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Copyright © Allyn & Bacon 2008 Chapter 13: Students with Physical and Health Disabilities Chapter 13 Copyright © Allyn & Bacon 2008 This multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission of any image over a network; preparation of any derivative work, including the extraction, in whole or in part, of any images; any rental, lease, or lending of the program.

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Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Chapter 13

Copyright © Allyn & Bacon 2008

This multimedia product and its contents are protected under copyright law. The following are prohibited by law:

• any public performance or display, including transmission of any image over a network;

• preparation of any derivative work, including the extraction, in whole or in part, of any images;

• any rental, lease, or lending of the program.

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Late 1600s – treatment was advocated

19th c. – Most common recommendation was for institutionalization

Early 20th c. – Attention to war veterans brought about laws to assist individuals

National organizations developed – Easter Seals and the March of Dimes

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Irving Independent School District v. Tatro, 468 U.S. 883 (1984)

Cedar Rapids Community School District v. Garrett F., 19 S. Ct. 992 (1992)

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Chronic – e.g., cerebral palsy

Acute – e.g., childhood cancers

Progressive – e.g., muscular dystrophy

Episodic – e.g., epilepsy

Congenital – present at birth

Acquired – occurs after birth

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

a severe … impairment that adversely affects a child’s educational performance. The term includes impairments caused by congenital anomaly, impairments caused by disease, and impairments from other causes

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Monoplegia – only one limb is affected

Hemiplegia – one side of the body is affected

Paraplegia – only legs are affected

Tetraplegia (formerly called quadriplegia) – involves all limbs and trunk of the body

Diplegia – both legs or both arms are affected

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Types of Paralysis

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Cerebral palsy – “paralysis of the brain.”

disability in muscle control, posture, and movement

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

spastic, athetoid, ataxic, mixed

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Spina bifida – bones of the spinal column are not closed

Hydrocephalus – cerebrospinal fluid in the brain

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Spinal cord injury – break, severe bruise, or other damage to spinal cord that affects motor and sensory functions.

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Duchenne muscular dystrophy – deterioration of muscles

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Juvenile rheumatoid arthritis – inflammation (redness, swelling, and soreness) of the joints – autoimmune disorder

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

…an acquired injury to the brain caused by an external physical force, resulting in total or partial functional disability or psychosocial impairment, or both, that adversely affects a child’s educational performance.

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Closed head injury – no physical injury to the skull

Open head injury – skull is fractured and membrane surrounding the brain

is penetrated

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Cognitive skills

Processing ability

Language

Academic achievement

Emotions

Behavior

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Car/motorcycle accidents Falls from

bicycles

Playground accidents

Shaken baby syndrome

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

…having limited strength, vitality or alertness, including a heightened alertness to environmental stimuli, that results in limited alertness with respect to the educational environment, that… adversely affects a child’s educational performance.

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Asthma – lung disease that causes episodes of extreme difficulty in breathing.

Triggers in environment cause airways to swell and produce mucus

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Epilepsy (seizure disorder)

Partial seizure – electrical charge affects only part of the brain; involuntary twitching of muscles or rapid eye blinks

Generalized 1)tonic-clonic – person stiffens, loses consciousness, falls, and arms and legs contract2)absence (ab-sawnce) seizures – lasts up to 30 seconds; mistaken for daydreaming.

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

HIV (human immunodeficiency virus) and AIDS (acquired immune deficiency syndrome

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Cancer – uncontrolled division of abnormal cells1)Leukemia (white blood cell cancer)

2)Brain tumor

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Caused by hemoglobin S that reduces O2

About 9% affected in U.S.

Homozygous recessive (ss)H

eterozygous: (Ss) “carriers” Can transmit gene to offspring

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Type I Diabetes (juvenile) – body cannot break down sugars and store them due to a lack of insulin (hormone and protein)

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Cognitive and academic – varies widely

Behavior, Emotional, and Social –

Behavior problems may be present Student may have low self-esteem May need help relating to peers

Physical and medical – teachers must learn about each student’s challenges and needs

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Medical condition and physical functioning

Intellectual functioning

Academic achievement, language, and related areas

Behavior

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Infants/toddlers – services at home

Preschoolers – in-home, center-based, or preschool programs

Services focus on family relationships as well as treatment for the child

Early interventionists help family locate and access needed resources

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

In general education classrooms:

About 50% of students with physical disabilities and health impairments

Less than 33% of students with traumatic brain injury

Many students receive services in special education classrooms, residential facilities, at home, or in hospitals

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Public School Placements for Students with Physical and Health Disabilities: Time Spent Outside General

Education (in percentages)

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Postsecondary education

Transportation

Living arrangements

Career choices

Agency supports

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

Access to education

Aids for posture and mobility

Aids for communication Aids for learning Related services

Factors related to disability

School re-entry Responding to emergencies

Copyright © Allyn & Bacon 2008Chapter 13: Students with Physical and Health Disabilities

How prepared are teachers to work with students with physical and health disabilities?

How available is technology to students in rural areas or those who are poor?