focus on class work
DIABETES Diabetes Characteristics
Diabetes can affect learning, and if it’s not well managed
a child can have difficulties with attention, memory,
Type 1 diabetes, once known as juvenile diabetes or processing speed, planning and organising and
insulin-dependent diabetes, is a chronic condition in perceptual skills. So they might not achieve their full
which the pancreas produces little or no insulin. academic potential.
Insulin is a hormone needed to allow sugar (glucose)
to enter cells to produce energy.
Teacher Recommendations
Student's Challenges - Basic background information
- May need access to snacks during the school day. - Ways to effectively manage asthma
- May need bathroom breaks more often. - When to use control medications
- Several studies suggest that children with diabetes - Child’s needs
miss about 8 more days of school per year than their
healthy classmates. - How to reach child’s physician
- Students with type 1 diabetes may need to leave - Location of each child’s Asthma action plan
class to care for themselves and fulfill their particular - How to administer rescue medications
disease self-management requirements. A 2006 study - How to keep classroom free of common  
found that among students (average age 12 years),  triggers and stimuli
56% had to miss class for routine, non-emergent
diabetes care. 

‘Helping Schoolchildren with Chronic Health Conditions’ - A Practical Guide by Daniel L. Clay