| Abstract: | C lark, 7 years old, had multiple school problems, but these didn't seem to be explained by his bilateral neurosensory hearing loss. Though seemingly bright, preferential seating and the help of an itinerant teacher for the Aurally Handicapped were not enough to meet the needs of this child. Other factors were poor coordination, frequent tardiness and disruptive behavior. A medical evaluation which utilized a whole child approach was initiated by the school nurse. Unilateral aural amplification was found to help Clark's distractibility and inattentiveness. An occupational therapist's assessment of his coordination led to the development of an individual sensory integration treatment program. A recommendation for parent and child counseling was also made. S haron, 11 years old, was progressing poorly as a transfer student into an Educationally Handicapped tutorial program. A review of available information revealed an incomplete multidisciplinary evaluation with no pertinent medical investigation ever being done. Her history and behavior suggested possible central nervous system injury. There were also indications of need for an indepth study of her language development. The follow-up activities started by the school nurse led not only to the school better meeting Sharon's educational needs, but also to the parent's request for a similar medical evaluation of a younger sibling. The latter child had repeated a grade, but her slow progress was yet to be of major concern for the involved teacher. This younger (6 year old) sibling's evaluation resulted in early special education assistance. T ony, 5 years old, concerned his kindergarten teacher who wanted help in planning to meet his needs. Neither retention nor promotion by themselves presented problems. His situation was complicated by glaring gaps in readiness for academic activities, a confusing home situation and unrealistic parental expectations. A detailed health and developmental assessment by the school nurse facilitated parental cooperation with an educational evaluation. It also made available to the mother an objective, medically oriented community resource where she could discuss differences with the teacher. A basis was thus established for constructive planning. |
