Download Appendix 7 - Health

OFFICIAL-SENSITIVE [PERSONAL]
Pupil Profile Information Appendix 7 Health - Complete as appropriate by circling the
statement. Please do not use a highlighter pen
HEALTH NEEDS
Additional Needs
Complex Needs
Universal Needs
Severe Needs
EPILEPSY
Infrequent seizures
occurring on average less
than once per month.
Seizures that occur on
average more than once
per month.
Seizures that occur on
average more than once per
week.
Seizures that occur on
average more than once
a day.
Seizures that are easily
recognised.
Seizures that can be
recognised by staff having
received generic epilepsy
training.
Seizures that can be
recognised by staff having
received child specific
training.
Seizures present in many
different ways and are
difficult to recognise, staff
require ongoing child
specific training and
support.
Seizures that do not usually
require rescue medication.
Seizures that have
required rescue
medication.
Rescue medication required
on average monthly.
Rescue medication
required on average
weekly.
Seizures that do not usually
have an impact on the
CYP's airway.
Seizures that have a
minor impact on the
CYP's airway requiring
first aid treatment (staff
trained in first aid).
Seizures that have a major
impact on the CYP's airway
requiring emergency
services (staff trained in first
aid).
Seizures that affect the
CYP's breathing to the
extent that they require
oxygen and or suction to
maintain airway (staff
trained in basic life
support).
Seizures do not generally
require immediate
intervention.
CYP requires a low to
moderate level of
observation to manage
seizures safely.
CYP requires a high level of
observation to manage
seizures safely.
CYP requires constant
observation due to
seizures that require
immediate intervention
such as positioning to
maintain airway.
AIRWAY MANAGEMENT TYPE A
No identified risk of airway
difficulties.
CYP requires medication
to reduce secretions
(hyoscine patches or oral
medication).
CYP requires repositioning
to be able to manage
secretions effectively.
Pooling of secretions at
the back of the throat and
difficulty in swallowing
requiring constant
supervision and oral/naso
pharyngeal suction.
Normal lung function.
N/A
N/A
Chronic lung disease
causing reduction in
respiratory function and
high risk of developing
chest infections
No requirements for chest
physiotherapy.
CYP may require chest
physiotherapy at home if
need identified by health
professionals.
Requires regular chest
physiotherapy at home.
Requires regular and as
required chest
physiotherapy in school
to maximise respiratory
function.
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Pupil Name
OFFICIAL-SENSITIVE [PERSONAL]
Appendix 7
OFFICIAL-SENSITIVE [PERSONAL]
Pupil Profile Information Appendix 7 cont.
HEALTH NEEDS
Additional Needs
Complex Needs
Universal Needs
No requirements for oxygen
therapy or availability of
oxygen.
N/A
Requires oxygen when
unwell at home/hospital.
Severe Needs
Requires oxygen therapy
or availability of oxygen
at all times.
AIRWAY MANAGEMENT TYPE B
No tracheostomy.
N/A
N/A
CYP has a tracheostomy
to maintain airway.
Requires constant
supervision to provide
suction or potential
emergency management
at any time.
AIRWAY MANAGEMENT TYPE C
CYP has normal breathing.
N/A
CYP requires mechanical
ventilation at night time only
or when unwell at home.
CYP cannot breathe
unaided for part or all of
the 24 hour period and is
reliant upon assisted
mechanical ventilation.
Requires trained
supervision to assess
whether mechanical
ventilation required at any
time.
SUSTAINED DEBILITATING OR UNPREDICTABLE MEDICAL CONDITION
May have a medical
condition but does not
require monitoring or extra
support.
N/A
CYP has medical condition
that requires monitoring and
support from school staff
trained by health
professional.
Has a medical condition
that involves dependence
on a trained adult for
most or all of the day to
monitor and provide
medical interventions
when necessary.
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Pupil Name
OFFICIAL-SENSITIVE [PERSONAL]
Appendix 7
OFFICIAL-SENSITIVE [PERSONAL]
Pupil Profile Information Appendix 7 cont.
TECHNOLOGY AND NURSING INTERVENTIONS
Please specify if the CYP
is reliant upon any of the
following technology
If yes, please specify if this is required in
school.
Parenteral nutrition
(intravenous feeding).
Yes
No
Tracheostomy.
Yes
No
Mechanical ventilation.
Yes
No
Suction machine.
Yes
No
Nebuliser.
Yes
No
Dialysis.
Yes
No
Oxygen therapy.
Yes
No
IV access devices i.e.
Hickman line, Portacath.
Yes
No
Ostomies i.e. colostomy,
ileostomy, veisicostomy.
Yes
No
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Pupil Name
OFFICIAL-SENSITIVE [PERSONAL]
Appendix 7
OFFICIAL-SENSITIVE [PERSONAL]
Pupil Profile Information Appendix 7 cont….
Please specify if the CYP
requires any of the
following nursing
interventions and how
frequently
HEALTH NEEDS
If yes, please specify the frequency required
and if the intervention is relevant to the CYP's
condition.
Airway management.
Yes
No
Airway suctioning.
Yes
No
Administration of
medication.
Yes
No
Chest physiotherapy.
Yes
No
Documentation of clinical
data.
Yes
No
Emergency care.
Yes
No
Enteral tube feeding.
Yes
No
Eye care.
Yes
No
Infection control.
Yes
No
Mechanical ventilation.
Yes
No
Ostomy care.
Yes
No
Oxygen therapy.
Yes
No
Seizure management.
Yes
No
Technology management.
Yes
No
Tube care (external
drainage device exiting the
body).
Yes
No
Wound care.
Yes
No
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Pupil Name
OFFICIAL-SENSITIVE [PERSONAL]
Appendix 7