TOURETTE SYNDROME Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Impaired Social Interaction Related to involuntary motor and vocal tics Related to peer misunderstanding or bullying Related to anxiety about social acceptance Interventions The school nurse will educate peers and staff (with consent) about Tourette Syndrome to foster understanding and reduce stigma. The school nurse will collaborate with teachers to create an inclusive and supportive classroom environment. The school nurse will encourage the student to participate in structured group activities to build confidence and positive peer relationships. The school nurse will monitor for signs of bullying or isolation and address issues promptly with school staff and caregivers. Expected Outcomes The student will actively participate in social and academic activities. The student will report feeling supported and accepted by peers and staff. Nursing Diagnosis: Risk for Low Self-Esteem Related to self-consciousness about tics Related to negative feedback or judgment from peers or adults Interventions The school nurse will provide emotional support to the student to address feelings of embarrassment or self-doubt. The school nurse will offer positive reinforcement for the student’s achievements and strengths. The school nurse will collaborate with school counselors to implement activities that promote self-confidence. The school nurse will educate staff to provide constructive and empathetic feedback in the classroom setting. Expected Outcomes The student will verbalize improved self-esteem and confidence. The student will engage in classroom activities without hesitation or fear of judgment. Nursing Diagnosis: Risk for Anxiety Related to anticipation of tics occurring in public or during class Related to fear of social rejection or negative attention Interventions The school nurse will teach the student relaxation techniques, such as deep breathing or mindfulness exercises, to manage anxiety. The school nurse will provide a safe and private space where the student can take breaks during stressful moments. The school nurse will encourage open communication about feelings of anxiety and offer reassurance. The school nurse will refer the student to counseling services if anxiety significantly affects their daily functioning. Expected Outcomes The student will demonstrate effective use of relaxation techniques to manage anxiety. The student will report reduced feelings of anxiety during the school day. Nursing Diagnosis: Risk for Impaired Academic Performance Related to distractions caused by tics or associated anxiety Related to difficulty concentrating or staying focused due to the effort to suppress tics Interventions The school nurse will collaborate with teachers to implement accommodations, such as extra time for tests or a quiet environment for assignments. The school nurse will allow the student to take breaks when tics interfere with focus or learning. The school nurse will encourage the use of organizational tools, such as planners or checklists, to help manage assignments. The school nurse will monitor academic progress and refer to educational specialists if needed. Expected Outcomes The student will complete assignments and meet academic goals with appropriate accommodations. The student will report feeling supported in managing academic challenges. Nursing Diagnosis: Fatigue Related to physical strain from frequent motor tics Related to emotional exhaustion from managing tics and anxiety Interventions The school nurse will provide opportunities for rest or quiet time during the school day to manage fatigue. The school nurse will collaborate with caregivers to ensure the student gets adequate rest at home. The school nurse will educate the student and staff about the importance of pacing activities to avoid overexertion. The school nurse will monitor for signs of excessive fatigue and communicate with caregivers and healthcare providers as needed. Expected Outcomes The student will demonstrate improved energy levels throughout the school day. The student will participate in academic and extracurricular activities with minimal fatigue. Nursing Diagnosis: Deficient Knowledge Related to lack of understanding about Tourette Syndrome, its triggers, and management strategies Related to misconceptions among peers, staff, or caregivers Interventions The school nurse will provide age-appropriate education to the student about Tourette Syndrome and how to manage symptoms. The school nurse will educate school staff about recognizing and supporting students with Tourette Syndrome. The school nurse will offer resources to caregivers about the condition and strategies for at-home support. The school nurse will create a school-wide awareness program (with family consent) to promote understanding and acceptance. Expected Outcomes The student and caregivers will demonstrate knowledge of Tourette Syndrome and effective coping strategies. School staff will implement supportive practices to accommodate the student’s needs. Nursing Diagnosis: Risk for Social Isolation Related to avoidance of social situations due to embarrassment about tics Related to negative peer interactions or bullying Interventions The school nurse will facilitate social skills training for the student, focusing on building confidence and managing peer interactions. The school nurse will collaborate with teachers to ensure the student is included in group activities and not singled out due to tics. The school nurse will monitor for signs of social withdrawal and intervene by encouraging participation in low-stress social settings. The school nurse will connect the student with peer support groups or individuals with similar experiences. Expected Outcomes The student will engage in social interactions with peers and participate in group activities. The student will report feeling included and supported by classmates and staff. Nursing Diagnosis: Risk for Ineffective Coping Related to chronic nature of Tourette Syndrome and associated challenges Related to emotional stress related to managing tics in public settings Interventions The school nurse will teach the student healthy coping strategies, such as journaling or using a stress ball. The school nurse will provide emotional support and opportunities to express frustrations or concerns. The school nurse will collaborate with school counselors to develop a coping plan tailored to the student’s needs. The school nurse will encourage caregivers to reinforce positive coping strategies at home. Expected Outcomes The student will demonstrate effective coping mechanisms for managing stress and tics. The student will report feeling more in control of their symptoms and emotions. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? Yes Download IHP Clicking this button will download this IHP to your computer and return you to the blank IHP. Return Clicking this button will return you to the IHP to make changes.
