Complex Medical Needs in a Mainstream Setting
We have a child, now in Year 1 child that is non-verbal, oxygen dependent with a tracheotomy and tube fed. He also has joint hypermobility.
2x key staff (who are with him all the time) were fully trained by Health to be able to act as 'first' in case of medical emergency (and see to all daily medical needs) and 3x staff trained to support in an emergency. The child is unable to self regulate body temperature so needs to be monitored to ensure that he's not too hot or too cold. He suffers with fatigue so needs regular rest breaks and a physio programme as well as breathing exercises daily.
His enlarged head means his centre of balance is off and he needs a helmet for anything outside, PE/Games or any other hard floored area. He uses walking aids – walker x 2 (one with a seat) and a wheelchair when the class are walking further. All of the tracheotomy equipment must be with him at all times in a trolley with a trained member of staff.
Adults monitor health constantly and ensure that tubing does not get caught or other children play with it.
He is non-verbal so signs using Makaton/sign supported English and the children and staff use signing too. He also has an AAC device as a 'talker' to speak the words/sentences for him.
He accesses the curriculum brilliantly and has made good progress in year R and continues to make good progress in Year 1.