Individualized Healthcare Plan Medical Diagnosis: Migraines . Brownsville ISD: Health Services Student Name: DOB: Home Campus: School Nurse: Date of IHP: NURSING DIAGNOSIS STUDENT GOALS PLAN OF ACTION BY WHOM/WHEN EXPECTED OUTCOMES 1. Alteration in comfort secondary to 1. The student will attend school/class 1. Provide emotional support to the student School Nurse, counselor, teacher as needed Report and improved level of comfort after – head pain. and participate with modifications and family by developing a trusting, open intervention. made as needed. communication with the student, encouraging verbalization of feelings of Progress toward self-monitoring of comfort 2. The student will seek treatment for frustration, depression, concerns and interventions. migraines at first sign of an attack. fears. School Nurse as needed Actively participate in making migraine – 2. Provide pain management. treatment choices. Observe the student for signs of discomfort Instruct student to use prescribed treatment before symptoms are severe. Locate a quiet, dark place for the student to rest during acute attacks. School Nurse as needed – 3. Provide medication management. Determine medication required and administer per physicians order. Monitor effectiveness of medications Monitor for adverse drug effects. 2. Activity Intolerance related to migraine 1. The student will demonstrate 1. Outline for school staff possible student School Nurse Report an improved level of comfort after symptoms (headache, nausea, vomiting, improved physical activity tolerance. medical accommodations, such as: interventions. sensitivity to light, sound, or movement), Modified physical activity (work load) and frequency, severity, or duration of 2. The student will experience an if attacks are severe and frequent. Improve school attendance with attacks. increased level of comfort, allowing accommodations as needed. active participation in school activities. 2. Provide teachers a special health needs form and inform student that he/she has School Nurse/teacher ongoing Comply with medically prescribed – activity as tolerated orders and that he/she treatment. should stop activity if tired, sob, or having sever pain.
Individualized Healthcare Plan Medical Diagnosis: Migraines . Brownsville ISD: Health Services Student Name: DOB: Home Campus: School Nurse: Date of IHP: NURSING DIAGNOSIS STUDENT GOALS PLAN OF ACTION BY WHOM/WHEN EXPECTED OUTCOMES 1. Alteration in comfort secondary to head pain. 1. The student will attend school/class and participate with modifications made as needed. 2. The student will seek treatment for migraines at first sign of an attack. 1. Provide emotional support to the student and family by developing a trusting, open communication with the student, encouraging verbalization of feelings of frustration, depression, concerns and fears. 2. Provide pain management. Observe the student for signs of discomfort Instruct student to use prescribed treatment before symptoms are severe. Locate a quiet, dark place for the student to rest during acute attacks. 3. Provide medication management. Determine medication required and administer per physicians order. Monitor effectiveness of medications Monitor for adverse drug effects. School Nurse, counselor, teacher – as needed School Nurse – as needed School Nurse – as needed Report and improved level of comfort after intervention. Progress toward self-monitoring of comfort interventions. Actively participate in making migraine treatment choices. 2. Activity Intolerance related to migraine symptoms (headache, nausea, vomiting, sensitivity to light, sound, or movement), and frequency, severity, or duration of attacks. 1. The student will demonstrate improved physical activity tolerance. 2. The student will experience an increased level of comfort, allowing active participation in school activities. 1. Outline for school staff possible student medical accommodations, such as: Modified physical activity (work load) if attacks are severe and frequent. 2. Provide teachers a special health needs form and inform student that he/she has activity as tolerated orders and that he/she should stop activity if tired, sob, or having sever pain. School Nurse School Nurse/teacher – ongoing Report an improved level of comfort after interventions. Improve school attendance with accommodations as needed. Comply with medically prescribed treatment.
Migraine%20Headaches.docx