Individualized Healthcare Plan
Medical Diagnosis:
Migraines
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 migraine
treatment choices.
Report an improved level of comfort after
interventions.
Improve school attendance with
accommodations as needed.
Comply with medically prescribed
treatment.