DUCHENNE MD 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: Impaired Physical Mobility Related to progressive muscle weakness and loss of muscle mass associated with DMD. Related to joint contractures and decreased range of motion. Related to fatigue related to muscle energy inefficiency. Interventions The school nurse will collaborate with physical therapy to implement a daily stretching and mobility routine appropriate for the student’s capabilities. The school nurse will ensure the school environment is accessible, modifying classrooms and common areas as needed (e.g., ramps, door openers, accessible desks). The school nurse will facilitate the use of assistive devices (e.g., wheelchair, walker) to promote independence and safety in the school setting. The school nurse will schedule rest periods throughout the day to manage fatigue and prevent overexertion. The school nurse will educate staff and peers about the student’s physical limitations to foster a supportive environment. Expected Outcomes The student will maintain optimal mobility within the limits of their condition. The student will demonstrate the use of assistive devices effectively. The school environment will accommodate the student’s mobility needs, ensuring full accessibility. Nursing Diagnosis: Risk for Injury Related to muscle weakness increasing the risk of falls. Related to use of corticosteroids, which may impact bone density. Related to decreased protective reflexes due to muscle deterioration. Interventions The school nurse will monitor the student’s activities to ensure safe participation. The school nurse will implement safety measures in the school, such as non-slip mats, secure handrails, and supervision during transfers. The school nurse will educate the student and peers on the importance of avoiding rough play or activities that could lead to falls. The school nurse will coordinate with healthcare providers to manage medication side effects and monitor bone health. The school nurse will train school staff on emergency procedures and proper handling techniques to prevent injuries. Expected Outcomes The student will remain free from injuries during school activities. The student will participate in activities with an understanding of personal safety limits. School staff will feel confident in supporting the student’s safety needs. Nursing Diagnosis: Impaired Respiratory Function Related to progressive weakness of the respiratory muscles. Related to risk of respiratory infections due to reduced lung function. Related to difficulty clearing secretions due to weakened cough reflex. Interventions The school nurse will monitor respiratory status regularly, especially during respiratory illnesses or peak allergy seasons. The school nurse will facilitate regular breathing exercises or use of incentive spirometry as recommended by healthcare providers. The school nurse will educate the student on recognizing signs of respiratory distress and when to seek help. The school nurse will arrange for flu shots and other vaccines to prevent respiratory infections. The school nurse will coordinate with the student’s medical team to manage any respiratory therapies or treatments. Expected Outcomes The student will maintain stable respiratory function as evidenced by clear breath sounds and normal oxygen saturation levels. The student will demonstrate knowledge of how to manage respiratory symptoms. The student will experience fewer respiratory complications. Nursing Diagnosis: Altered Nutrition: Less than Body Requirements Related to difficulty chewing and swallowing as muscle weakness progresses. Related to decreased appetite due to medication side effects or decreased physical activity. Related to increased nutritional needs due to chronic illness and muscle wasting. Interventions The school nurse will monitor the student’s nutritional intake and weight regularly. The school nurse will collaborate with a dietitian to ensure a high-protein, high-calorie diet suitable for the student’s needs. The school nurse will encourage easy-to-eat snacks and meals that accommodate the student’s chewing or swallowing abilities. The school nurse will educate caregivers and school staff on the importance of adequate nutrition and how to encourage it. The school nurse will adjust meal times or settings as necessary to provide a comfortable eating environment. Expected Outcomes The student will achieve or maintain a healthy weight. The student will consume adequate daily nutrition according to dietary recommendations. The student will demonstrate improved energy levels and muscle strength within their condition limits. Nursing Diagnosis: Risk for Social Isolation Related to physical limitations that may impede participation in typical peer activities. Related to self-esteem issues related to progressive physical changes. Related to perception of being different from peers due to disability or frequent medical interventions. Interventions The school nurse will foster inclusive activities that accommodate the student’s physical capabilities. The school nurse will promote peer support groups or buddy systems to enhance social interactions. The school nurse will provide psychological support through school counseling to address feelings of isolation or depression. The school nurse will educate peers about Duchenne Muscular Dystrophy to foster understanding and acceptance. The school nurse will create opportunities for the student to excel and contribute in areas unaffected by their physical limitations. Expected Outcomes The student will report feeling connected to peers and participate actively in social activities. The student will express positive self-esteem and satisfaction with school experiences. The student and peers will demonstrate mutual respect and understanding of each other’s differences. 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.
