CROHN’S IHP 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: Imbalanced Nutrition: Less than Body Requirements Related to malabsorption of nutrients due to intestinal inflammation. Related to reduced appetite and food intake because of abdominal pain or nausea. Related to increased metabolic demands during disease flares. Interventions The school nurse will assess the student’s dietary intake and identify foods that may trigger symptoms. The school nurse will collaborate with caregivers and a dietitian to develop a school meal plan that includes nutrient-dense, easy-to-digest foods. The school nurse will encourage the student to eat small, frequent meals to reduce gastrointestinal discomfort. The school nurse will provide access to nutritional supplements if recommended by the healthcare provider. The school nurse will monitor the student’s weight and growth regularly to assess nutritional status. Expected Outcomes The student will demonstrate improved dietary habits and meet daily caloric and nutritional needs. The student will maintain or achieve a healthy weight and appropriate growth for their age. The student will report fewer symptoms related to food intake. Nursing Diagnosis: Risk for Dehydration Related to frequent diarrhea, a common symptom of Crohn’s disease. Related to inadequate fluid intake due to gastrointestinal discomfort or school schedule restrictions. Related to increased fluid loss during flares. Interventions The school nurse will encourage the student to drink fluids regularly and have access to water throughout the day. The school nurse will monitor for signs of dehydration, such as dry mucous membranes, dark urine, or fatigue. The school nurse will educate the student and caregivers on the importance of electrolyte-rich fluids, especially during active disease periods. The school nurse will provide restroom access at all times to accommodate increased bathroom needs. The school nurse will collaborate with the healthcare provider for rehydration protocols if severe dehydration is suspected. Expected Outcomes The student will remain hydrated, as evidenced by normal skin turgor, energy levels, and urine output. The student will demonstrate understanding of hydration needs and drink fluids consistently throughout the day. School staff will support the student’s hydration needs by allowing flexible water and restroom access. Nursing Diagnosis: Acute Pain related to Intestinal Inflammation Related to abdominal cramping and pain associated with Crohn’s disease flare-ups. Related to gas or bloating caused by food triggers or disease activity. Related to strictures or inflammation causing discomfort. Interventions The school nurse will assess the student’s pain levels regularly using an age-appropriate pain scale. The school nurse will provide a quiet, comfortable area where the student can rest if experiencing pain. The school nurse will teach relaxation techniques, such as deep breathing, to help manage pain. The school nurse will collaborate with the healthcare provider regarding the administration of prescribed medications, such as antispasmodics or analgesics. The school nurse will help identify patterns or triggers that exacerbate pain, such as certain foods or stress. Expected Outcomes The student will report reduced pain intensity and demonstrate effective pain management strategies. The student will identify and avoid triggers that worsen abdominal pain. The student will participate in school activities with minimal pain interference. Nursing Diagnosis: Risk for Impaired Skin Integrity Related to frequent diarrhea causing skin irritation or breakdown around the anal area. Related to malnutrition leading to delayed wound healing or increased susceptibility to skin breakdown. Related to use of ostomy appliances, which can cause skin irritation if not managed properly. Interventions The school nurse will assess the student’s skin condition regularly, especially around areas prone to irritation. The school nurse will educate the student and caregivers on proper skin care, including cleaning and moisturizing after bowel movements. The school nurse will provide access to private restroom facilities where the student can manage hygiene needs comfortably. The school nurse will collaborate with caregivers to ensure appropriate use of barrier creams or ointments to protect the skin. The school nurse will monitor for signs of skin breakdown or infection, and notify the healthcare provider if needed. Expected Outcomes The student will maintain intact skin with no signs of irritation or breakdown. The student will demonstrate proper skin care techniques and use barrier creams as needed. The student will feel comfortable managing hygiene needs at school. Nursing Diagnosis: Risk for Social Isolation Related to frequent bathroom breaks or time away from class causing embarrassment or peer misunderstanding. Related to self-consciousness about symptoms like diarrhea, abdominal pain, or fatigue. Related to fear of stigma or bullying due to the condition. Interventions The school nurse will foster an inclusive environment by educating teachers and classmates (with consent) about Crohn’s disease to promote understanding and support. The school nurse will arrange flexible seating or seating near the door to allow discreet restroom access. The school nurse will encourage participation in non-physical activities or group projects to support social engagement. The school nurse will provide emotional support and reassurance to reduce feelings of isolation or embarrassment. The school nurse will connect the student with counseling or peer support groups for individuals with chronic illnesses. Expected Outcomes The student will report feeling included and supported by peers and school staff. The student will participate in school activities with confidence and reduced anxiety. The student will demonstrate improved social interaction and reduced feelings of isolation. Nursing Diagnosis: Fatigue Related to anemia or malnutrition caused by inflammation or malabsorption. Related to poor sleep due to pain, frequent bathroom trips, or anxiety. Related to general fatigue from chronic disease activity. Interventions The school nurse will assess energy levels throughout the day and identify periods when the student may need rest. The school nurse will encourage the student to use a rest area or quiet space if feeling fatigued during school hours. The school nurse will educate the student and caregivers on the importance of nutrient-rich foods to improve energy levels. The school nurse will coordinate with teachers to allow flexibility in schoolwork and deadlines during periods of increased fatigue. Expected Outcomes The student will report improved energy levels and demonstrate effective fatigue management strategies. The student will participate in school activities within their tolerance levels. The student will experience fewer interruptions to their school day due to fatigue. Nursing Diagnosis: Deficient Knowledge Related to limited understanding of disease triggers, symptom management, and dietary needs. Related to lack of awareness of the importance of adhering to medication and treatment regimens. Related to need for education on managing symptoms in the school environment. Interventions The school nurse will educate the student and caregivers about Crohn’s disease, including symptom triggers, treatment plans, and dietary recommendations. The school nurse will provide information on recognizing early signs of disease flares and seeking timely intervention. The school nurse will develop an individualized health plan (IHP) that includes emergency protocols and accommodations. The school nurse will teach the student to self-advocate for their needs, such as requesting bathroom access or flexible deadlines. The school nurse will offer resources, such as support groups or informational materials, to improve disease understanding and management. Expected Outcomes The student and caregivers will demonstrate a clear understanding of Crohn’s disease management and prevention strategies. The student will use self-management techniques effectively, such as symptom monitoring and trigger avoidance. The student will feel confident in navigating school with the necessary accommodations and support. 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.
