Individualized Healthcare Plan Medical Diagnosis _Hx. CONCUSSION_______________. Brownsville ISD: Health Services Student Name: DOB: School Nurse: Date of IHP: NURSING DIAGNOSIS STUDENT GOALS 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. 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. Home Campus: PLAN OF ACTION BY WHOM/WHEN 1. Provide emotional support to the student and family by developing a trusting, open communication with the student, encouraging verbalization of feelings of anger, frustration, depression, concerns and fears. School Nurse, counselor, teacher – as needed 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. 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. School Nurse – as needed 1. Outline for school staff possible student medical accommodations, such as: Modified physical activity (work load) if attacks are severe and frequent. School Nurse 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/teacher – ongoing EXPECTED OUTCOMES Report and improved level of comfort after intervention. Progress toward self-monitoring of comfort interventions. Actively participate in making treatment choices. Report an improved level of comfort after interventions. Improve school attendance with accommodations as needed. Comply with medically prescribed treatment.