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OHI - Other Health Impairments & OI- Orthopedic Impairments

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Sheila Dove

on 28 September 2015

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Transcript of OHI - Other Health Impairments & OI- Orthopedic Impairments

The Federal definition of OHI as spelled out by IDEA:
* present instructions both orally as well as written and try to include visuals when applicable
* Give reminders and clarification as needed
* Frequent communication with the student's parent or guardian.
* Provide continual feedback; always include positive feedback
* Promote self esteem with positive reinforcement
* The use of peer groups for extra assistance
* Be sure to use differentiated instruction for different learning styles and needs.
" ...a severe orthopedic impairment that adversely affects a child's educational performance. The term includes impairments caused by a congenital anomaly, impairments caused by disease and impairments from other causes (e.g., cerebral palsy, amputations and spina bifida) " [Sec. 300.8(c)(8)]
OHI - Other Health Impairments & OI- Orthopedic Impairments
By: Sheila Dove, Sydney Williams & Peyton Wynn
FUNCTIONAL
* Muscle weakness
* Inability to concentrate long periods of time
* Fatigue
* Side effects from medications
* Physical restrictions
* Student may require frequent visits to the nurses office
* Special feedings
*Catheterization

What are the conditions that fall under OHI?
* Epilespsy * Lead Poisoning
* Asthma * Rheumatic Fever
* Diabetes * Viral Hepatitis
* Nephritis * Blood disorders
* Spina Bifida * Tuberculosis
* Arthritis * Lyme Disease
* IBS * Autoimmune Diseases
( Conditions include, but are not limited to: )
CITATIONS:
" Other Health impairment means having limited strength, vitality, or alertness, including a heightened alertness to environmental stimuli, that results in limited alertness with respect to the education environment, that -
(1) Is due to chronic or acute health problems such as asthma, attention deficit disorder or attention deficit hyperactivity disorder, diabetes, epilepsy, a heard condition hemophilia, lead poisoning, leukemia, nephritis, rheumatic fever, sickle cell anemia, and Tourette syndrome: and
(ii) Adversely affects a child's educational performance [Sec. 300.8(c)(9)(i)(ii)]"

Chronic conditions have a long duration and develop and worsen over time; such as asthma or arthritis.
Acute conditions have symptoms that appear and change rapidly. They are often intense and severe; such as a heart attack.
Orthopedic Impairment as defined by IDEA:
CHRONIC - vs - ACUTE
~OHI covers a wide range of health conditions and requires a complete evaluation. It is not a default category and does not cover adverse effects of active drug and alcohol use. Services are on a continuum and range from constant to intermittent. ~
SOCIAL
* Potential for low self esteem
* Student may have difficulty relating to or
bonding with other students
* Negative body image
* Isolation
ACADEMIC
* Inability to concentrate long periods of time
* Frequent absences and/or tardies
* Inattentiveness
* Organizational and work skills may be impaired
* Reading, Math and Spelling weaknesses
BEHAVIORAL
* Students may feel self conscious
* Students may be defensive and argumentative
* Student may act out, or become withdrawn
* Student may experience a heightened sense of anxiety and /or depression,
INTERVENTION
ADAPTATIONS and ACCOMMODATIONS
* Provide rest periods
* Eliminate clutter in the classroom to minimize distractions
*
Teach general concepts while pairing it with individual instruction
* Provide a special location that is free of distraction for test taking and those students that are easily distracted.
* Provide special needs students with extra "wait time"
* Activities should be multi sensory
* Provide regularly scheduled breaks
* Provide speech recognition software, pencil grips, page turners and book stands
* Provide larger work areas (eg..wheelchairs)
* Adapt student's schedule for those needing to administer medication(s)
* Allow extra time for assignments missed during absence for medical reasons
* Use a buddy system for those students who may need assistance
* Use visuals
* Implement the use of digital machines and computer programs where applicable
* Provide a second set of books at home
* Color code books, workbooks and notebooks
* Ergonomically correct work stations
Characteristics of OHI/OI are not conclusive, and are not limited to:
Teaching strategies:
* Teach students specific techniques for organizing
* simplify steps for more complex actvities
* Seat student away from peers that may be dsitracting
* Seat student close to teacher
* Keep unstructured time at a minimum
* Avoid techniques that are confrontational
* Be consistant when enforcing the rules
* Break assignments into shorter segments
* Check on student work, notebooks and workbooks frequently

* Provide oportunities for movement
* Provide a checklist for long tasks/assignments
* Make sure all activities involve all students
* Be flexible
* Make rules & expectations clear and post them
* Check for understanding if there are chages in the schedule
* Break assignments into shorter segments
* Check on student work, notebooks and workbooks frequently
* Redirect when neccessary

Strengths in OHI/OI
* Challenges the idea of "normal"
* Teaches tolerance
* Teaches patience
* Teaches you, that it's not about "fixing" someone, but learning to overcome those obstacles that may keep them from an independant adult lifestyle.
Staying connected with your student's parents
* Snap a picture of your students good work and send it to parents or guardian
* Weekly newsletters
* Blog
* Handwritten letters
* Email
* Text
* There's a number of online programs available such as ebackpack and The Homework Site
* Create a personal journal for the student that you write a comment in every day and the student takes it home to parents
* Keep all lines of communication options open
* Establish a rapport with parents/guardian
Resources for Teachers, Parents and Students
Center for Parent Information and Resources
: This website has several links to information and other resources referencing OHI/OI; It is also available in Spanish
http://www.parentcenterhub.org/repository/ohi/

Project IDEAL:
This is a wonderful website that contains not only information about the conditions associated with OHI/OI, but has a drop down menu for videos as well.
http://www.projectidealonline.org/v/health-impairments/

Partners Resource Network: is a local based website from here in Texas. It contains specific information on State regularions as well as a list of webinars and workshops available in the area.
http://www.partnerstx.org/ohi

Special Education News: is an all encompassing site that provides information about Special Education including a list of abbreviations and their meanings.
http://www.specialednews.com/special-education-dictionary/ohi---other-health-impairments.htm

Disabled World is a wonderful resource that supplies information on diffinitions and eligibility. There is also a list of videos about everything from accessible homes and ramps to inspirational films to wheelchairs, schooters and mobility.
http://videos.disabled-world.com/

Adaptations: doing things a little differently
Don't be afraid to ask for help or input! Especially, from the student or parents/guardians.
@ 3:25 min.
Did you know?
Lil Wayne has Epilepsy

IDEA - Building The Legacy of IDEA 2004. (n.d.). Retrieved September 11, 2015, from http://idea.ed.gov/explore/view/p/,root,regs,300,A,300%2E8,c,9,

Logsdon, A. (2015). Other Health Impairment - What is an Other Health Impairment. Retrieved September 14, 2015, from http://learningdisabilities.about.com/od/mo/g/other_health_im.htm

NASET.org Home Page. (2006/2007). Retrieved September 13, 2015, from http://www.naset.org/otherimpairments2.0.html\

Physical_Health_Impairments. (2014). Retrieved September 13, 2015. from http://www.bamaed.ua.edu/spe300/Physical_Health_Impairments.html

Watson, S. (2015). Accommodations, Modifications and Interventions. Retrieved from

http://specialchildren.about.com/od/504s/a/504accom.htm

















Anne Rice & Nick Jonas have Diabetes
Jessica Alba & Theodore Roosevelt have/had Asthma
Aaron Fotheringham has Spina Bifida
RJ Mitte has Cerebral palsy
Full transcript