medical behaviour

Upload: ronan-mcgeady

Post on 06-Apr-2018

220 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/3/2019 Medical Behaviour

    1/11

    1

    Name Date Medical

  • 8/3/2019 Medical Behaviour

    2/11

    2

    Oonagh Joyce

    Jim Mc Gowan

    1995

    To1998

    Cyanosis, Asthma, Deaf- right ear. Operations to mouth (cleft palate). Had to use

    spacer/nebuhaler.Epilepsy. Children required significant care to ensure safety andrequired administration of medication daily.See Training Records for Epilepsy care and Asthma.

    Oonagh Joyce

    Dominic Mc Callion

    Jim Mc Gowan

    Brian Martin

    Shea Patton

    1995

    ToPresent

    2007

    Received training in administration of medicine (Dr Brennan/Alacoque Wilson) dosage

    and frequency stated by childs doctor. Written permission from parent/carer and letterfrom WELB. Training in Asthma, peak flow charts, format for written contact with

    parents and administering asthma medicine using nebuhaler and inhalers , keepingrecords of drugs for epilepsy, ADHD (strattera), inhalers and all other medicines

    administered in school and nursery.Monitored child with diabetic (type 1/injected) while he self- administered insulin andassisted the child in any difficulty he encounter.Health and Safety at Work First Aid at Work Certificate. (CPR).Renewed every threeyears.

    Trained in Epi Pen (Child has Anaphylaxis) by nurse tutors. See Training Records.

    Dominic Mc CalliionJim Mc GowanCameron Jack

    Adam Mc DaidJamie Lucas

    1995To

    present

    Liaise with parents verbally and written /recorded on administration of their childrensmedication.Have accompanied children on day trips and residential to facilitate the administration

    of medicines, inhalers, bubbles and any prescribed medication. (See School TripMedical Notes)Restock and renew medicines and first aid needs for school and nursery unit.(InvoiceRecords)

    Designated medical person for school and nursery.Certified First Aider At Work for school.

    Kyle Gallagher

    Caolan Harkin

    1995ToPresent

    These children have experienced asthma attacks. Nebuhaler didnt work. Nebuliser andoxygen with Dr Brennan.This child has experienced severe (asthma) attacks. Nebuhaler and nebuliser at doctorsineffective. (Caolan). Had to get oxygen and hospital care.

    Jennifer Mc Cauley

    Anthony Kennedy 1995To

    On occasions children experience loss of bowel control. This traumatises the child andrequires understanding of the difficulties of the childs condition to deal with it. This

    condition also can account for many of the behaviour problems the child exhibits whenrelating to peer group.

  • 8/3/2019 Medical Behaviour

    3/11

    3

    Name Date Communication and Sensory.

    John Curran

    Emma O Kane

    Child would throw objects within arms reach at whomever or wherever they landed.At these times children need to be removed to a quiet space in order to communicatewith them, allow them space and time to calm down and refocus. During these timeschild/children can be a danger to themselves or others.

  • 8/3/2019 Medical Behaviour

    4/11

    4

    Cameron Jack

    Graham Hunter

    Callum Coogan

    Eathan Mc Daid

    1995ToPresent

    Some children that are very tall can be uncoordinated and clumsy. Had involuntary limbmovements eg.Jerk out his right leg. Always had to accompany child on stairs as hecould easily have missed steps. Had to always use hand rail. Had to get larger desk and

    chair for when I saw he was sitting with his legs stretched out in front, with feet flat onground he could lift the desk with his knees. Chair offered no support (seat too small).In the sensory room when child landed on right side he was unable to get up. (cerebral

    palsy and stroke affecting left side)Have to incorporate large soft object for him to fall onso he can manoeuvre himself around. Always have chair in assembly as it is unsafe to lift

    child from ground (unable to assist and very heavy).Need help to pick him up when hefalls in playground.Gets very distracted from his work. Might be his preoccupation, book he is reading ornoise (grass mower). Had to have work station or removed to a quiet area to get him to

    disengage from imaginary world.

    John Curran

    Graham Hunter 1995ToPresent

    Accompanied John to Little Oaks Behaviour Unit (2 days a week for school year).Worked under the guidance of Joanne Mooney and Rosemary Mullan (Special Schoolteachers). Learned strategies to manage behaviour, deal with angry outbursts and

    enhance learning. Went to training on Positive Behaviour Management. Learnt andhelped restrain John and others safely when angry outbursts were a danger and they hadto go to the quiet room to cool down.Accompanied Graham to St Joseph Secondary school to work under the guidance of

  • 8/3/2019 Medical Behaviour

    5/11

    5

    Callum Coogan

    Eathan Mc Daid

    Raymond Doherty ASD team. Helped to establish routine, colour coding of books,making use of visual , integration into group to work and other skills and strategies Grequired.

    Went with Emma to visit St Cecilias to help ease transition into secondary.(See relevant IEPs, Progress Books, pupil profile, Ed Phych. and reports from outsideagencies used to ensure continuity of progress for each child).

    Paul Mc Donagh

    John Curran

    Graham Hunter

    1995

    Topresent

    Devised Educational games/ cards/worksheets to help with English /Maths and otherwork using characters they relate to (superman/Dr Who) and help engage them to work.Drew cards with childs help of his favourite superheroes. Earned them for best effort at

    work. Used them at break and lunch to talk to me for minutes earned about currentpreoccupation or something he was bursting to talk about.

    Organize fruit shop in school (healthy eating) and get children to help in the running of

    it. This activity helps their social skills, communication skills, sensory skills and mathsskills and they eat the fruit as well..

    Dominic Mc

    CallionJim Mc Gowan

    John CurranJoseph Gamble

    Paul GambleGraham Hunter

    1995

    ToPresent

    Taking children ASD and ADHD and other conditions for time at breakfast club andhomework club. Some to chess tournaments at various locations. Have groups daily for

    reading under direction of class teacher. Phonic groups daily using lesson plans fromEdinburgh Phonics as requested by principal. Have worked with children at Little Oaks

    Behaviour unit and also St Josephs.

  • 8/3/2019 Medical Behaviour

    6/11

    6

    Emma OKaneCameron JackEathan Mc Daid

    Paul Mc Donagh

    Aaron Griffiths

    Joseph GamleGraham Hunter

    Eathan Mc DaidCallum Mc Gowan

    1995ToPresent

    SLD Limited communication. Knew he liked making wheels, caravans and spent timedaily doing this. Helped child feel safe and content.

    Dysphraxia around muscles at mouth. Had great difficulty in forming words.Stammer and had great difficulty being understood.Autism. Wanted to communicate on his imaginary world and had to use cards made tofocus on work and earn minutes to tell me about things important to him on way to break

    and lunch.Autism. Can stare ahead fixated and is difficult to disengage from his imaginings to workat hand (reality).

    Cannot communicate the meaning of his sounds at present - sounds he obviouslyunderstands but is upset no one else does at present.

    Graham Hunter

    Eathan Mc Daid

    2000

    ToPresent

    Would talk about a smell, hold his nose and flap his hand about. Hands tight over ears

    and pained expression on face when the noise was too much for him. Noise to me wasnormal and smell may have been scented gel pens?Will taste things in his mouth and is always putting his fingers or even his fist into hismouth and rubs at his tongue. Various tastes can trigger this distressing behaviour and

    causes disruption to his work and class.

    John Curran

    Cameron JackCallum Mc Gowan

    1995

    ToPresent

    Tried to jump fifteen feet over wall into car park. Had to be restrained and kept until

    parents collected. Have little perception of personal safety and certain health hazards.Paces about room and corridors and outside runs headlong unaware of himself or otherssafety.

    Walks about on his own. Had broken arm and didnt cry or look for attention. Pain didnt

  • 8/3/2019 Medical Behaviour

    7/11

    7

    come into it for him. Feelings of isolation from others (peers). Buddy strategies to fosterspirit of taking care of each other.

    Paul Mc Donagh

    Callum Mc Gowan

    1995To

    Present

    Paul has utmost difficulty in making even basic needs known. He had to be taken

    routinely to the toilet as he never asked to go. Showed no interest in toy figures orcars/trucks but picked up circle shapes, squares, rectangles and made what looked like a

    caravan. So we got pictures and he appeared happy to look and cut these shapes and gluethem to make a caravan.When working in class with Callum he uses his own phonetic language.Language (words and sound) which he appears to understand and he becomes frustrated

    when no one else understands what he is saying.

    Paul Mc DonaghOonagh Joyce

    Aaron GriffithsJim Mc GowanJohn Curran

    Callum CooganGraham Hunter

    Emma OKane

    Eathan Mc DaidCameron Jack

    1995ToPresent

    All of these children have many outside agencies like Speech and Language, Medical(DrKnowles), Little Oaks, ASD Team, Physiotherapy and others involved in their

    assessments for statement. At annual review (which I have attended) many of theseagencies recommendations are put on childs IEP. Over the years to meet these needs Ihave been trained in various specialist centres: Little Oaks Behaviour Unit, ASD Team,

    Dyslexia, Autism and ADHD at RTU, Agnes Holloway (NASEN), Edinburgh Phonics,Reading Centre and other (WELB) courses.

    Graham Hunter 2000To Has on many occasions to move to workstation or quiet room (uncluttered) to work onhis own because he is more interested in what he is thinking, smelling, light too bright orsome other distraction.

    Have to listen to teaching, take textbook and copybook. Get childs attention and explain

  • 8/3/2019 Medical Behaviour

    8/11

    8

    Eathan Mc Daid Present one piece at a time what has been taught using whatever resources appropriate to helpchild keep working and understand task using mediums he enjoys, if possible.

    Child Date Behaviour

    John Curran

    Emma OKaneAnthony Kennedy

    Cameron Jack

    1995

    ToPresent

    At times these children can interact violently with each other and people get hurt.

    Eg. In school child pushed back head and broke the nose of person holding him. Hisreaction to all was to kick and lash out. Medical attention required.

    Other often bit children on the arms and pushed very sharp pencils into peers hands andarms.

    Some teased a lot because of smell and would react by hurting/hitting nearest offender-gets very angry.

  • 8/3/2019 Medical Behaviour

    9/11

    9

    When allowed to play uses football as a reason to hurt and kick other boys.

    JohnEmma

    GrahamAnthony

    CameronEathan

    1995

    ToPresent

    Some of these children because of their violent and angry reactions cannot take part inclass activities or indeed playtime games. Others with their preoccupation with their

    own thoughts, limited social skills and distractibility restrict the activities they canparticipate in. They are placed in safe areas to engage in class work (computer room) or

    sensory room until lesson/activity ends and they can quietly return to class.

    Emma OKane

    Dominic MccallionJohn Curran

    GrahamJoseph GambleEathan Cameron

    1995

    ToPresent

    Family team intervention. Ed. Psych., SENCO and I had to meet with psychiatrist tofind means to help Emmas interaction and behaviour towards peers. Meetings todiscuss strategies/ resources to improve interaction and behaviour with parental input to

    use after school.Took part in many annual reviews and meetings with outreach specialists as arranged

    by principal or Senco.

    John Curran

    Cameron Jack

    Anthony Kennedy

    Childs challenging behaviour which was assessed to be a risk to others received input

    from Outreach Little Oaks Behaviour Unit Attendance two days a week at Unit wherebehaviour was monitored and managed. Daily behaviour plan and also daily progressbook for rest of years in school.Learnt to use safe handling and to implement behaviour plan in school for other three

    days.

    Peripatetic teacher from Little Oaks worked with child and drew up behaviour planwith special emphasis on playtime.

    Nurture Unit, Anger Management Plan. Daily progress. sheets home

  • 8/3/2019 Medical Behaviour

    10/11

    10

    John CurranGrahamEmma

    Anne MarieGambleEathanCameron

    1995ToPresent

    Have worked under the guidance of teachers in special units (Joanne Mooney andRosemary Mullan), outreach specialists like Mary Kavanagh (hearing impaired),Raymond Doherty (ASD) and Maureen Hicks (reading centre). Phonic and resource

    from Agnes Holloway (cluster group).(See relevant records personal and children)

    John Curran

    Cameron JackGraham HunterEmma OKane

    Callum Mc Gowan

    !995To

    Present

    On a daily basis these children express their anxiety, frustration and anger etc withextreme forms of behaviour. Their hand flapping, clapping, pacing is an inability to

    communicate how they feel in an appropriate way that can be understood by otherpeople. This behaviour can be triggered by anxiety, excessive noise, light, moving incrowds in the corridor/ assembly. Training and observation of these behaviour patterns

    with the individual children has enabled me to understand and help them translate howthey feel in an appropriate manner.

    Paul Mc Donagh

    Joseph Gamble 1995

    Some had very limited communication because of their condition. Many of the other

    children I work with have limited communication because they are so preoccupied with

  • 8/3/2019 Medical Behaviour

    11/11

    11

    Graham HunterEmmaOKaneEathan Mc Daid.

    Callum Mc Gowan

    ToPresent

    things that are going on in their imagined world. They avoid eye contact or shut outyour voice to stay in their own world.Other children have encountered their triggers for behaviour before they come to school

    and are at explosion point when they arrive (esp. on Mon).Then we will have to dealwith unexpected /unprovoked outbursts.

    My personal viewpoint is for the wellbeing of all the children in this school, especially for those that have a statement ofspecial educational needs and for whom I have an additional responsibility. I have undertaken many training programmes

    and courses in the various disciplines used and recommended by various o/s agencies ( some at my own expense and in myown time) because I see these very early learning years as vital to the future development of these children for whom I havea special duty of care.