Do substitute teachers need medical info about students?

Do substitute teachers need medical information for the individual students?

This question recently became a reality for me as I handled a medical emergency in class while subbing in a 5th-grade math classroom.

Last week, a student had a seizure in my classroom. I was not aware of her seizure disorder and that seizures had been occurring more frequently in school. I would have loved to be more prepared for the possibility of her having a seizure in class.

Am I entitled to that information as a substitute teacher?

As a parent of a student with a seizure disorder, I would be upset if the adults in charge of my kid were not made aware of her potential to have a seizure in class. Her medical information ought to be provided to subs if the potential for it to affect their classroom exists.

I was subbing in a 5th-grade math classroom. During independent practice work time, I was assisting a group of students, and all of a sudden, several students came and got me. A student in my class was having a prolonged absence seizure. Thankfully for that student and me, I have experience with that type of seizure because of my daughter.  I am proud of how her peers knew about her condition, reacted to the situation correctly, and got her help when she needed it. My concern, though, is what if she were with a sub who did not have experience with absence seizures. What if the sub felt she was being defiant or having a fit?

This student was unresponsive, but her eyes were open, and her arms crossed as if she were protesting something. After making her safe and sending students for another classroom teacher to help, we were able to call the nurses and principals down and get her the medical attention that she needed.

Despite my experience with seizures, I was overwhelmed by the experience, and it took me about 30 minutes to calm myself down. Not only was this my first classroom emergency, but I was not aware that this child had a seizure disorder.

I later found out that this student has been having seizures in school more frequently and had two in school the week prior. While I understand privacy requirements, as a substitute teacher in her classroom, this information would have been beneficial for me to keep an eye on this student while she was in my class.

This situation made me wonder about the guidelines for providing substitutes with pertinent medical information about students.

I have been in schools where this information is available in the sub binder regarding individual students with medical and behavioral needs. Teachers don't consistently provide this information to subs. Information regarding a student's seizure disorder was not provided to me as a sub when it was needed. To me, this is a problem.

As parents, how do we make sure our kids' pertinent information is provided to the adults in charge when they need it? 

-Abby, Guest Blogger

Epilepsy and Activity Restrictions

After overcoming the initial shock of an epilepsy diagnosis, one of the next things to come to terms with is all of the physical activity restrictions you have to impose upon your child. Kids with epilepsy are subject to activity restrictions that can impact their childhood.

A seizure action plan (SAP) is a packet of papers you receive from your child's doctor. In the SAP, it details the type of epilepsy your child has, the medication(s) they are taking, common seizure triggers for your child, and other information about caring for your child with epilepsy. One of those pages on the SAP will have activity restrictions for your child. Your child's teachers and other caregivers need to be aware of these activity limitations.

The activity restrictions can be heartbreaking for a parent.

Absence seizures are brief, quiet, seemingly innocent periods of...well, absence. Many people call them staring spells. When my daughter has an absence seizure, she will stop talking mid-sentence and stare off for a few seconds. A staring spell doesn't seem so bad, but my daughter has no recollection of what happens during those brief moments.

An absence seizure on top of a 6-foot horse could be catastrophic if a child were to fall off or tangle their legs in the reins. An absence seizure while swimming could cause my child to inhale water and wake up in panic underwater, not knowing what is going on.

An absence seizure mid-air on a trampoline could cause my child to fall incorrectly and sprain an ankle, or worse. A staring spell while balancing on a tall balance beam or dangling from the monkey bars could cause my child to fall and hurt herself.

These are the types of activities you don't think of until your doctor starts spelling out all of the things your child CAN'T do.

As a parent, we want to make the world accessible to our children. We want to make every possibility a reality for our kids. Facing a long list of the things your child can't do makes that difficult for a parent. My job is to keep my child safe and teach her how to take care of herself.  I have to break her heart when she asks to play contact sports or requests a trampoline for Christmas. I have to explain to her why she has to sit out when her gym teacher decides to teach a gymnastic unit in school.

Last week I talked about teaching my child that her epilepsy makes her unique. Keeping her confident is not always easy in the face of all of the things her friends and peers can do, that she cannot.

My daughter can't climb mountains or skydive from planes, but she will find her place in this world, and she will be amazing. 

-Abby, Guest Blogger

Coping With An Epilepsy Diagnosis

Although we suspected it for a while, receiving the official epilepsy diagnoses for our 6-year-old daughter was a shock. The moment the doctor confirms the diagnosis, your mind begins a marathon going through every possible scenario, outcome, and question you could have. In those first few moments, it's challenging to consider the first and next steps when you're already thinking about the worst-case scenario for your child. This is especially true if you're an anxious worrier as I am.

My husband has a strong family history of epilepsy. His mother, his sister on one side, and his aunt, on the other side, all have forms of epilepsy. So when our daughter spent four years suffering from complex febrile seizures, we suspected epilepsy was involved. It took four years for a pediatric neurologist to take steps to perform an EEG finally, despite none of her seizures occurring outside of a fever. For four years, we held on to hope that perhaps they were just febrile seizures, knowing she had all three of the significant risk factors for epilepsy.

As prepared as we were, finding out definitively that she had epilepsy removed any of that hope. With the official diagnosis came medications, side effects, seizure action plans, and rules about what she could and could not do. It was overwhelming. As parents, we had to cope all while helping our daughter to understand and to cope with something going on in her brain.

Getting a Therapist Involved

We took our daughter to see a therapist. We needed help teaching her to cope with the possibility of having epilepsy for the rest of her life. We still don't know with certainty if she will be able to outgrow her childhood absence epilepsy. While it's possible, there is no certainty.

The therapist sat our child down in front of a whiteboard and drew pictures of the brain. She explained neurochemicals to a 6-year-old in a way that we would not have been able to. She brought out a plastic model of a brain and allowed our daughter to take it apart and put it back together again. This therapist explained to our daughter that all people have differences, and despite those differences, medical or otherwise, everyone is unique and special. Epilepsy was part of what makes our daughter unique and special. In several therapy sessions, our daughter was empowered by what made her unique, and we had tools to use when asked questions about her "apple-epsy."

If you're struggling like we were with the diagnosis for you or your child, a counselor or therapist is a resource that you can tap in to and give yourself and your child the tools in their toolbox to cope with a frightening and confusing diagnosis.

Sometimes as parents, we don't have all the answers, and we are not able to best explain things to our children when we are scared and confused ourselves. Therapy has been an invaluable tool for our entire family, and it could be for yours too.

-Abby, Guest Blogger