School & Diabetes:
Making It Work for Everyone!
school & diabetes:
1. ________________
2. ________________
3. ________________
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WHO IS INVOLVED:
Parents
Child
Diabetes Health Care Team
Peers
Teachers
School Administrators
Coaches
National Association of School Nurses
American Diabetes Association
Juvenile Diabetes Research Foundation
The Contexts, Programs & People which comprehensive &
effective school planning
impacts and is impacted upon:
Child & Family Needs:
• Diabetes management plan for school that allows for all
school and school related activity participation.
• Assistance from Diabetes Team to provide disease
management education & support to school personnel.
• Belief that child will be diabetes-okay while in school.
• Understanding from school about the psychological issues
child & family are coping with.
• School Nurse or School health Services personnel are familiar
with child & her/his diabetes needs.
• That all protocols are maintained even with substitute
teachers and coaches.
• To know that child’s peers have general understanding of
what diabetes is and isn’t.
• Disaster/Emergency Plan & well-stocked supplies.
School Needs:
• All forms medical forms filled out in complete and timely
fashion.
• Possibly in-service training on current diabetes standards of
care & specific needs of individual child.
• Contact people identified as “locus parentis” regarding
diabetes management issues (in 504).
• To know that family has been trained effectively in diabetes
management.
• Parents to appreciate district and school specific realities.
• To be familiar with and comfortable in working with child &
family’s Diabetes Team members.
• Disaster/Emergency Diabetes Kits to be kept supplied &
current
List 3 Parental responsibilities for
adequately preparing child for school
setting:
1. ______________________
2. ______________________
3. ______________________
True or False!
1. It is the school’s prerogative to decide whether or not a 504
plan is necessary T or F?
2. Parents must prepare, provide & keep stocked a diabetes
supplies kit to be kept in school T or F?
3. IHP’s are federally mandated T or F?
4. An IEP could be a component of the 504 Plan T or F?
5. A parent must accompany the child on all school trips in
order for the child to be able to go on them T or F?
6. If a child’s School health form is not completed and
submitted on time, the school has a legal right not to admit
that child to class T or F?
IEPs: Individual Education Plans
• Done by the school FOR the child.
• Usually developed by the parents and
teachers.
• More related to “educational” needs of the
child with diabetes; very detailed and specififc
to specific learning problems and issues.
IHPs: Individual Health(care) Plans
• Usually developed by parents, school
nurse/health services official & Diabetes Team
Nurse.
• Usually integrated into and made to complement
IEP when working with a child with diabetes.
• Can “stand alone” as a school guideline, without
an IEP.
504 Plans:
• Federally mandated; at school’s expense.
• MD, RN, Psychologist, Teacher(s), Principal.
• Provides for the “smoothest and uninterrupted learning
environment” for children who fall under Section 504 of the
Rehabilitation Act of 1973.
• Location & timing of BGM, treatment protocols for hypo-&
hyperglycemia, access to water, restroom, meals, snacks.
• Special exam accommodations.
• Identify Unlicensed Assistive Personnel
• Whatever the child needs to mange diabetes effectively without
compromising school & learning objectives.
Resources
• National Association of School Nurses (H.A.N.D.S.
Program) www.NASN.org
• American Diabetes Association
– Safe At School Video, www.diabetes.org, code
3093-09
• Juvenile Diabetes Research Foundation
• Children with Diabetes
(www.childrenwithdiabetes.com ,
Diabetes At School
Section 504 Plan
The Purpose of Plan
Who is the primary
beneficiary
Individual Education Plan
Individual HealthCare Plan
IEP
IHP
The section 504 plan addresses the
needs of students who are medically Related to "educational" needs specific
fragile, requiring daily complex
and detailed Specific Learning Problems
healthcare support by the school nurse
or needs
or other HCP.
The Child/Student/School
The Child/Student/School
The evaluation is provided by the school
which obtains input from parents,
Who is responsible for plan
School based HCPs with input from
teachers and a school based educational
Teacher / HCP / Educator parents and/or community based HCPs
and HCP evaluation group. The IEP
identifies who provides needed services.
Special exam
accommodations BG meter,
hypo treatment supplies,
breaks allowed to take care
of DM needs
The needs are addressed in the
language of the student's 504 plan.
The school initiates and pays for the
This is addressed by the IEP.
An evaluation can be requested by
Who initiates & enforces the
parents or teachers. The school provides
plan under the regulations of federally
and pays for a team to evaluate the need
plan
mandated 504 program.
based on federally mandated regulations.
Integrates into and complements the IEP.
However some school systems may choose to
do 504 section plan instead.
The Child/Student/School
An IHP or 504 plan can be used for students
with learning/educational problems who have
been qualified by the school based committee
for those services.
If the student qualifies for "educational needs"
and the health condition influences educational
outcomes an IHP or 504 plan can be used to
provided needed services.
Evaluation can be requested by parents or
teachers. The school provides and pays for a
team to evaluate needs based on federally
mandated regulations.
THANK YOU