1. Chapter 13: Children with Physical and Health Disabilities

2. Chronic/Acute Chronic – exist all the time
Acute – Can be treated and possibly cured
But the experience never goes away – and changes your view of life itself…
Congenital – birth
Acquired – During or shortly after birth, or as a result of accident/injury

3. Neurological Disorders
CP – conditioning involving issues of muscle control, posture, movement
40% with CP have normal intelligence
Not progressive
Can occur with or without MR, LD, hearing/vision loss, etc.

4. Spinal Cord Injury
break, severe bruise, or damage to spinal cord that effects motor/sensory function
Brain communication with body disrupted
Usually due to accident/injury

5. JRA Inflammation of joints – swelling, redness, soreness
Eye inflammation may be involved (eyeritis)
Autoimmune disorder
Found more in girls
Effects: Attendance, concentration, etc.

6. TBI Pre, peri, post natal Or due to accident, injury, etc
Symptoms can be reversed with interventions
Part of brain affected – MAIN CONCERN
(as part of brain will effect what disability is present)
-most common cause of disability/death in U.S. in those under 21.
NOTE: individual category under IDEA

7. OHI
“Other health impairment means having limited strength, vitality, or alertness…”
Is due to chronic or acute health problems such as asthma, ADD/ADHD, diabetes, epilepsy, heart conditions, hemophilia, lead poisoning, leukemia, nephritis, rheumatic fever, sickle cell anemia
Adversely effects a child’s educational performance

8. OHI
Asthma – lung disease that causes episodes of extreme difficulty in breathing
Epilepsy – seizure disorder
Period of absence – not to be diagnosed with ADD
HIV/AIDS
Cancer
Diabetes

9. Issues: Physical Health Self concept, Self esteem
Social/emotional/academic issues due to missing school, etc.
Transition/adult issues (transportation, personal assistance, financial concerns, mobility)

10. Other issues: Instructional adaptations Environmental adaptations
Adaptive technology

11. School re - entry
Teacher, parent, student working together to make process smooth –
Importance of classroom culture
Classroom dynamic changes

12. A loved one’s experience (parents,siblings)
Need optimism!
Need social outlets!
Source of additional stress
Knowledge of medical issues – good relationship with doctors, great communication with those who are able to give help