JUVENILE ARTHRITIS 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? Yes No Teacher Name Homeroom Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Emergency Contact List is attached to IHP. 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 joint inflammation and pain leading to limited range of motion and stiffness Related to muscle weakness due to immobility or inactivity Interventions The school nurse will work with the therapy team to implement appropriate exercises and stretching routines to improve joint mobility and muscle strength. The school nurse will ensure that the student has access to mobility aids (e.g., braces, crutches, or wheelchairs) and ensure proper use to reduce strain on inflamed joints. The school nurse will regularly assess the student for signs of pain and discomfort, providing comfort measures such as heating pads or ice packs if recommended. The school nurse and teacher will modify physical education and recess activities to accommodate the student’s physical limitations while still promoting participation. Expected Outcomes The student will demonstrate improved range of motion and mobility, with the use of adaptive aids as needed. The student will report reduced pain and increased comfort during school activities. Nursing Diagnosis: Chronic Pain Related to inflammation of joints causing persistent discomfort and stiffness Related to painful flare-ups associated with JA Interventions The school nurse will regularly assess the student’s pain levels using an age-appropriate pain scale and monitor for any changes in symptoms. The school nurse will work with the student’s healthcare provider to administer prescribed medications (e.g., NSAIDs, disease-modifying antirheumatic drugs) during school hours as needed. The school nurse will encourage and support non-drug therapies such as warm compresses, stretching, or relaxation techniques to reduce pain. The school nurse will ensure the student has access to quiet areas where they can rest when needed and adjust the school schedule to avoid fatigue. Expected Outcomes The student will experience reduced chronic pain levels and participate in school activities with minimal discomfort. The student will utilize both pharmacological and non-pharmacological strategies effectively to manage pain. Nursing Diagnosis: Risk for Decreased Growth and Development Related to prolonged use of corticosteroids or other medications that can impact growth Related to physical limitations affecting participation in age-appropriate activities Interventions The school nurse will regularly assess the student’s height, weight, and development to detect any signs of growth retardation or delay. The school nurse will work with the student’s pediatrician or rheumatologist to monitor for any side effects of medications (e.g., steroids) that could impact growth. The school nurse will encourage participation in social and school activities that support cognitive and social development despite physical limitations. The school nurse will collaborate with a dietitian to ensure that the student is consuming a balanced diet to support overall growth and health. Expected Outcomes The student will demonstrate age-appropriate growth and development. The student will actively participate in school activities that support physical, cognitive, and social development. Nursing Diagnosis: Risk for Social Isolation Physical limitations that may affect participation in group activities or sports Emotional stress related to the visibility of physical symptoms (e.g., swollen joints, use of mobility aids) Interventions The school nurse will work with teachers to ensure that the student can participate in group activities, including adapted physical education and extracurricular activities that do not exacerbate their condition. The school nurse will, with the family's consent, educate peers about juvenile arthritis to foster understanding and reduce stigma. The school nurse will offer opportunities for the student to discuss any feelings of isolation or frustration related to their condition. The school nurse will facilitate interactions with peers who have similar interests to build friendships and decrease feelings of isolation. Expected Outcomes The student will report feeling included and supported by peers and school staff. The student will participate in school activities and develop positive relationships with classmates. Nursing Diagnosis: Risk for Ineffective Health Management Related to complexity of the condition and treatment regimen, including medication management and physical therapy Related to lack of understanding or difficulty adhering to a consistent treatment plan Interventions The school nurse will ensure that the student and caregivers understand the importance of adhering to the prescribed medication schedule and follow-up appointments. The school nurse will assist with medication administration during school hours and ensure that the student takes medications as prescribed. The school nurse will offer resources or visual aids to reinforce learning about juvenile arthritis and its management, including diet, exercise, and medication. The school nurse will ensure that the student’s care plan is followed by coordinating between the family, healthcare providers, and school. Expected Outcomes The student and caregivers will demonstrate understanding and adherence to the treatment plan, including medications and physical therapy. The student will show improved management of their condition, with fewer exacerbations or flare-ups. Nursing Diagnosis: Deficient Knowledge Related to lack of understanding of the disease process, treatment options, and lifestyle modifications Related to need for ongoing education regarding disease flare-ups and prevention strategies Interventions The school nurse will offer educational sessions for the student and family about juvenile arthritis, focusing on disease management, medication, physical therapy, and flare-up prevention. The school nurse will connect the family with support groups or community resources for families of children with JA to share experiences and coping strategies. The school nurse will supply written materials or online resources that offer detailed information about living with juvenile arthritis and managing flare-ups. The school nurse will continually reinforce the information provided as needed during follow-up visits, ensuring understanding. Expected Outcomes The student and caregivers will demonstrate understanding of juvenile arthritis, including its symptoms, treatments, and lifestyle management. The student will take an active role in managing their health with proper adherence to prescribed therapies and lifestyle modifications. Nursing Diagnosis: Risk for Impaired Skin Integrity Related to skin changes due to prolonged use of medications like corticosteroids (e.g., thinning skin, easy bruising) Related to risk of skin breakdown due to reduced mobility, mobility aids, or prolonged inactivity Interventions The school nurse will regularly assess the student’s skin for signs of thinning, bruising, or breakdown, especially in areas at risk due to limited movement. The school nurse will encourage the use of appropriate skincare, such as moisturizing lotions and proper clothing to prevent irritation and dryness. The school nurse will ensure the student gets adequate movement and stretching to prevent pressure sores and maintain skin health. The school nurse will work with the student’s healthcare providers to adjust medication or skin care regimens as needed to prevent skin complications. Expected Outcomes The student will maintain healthy skin with no signs of irritation, bruising, or breakdown. The student and caregivers will follow proper skin care and mobility practices to prevent skin complications. 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.
