Medical Needs Assessment

Dear guardian of the Rosa:

As you see; the educational institution is interested in Rosa academic achievement. Furthermore, we hope you let us know the information that attached to the letter; to help us in assessing the needs of your child, the consequent preparation and processing of Rosa intervention.

All these questions can help the staff to understand Rosa situation and needs. Also, it can help with Rosa IEP and daily schedule.

If you need any information, please feel free to ask about it. We as an educational institution care about your child and trying to give her the best education she can have.

Please answer these questions about:

• Rosa heart ventricular septal defect:

• Does the VSD hole still exist? How significant is the defect?

• What are the symptoms that Rose has?

• What is more likely causing Rose's symptoms?

• Does your child breathe rapidly or run out of breath when eating or crying?

• What are some activities that Rosa should not do?

• What medication does Rosa still take, and when does she take it?

• What is the right amount of medication for Rosa?

• What signs and symptoms should I watch for in class and at the playground?

• When do we have to call the doctor about Rosa's condition?

• Does Rosa have any electronic devices in her heart?

• What kind of treatment does Rosa get for her VSD?

• thyroid deficiency:

• Does the thyroid deficiency affect Rosa's heart, such as by slowing her heart rate?

• What is the ideal weather for Rose (class/playground temperature)?

• What do we need to do if Rose starts to choke?

• How much water should she get on a typical school day?

• What foods and drinks should she avoid?

• When should Rosa take her medicine, and how long should she wait to eat?

• Does the thyroid deficiency affect the growth of Rosa's teeth?

• Should we watch Rosa's blood pressure, and how often?

• What are some of the symptoms preceding pneumonia?

• What kind of medicine does she get while having pneumonia?

• Drinking and Feeding:

• What formula does Rosa need to drink?

• What type of food does she eat?

• Does Rosa need NG feeding in any condition?

• What is the right way to feed Rosa?

• atlanto axial subluxation:

• Does Rosa need any assistance with playing?

• Does Rosa need to have an assistant device?

• What kind of playing should she avoid?

• Vision and hearing:

• What kind of color can Rosa see clearly? 

• Up to what distance can Rosa see clearly?

• For how long does Rosa need to focus?

• Is Rosa able to interact with electronic devices?

• What kind of ear infections does Rosa usually have?

• What medication does Rosa take for her ear infections?

• Do ear infections affect Rosa's ability to hear?

• Behavior:

Please let us know if Rosa facing any behavioral issue such as:

1. Hyper active

2. Social interacte

3. Aggressive behavior

4. Hurts himself/ others

5. Persistent behavior

• family / Guardian/ Caregivers opinion:

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• family / Guardian/ Caregivers needs:

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• family / Guardian/ Caregivers suggestion and notes:

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Dear Guardian:

This question has covered significant features that are effective to ensure that Rosa team members will create an active and helpful plan. These questions are useful for all the team including OT, PT, school nurse, teachers and school workers. Also, it will help all the team to collaborate and work hard to make sure that every step counts for Rosa benefit. Thank you for your participate with us, and please feel free to ask and add anything you see helpful for Rosa.