QUADRIPLEGIA 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 all four extremities due to spinal cord injury. Related to loss of muscle function and joint movement. Related to decreased range of motion and risk of contractures. Interventions The school nurse will perform passive range-of-motion (ROM) exercises daily to maintain joint flexibility and prevent contractures. The school nurse will use assistive devices such as specialized wheelchairs, voice-activated equipment, and adapted utensils to enhance mobility and independence. The school nurse will collaborate with physical and occupational therapists to create a mobility and strengthening plan. The school nurse will educate on proper body positioning and the use of supportive pillows or splints to prevent muscle shortening. The school nurse will encourage safe transfers with caregiver support or mechanical lifts to prevent injury. Expected Outcomes The student will maintain joint flexibility with daily ROM exercises. The student will demonstrate improved comfort with proper positioning techniques. The student will achieve maximum functional mobility within the limitations of quadriplegia. Nursing Diagnosis: Risk for Impaired Skin Integrity Related to immobility leading to prolonged pressure on skin, especially at pressure points (e.g., sacrum, heels, and elbows). Related to loss of sensation in extremities, delaying awareness of discomfort or pressure. Related to potential for moisture accumulation from incontinence or sweating. Interventions The school nurse will assess skin integrity daily, paying special attention to high-pressure areas. The school nurse will implement a turning and repositioning schedule every two hours to relieve pressure on vulnerable areas. The school nurse will use pressure-relieving devices, such as specialized mattresses or cushions. The school nurse will ensure proper hygiene, keeping the skin clean and dry, especially after any incontinence episodes. The school nurse will educate caregivers on signs of skin breakdown and techniques for effective pressure management. Expected Outcomes The student will demonstrate an understanding of skin protection practices. The student will remain free of pressure ulcers or other skin breakdown. The student’s skin integrity will be maintained with regular repositioning and pressure relief. Nursing Diagnosis: Risk for Infection Related to use of urinary catheters due to neurogenic bladder and risk of urinary stasis. Related to reduced ability to perform hygiene independently, increasing infection risk. Related to potential for respiratory infections due to weakened chest muscles and impaired cough reflex. Interventions The school nurse will educate on proper catheter care and hand hygiene to reduce infection risk. The school nurse will encourage regular fluid intake to promote bladder flushing and reduce urinary stasis. The school nurse will perform frequent mouth and respiratory hygiene, including incentive spirometry or assisted coughing if needed. The school nurse will monitor for signs of infection (e.g., fever, unusual urine color or odor, respiratory distress). The school nurse will collaborate with healthcare providers to develop and maintain a personalized hygiene and care routine. Expected Outcomes The student will demonstrate understanding and adherence to infection prevention practices. The student will remain free from signs and symptoms of urinary or respiratory infections. The student will report consistent compliance with hygiene routines. Nursing Diagnosis: Ineffective Airway Clearance Related to weak chest and diaphragm muscles affecting respiratory function. Related to limited ability to cough or clear secretions independently. Related to risk of aspiration due to impaired swallowing. Interventions The school nurse will assess respiratory status regularly, including breath sounds and oxygen saturation. The school nurse will provide respiratory support as needed, such as suctioning or assisted cough techniques. The school nurse will use incentive spirometry or other respiratory exercises to promote lung expansion. The school nurse will position the student in semi-Fowler’s or Fowler’s position to improve breathing and reduce aspiration risk. The school nurse will educate on the signs of respiratory distress and encourage immediate communication of any changes. Expected Outcomes The student will demonstrate improved airway clearance with assisted techniques. The student will maintain clear lung sounds and stable oxygen saturation levels. The student will report reduced respiratory discomfort and improved breathing. Nursing Diagnosis: Bowel Incontinence Related to loss of bowel control due to spinal cord injury. Related to decreased ability to sense bowel fullness or initiate evacuation. Related to limited independence in toileting activities. Interventions The school nurse will establish a bowel program, including a regular schedule to promote bowel regularity. The school nurse will encourage a high-fiber diet and sufficient fluid intake to support bowel health. The school nurse will educate on digital stimulation or suppositories if required to assist in regular bowel movements. The school nurse will provide incontinence products as needed and ensure proper skin care to prevent breakdown. The school nurse will collaborate with a dietitian and healthcare team to optimize dietary support for bowel management. Expected Outcomes The student will demonstrate understanding of bowel management techniques. The student will experience fewer episodes of incontinence with a regular bowel program. The student’s skin will remain intact, with no signs of breakdown due to incontinence. Nursing Diagnosis: Self-Care Deficit Related to limited motor function due to quadriplegia. Related to dependence on caregivers for assistance with activities of daily living (ADLs). Related to decreased ability to use standard utensils or grooming tools. Interventions The school nurse will assess the student’s current abilities and adapt tools as necessary, such as using long-handled or specialized utensils. The school nurse will encourage use of adaptive equipment (e.g., feeding devices, automated grooming tools) to promote independence. The school nurse will establish a daily routine for ADLs, maximizing participation in tasks to the extent possible. The school nurse will collaborate with occupational therapy to explore assistive technology and self-care techniques. The school nurse will provide emotional support, promoting self-esteem and encouraging active participation in self-care. Expected Outcomes The student will demonstrate improved self-care ability with adaptive devices. The student will participate in daily grooming and feeding activities to the fullest extent possible. The student will express satisfaction and improved confidence in self-care routines. Nursing Diagnosis: Risk for Social Isolation Related to physical limitations preventing engagement in social and recreational activities. Related to potential self-consciousness or fear of social rejection due to disability. Related to limited accessibility in social settings or campus facilities. Interventions The school nurse will encourage participation in accessible social or recreational activities, fostering peer support. The school nurse will provide resources for counseling or support groups tailored to individuals with physical disabilities. The school nurse will advocate for accessibility accommodations on campus to support the student’s involvement in social events. The school nurse will collaborate with student organizations to increase awareness and inclusivity on campus. The school nurse will promote virtual interactions as an alternative to social engagement, if in-person activities are challenging. Expected Outcomes The student will report increased social engagement and decreased feelings of isolation. The student will participate in at least one accessible social activity regularly. The student will express improved self-confidence in social situations. Nursing Diagnosis: Powerlessness Related to dependency on others for mobility, self-care, and daily activities. Related to feeling of loss of control over physical condition and daily life. Related to perception of limited options or resources to alter the situation. Interventions The school nurse will encourage the student to set realistic goals and celebrate small achievements to build a sense of control. The school nurse will support autonomy by involving the student in decision-making about their care and daily routines. The school nurse will educate on self-advocacy skills and connect with campus disability services for support. The school nurse will provide emotional support, allowing the student to express feelings of frustration and grief openly. The school nurse will encourage participation in support groups with peers who have similar experiences. Expected Outcomes The student will verbalize a sense of control over aspects of their care and daily routines. The student will demonstrate active participation in setting personal goals. The student will report improved confidence and reduced feelings of powerlessness. 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.
