Accommodating students with hiv
Atrophying of muscles results in chronic weakness and fatigue and may cause respiratory or cardiac problems. Walking, if possible, is slow.
The diagnosis must be made by a practitioner qualified to make this diagnosis. Manipulation of materials in class may be difficult.
Symptoms range from mild to severe and may include visual impairment, tremors, weakness or numbness in limbs, unsteady gait, paralysis, slurred speech, mood swings, or attention deficits. If a class involves field work or field trips, special arrangements will have to be made by the student who requires an attendant or an adapted van for transportation. They and others proved to be influential, positive links to the community. The student must learn routes to and from classes and across campus that do not present barriers.
Visual, auditory, speech, hand-function or seizure disorders may also be present. Teachers take latex gloves to playground duty and keep a pair in their desks. Some students may have difficulty sitting for extended periods of time.
At the information meeting, a full house heard from district and county officials and medical personnel, including Melissa's own doctor. Manifestations can include involuntary muscle contractions, rigidity, spasms, poor coordination, poor balance or poor spatial relations. In my district in Walnut Creek, California, we are conspicuously aware of our need to practice what we preach about preventive health care. However, reporters were welcome to interview anyone following the meeting.
On a Friday, Melissa invited her mom and me to be with her teacher and class as she told them about the virus. Cerebral palsy, multiple sclerosis, muscular dystrophy, partial or total paralysis, stroke, poliomyelitis, arthritis, amputation and carpal tunnel syndrome are all examples of physical impairments. We agreed that a community meeting about Melissa's condition was not open to the press, nor could it be taped. We notified the county health department and the local newspaper began a story, to be run after Melissa told her class. Most students will be aware of time constraints and will schedule classes accordingly.
No students were to be interviewed or televised, not in the classroom, hallway, or playground. The injury results in disorders of posture or movement. In the end, it was better that we knew of Melissa's infection.
Periodic remissions are common and may last from a few days to several months as the disease continues to progress. These limitations may impact strength, speed, endurance, coordination, manual dexterity and overall mobility.
While the district laid the groundwork for sharing this information, we wanted to keep Melissa's news confidential. When determining seating arrangements, every effort should be made to integrate students with physical impairments into the classroom.
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