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The Journal of School Nursing
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Research Article

Using Expanded Individualized Health Care Plans to Assist Teachers of Students With Complex Health Care Needs

Kathryn Wolff Heller, RN, PhD

Kathryn Wolff Heller, RN, PhD, is professor at the College of Education, Georgia State University, Atlanta, GA

Jennifer Tumlin, MEd

Jennifer Tumlin, MEd, is a special education teacher at Cobb County School District, Atlanta, GA

As special education teachers have increasing numbers of students requiring health care procedures in their classrooms, school nurses need to help these teachers maintain a safe, healthy environment for their students. Part of this consists of having teachers know the steps to take should certain problems arise. This article examines the receptivity of using an expanded version of an individualized health care plan (IHP) to provide critical information to address health care problems, as well as having individualized education program (IEP) objectives for instructional targets identified in the IHP. The findings of this study indicate that a high percentage of school nurses and special education teachers were in favor of an expanded version of the IHP. There was also support for teaching students to independently or partially participate in performing their own health care procedures and having this instruction formalized as IEP objectives.

Key Words: health care procedures • individualized education program • individualized health care plans • school nurse • special education teacher

The Journal of School Nursing, Vol. 20, No. 3, 150-160 (2004)
DOI: 10.1177/10598405040200030501


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