PARAPLEGIA 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 paralysis of lower extremities due to spinal cord injury. Related to lack of muscle control and reduced joint movement. Related to limited range of motion and risk of contractures. Interventions The school nurse will perform regular range-of-motion (ROM) exercises to maintain joint flexibility and prevent contractures. The school nurse will collaborate with physical therapy to develop a personalized exercise and mobility program. The school nurse will encourage upper body strengthening exercises to improve independence with mobility aids. The school nurse will provide assistive devices (e.g., wheelchair, transfer boards) to promote safe movement. The school nurse will educate on proper positioning to prevent pressure sores and facilitate circulation. Expected Outcomes The student will maintain joint flexibility and range of motion in upper and lower extremities. The student will demonstrate safe use of assistive devices for mobility and transfers. The student will experience improved independence in daily activities with modified mobility. Nursing Diagnosis: Risk for Impaired Skin Integrity Related to reduced sensation and immobility leading to prolonged pressure on skin. Related to lack of circulation in pressure-prone areas such as the sacrum, heels, and hips. Related to moisture from sweating or incontinence that can lead to skin breakdown. Interventions The school nurse will assess skin integrity daily, focusing on areas prone to pressure sores. The school nurse will educate the student on the importance of frequent position changes to relieve pressure. The school nurse will implement a turning schedule or encourage shifting weight every 15-30 minutes in a wheelchair. The school nurse will use pressure-relieving cushions or mattresses as needed to reduce skin pressure. The school nurse will ensure skin is kept clean and dry, especially after any episodes of incontinence. Expected Outcomes The student will demonstrate an understanding of pressure relief techniques to maintain skin integrity. The student will remain free from pressure ulcers or other signs of skin breakdown. The student will verbalize the importance of regular skin assessment and hygiene practices. Nursing Diagnosis: Risk for Urinary Tract Infection Related to use of indwelling or intermittent catheterization due to neurogenic bladder. Related to limited ability to fully empty the bladder, leading to urine stasis. Related to lack of sensation and delayed recognition of urinary retention. Interventions The school nurse will educate the student on proper catheter care and hygiene to reduce infection risk. The school nurse will encourage increased fluid intake to promote regular urine flow and bladder flushing. The school nurse will monitor for signs of UTI, including fever, cloudy urine, or foul odor, and report symptoms promptly. The school nurse will use intermittent catheterization as recommended by healthcare providers to reduce infection risk. The school nurse will collaborate with a urologist as needed to develop a bladder management plan. Expected Outcomes The student will demonstrate understanding of proper catheterization techniques to reduce UTI risk. The student will remain free from signs and symptoms of a urinary tract infection. The student will report adherence to bladder management practices and sufficient fluid intake. Nursing Diagnosis: Bowel Incontinence Related to loss of control over bowel movements due to spinal cord injury. Related to reduced or absent sensation in the lower body affecting bowel routine awareness. Related to decreased ability to initiate bowel evacuation. Interventions The school nurse will develop a bowel management program with the student that includes regular timing for bowel movements. The school nurse will encourage a high-fiber diet and adequate fluid intake to promote regular bowel function. The school nurse will educate on the use of stool softeners or mild laxatives as recommended by healthcare providers. The school nurse will implement techniques such as abdominal massage or digital stimulation as needed to aid evacuation. The school nurse will provide support for using incontinence products if necessary and ensure proper skin hygiene. Expected Outcomes The student will demonstrate understanding of bowel management techniques. The student will experience more predictable and controlled bowel movements. The student will maintain skin integrity, with no breakdown due to incontinence. Nursing Diagnosis: Self-Care Deficit (Bathing, Dressing, Toileting) Related to limited lower body mobility affecting activities of daily living (ADLs). Related to dependence on assistive devices or caregiver assistance for self-care. Related to reduced physical endurance due to paraplegia. Interventions The school nurse will assess the student’s current abilities in self-care tasks and provide adaptive devices as needed (e.g., long-handled sponges, buttonhooks). The school nurse will encourage independence by teaching modified techniques for bathing, dressing, and toileting. The school nurse will collaborate with occupational therapy to develop and support self-care skills. The school nurse will establish a daily routine that balances activity and rest to optimize energy levels for self-care. The school nurse will educate the student on safe transfer techniques and body mechanics to reduce strain and injury risk. Expected Outcomes The student will demonstrate increased independence in self-care tasks using assistive devices. The student will feel confident in performing personal hygiene and dressing within physical capabilities. The student will report improved self-esteem and satisfaction related to self-care independence. Nursing Diagnosis: Risk for Social Isolation Related to physical limitations that make it difficult to participate in social or recreational activities. Related to feelings of self-consciousness or fear of social rejection due to physical limitations. Related to environmental barriers that limit access to social or public spaces. Interventions The school nurse will encourage the student to engage in social activities that are wheelchair accessible or adapted for their abilities. The school nurse will support joining campus groups or clubs that offer a supportive and inclusive environment. The school nurse will collaborate with a counselor or support group to help the student manage feelings of isolation or low self-esteem. The school nurse will educate on adaptive recreational activities that allow the student to engage with peers. The school nurse will address any accessibility needs with campus administration to promote easier participation. Expected Outcomes The student will report decreased feelings of isolation and an improved sense of connection with peers. The student will engage in at least one social activity or group regularly. The student will demonstrate increased self-confidence in social settings. Nursing Diagnosis: Risk for Depression Related to loss of mobility and independence due to paraplegia. Related to potential for negative body image and self-esteem issues. Related to stress related to academic, social, and physical adjustments. Interventions The school nurse will assess the student’s mood and affect regularly, noting any signs of depression or low mood. The school nurse will encourage open communication about feelings and provide a nonjudgmental environment for sharing. The school nurse will offer resources for counseling or mental health services for support in coping with changes. The school nurse will support goal setting in areas that promote autonomy, such as academics and personal interests. The school nurse will encourage involvement in activities that foster a sense of achievement and purpose. Expected Outcomes The student will verbalize feelings and coping strategies for managing mood effectively. The student will engage with mental health resources if needed to prevent depression. The student will report an improved sense of purpose and overall well-being. 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.
