GAELLE’S FAMILY FILE

INTRODUCING OURSELVES

Child’s name:
Date of birth:
NHS number:
Family contact address:
Parent or carer names:
Telephone number:
Mobile:
Email:

THIS IS WHO GAELLE LIVES WITH:

Photo

Gaelle’ssisters and parents

OTHER THINGS WE WOULD LIKE YOU TO KNOW ABOUT OUR FAMILY

THE LANGUAGE WE USE AT HOME IS:

We need language interpretation support:YesNo

THINGS WE WOULD LIKE YOU TO KNOW ABOUT OUR CHILD SO WE DON’T HAVE TO REPEAT IT EVERY TIME WE MEET SOMEONE NEW

Condition: Atopic Eczema diagnosed when Gaelle was 2 months old.

Main zones affected by eczema:

  • Neck and throat
  • Hands and wrists
  • Feet and ankles

Gaelle is also the following food intolerances:

Nuts and (uncooked or partially cooked) egg white.If ingested, Gaelle’s skin will flare up on the face andthe neck. This will last for up a few hours and may need antihistamines.

Symptoms: The symptoms of atopic eczema may always be present, but during a flare-up they will worsen and Gaelle may need more intense treatment. Atopic eczema causesparts of Gaelle’s skin to become:

  • dry,
  • itchy,
  • red,
  • broken,
  • thickened and
  • cracked.

During a flare-up, her skin may be:

  • extremely itchy, red, hot, dry and scaly,
  • wet, weeping and swollen, and
  • infected with bacteria.

CURRENT TREATMENT OF SYMPTOMS:

  1. Avoid irritants to the skin and other 'triggers' wherever possible (e.g. soaps, scratching, dust mite, pollen and animal hair, certain fabrics, hot and cold temperatures, certain foods which Gaelle is intolerant to, stress).
  2. Thick emollients (moisturisers) - use three times day

to help prevent inflammation developing.

  1. Topical steroids (steroid creams and ointments) – hydrocortisone creams, mild to moderately potent. The greater the strength (potency), the more effect it has on reducing inflammation, but the greater the risk of side-effects with continued use (e.g. thinning of the skin).
  2. Antibiotics: sometimes, one or more patches of eczema get infected during a flare-up. Characteristics of infected eczema include 'weeping' blisters, infected skin lumps (pustules), crusts, failure to respond to normal treatment, and rapidly worsening eczema. If the infection becomes more severe, Gaelle may also develop a fever (temperature) and generally feel unwell. Then a course of an antibiotic liquid medicine will usually clear the infection. This is used in addition to usual eczema topical treatments. Sometimes, a topical antibiotic is used if the infection is confined to a small area.
  3. Bandages: Gaelle wears Tubisfast gaments (leggings and long-sleeved tops) at all times, night and day.She also needs extra bandages strips (Actifast green line) to cover her wrists and hands (see photo). Bandages reduced steroid usage, scratching, cool and soothe the skin, act as a mechanical barrier, prevent emollient being wiped off and increase the penetration of creams.

LIST OF PEOPLE WORKING WITH US

Name:
Professional role:
Address:
Telephone or mobile:
Contacts and comments:
Name:
Professional role:
Address:
Telephone mobile:
Contacts and comments:
Name:
Professional role:
Address:
Telephone or mobile:
Contacts and comments:

Introducing ourselves Date: 4.3.2010

THESE ARE THE QUESTIONS WE WANT TO ASK

History

-Number of pupils with special education needs

-Type of disabilities/conditions

-Measures in place

Awareness levels & training already received by staff

-Topic and date

-Who received the training

-Contacts with specialist nurses

Measures currently in place / capacity

-Who does what and when?

Communication channels with parents:

-What is currently used?

HEALTHCARE PLAN

FORGAELLE SPEIGHT

DATE: MAY 2010

THIS IS THE HEALTHCARE PLAN FOR GAELLE SPEIGHT

The following people discussed and wrote it and we all agree to work to the next steps and to provide the support outlined in this plan:

Name

/

Signature

Magali

The following people also contributed by writing a report:

The family consents to this plan being shared with the following people:

Relevant Education and Health professionals

Today’s date is:10 May 2010

We expect to review the plan in ______and again in January 2011.

WHERE WE ARE NOW

  1. Gaelle’s daily skin care: see details of Gaelle’s condition and the treatment of symptoms.
  2. Current help received from nursery school and childcare:

-Nursery school is aware of the condition and provides help/support when needed

-Wraparound: was trained by Gaelle’s mum, applies cream at lunch time

-Happy Days nursery: was trained by mum, applies cream at lunch time, helps with toilet hygiene and changes bandages when needed

  1. Transition to Primary 1 needs to be discussed and a plan must be agreed between Gaelle, her family, the school and the childcare providers.

OUR PRIORITIES - WE WOULD LIKE HELP AND SUPPORT WITH THE FOLLOWING:

  1. Staff Training

-Training needs and delivery

  1. Skin care

-creams

-bandages

-medication

  1. Strategies

-in the classroom

-physical and manual activities

-food intolerances

-emotional and social aspects

  1. Communication between school and family

-Key people

-Tools available

-Frequency

HEALTHCARE PLAN FOR GAELLE SPEIGHT

Priorities

/

Actions

/

Who will do this?

Staff awareness and training
In house knowledge and skills /
  • Identify training needs
  • Deliver training
/ Nurse & Family
Skin care
Treatment of symptoms /
  • Lunch time cream application
  • Bandages changes
  • Other medication (antibiotics, antihistamines when needed)
/ School Nurse or other identified member of staff
Strategies
Preventative care /
  • In the classroom:
  • Avoid sitting next to radiator or window and hot or cold temperatures in general.
  • Limit time spent on carpet
  • Encourage sitting at the front to avoid loss of focus and could lead to more scratching
  • Avoid dressing-up in costumes made of irritating fabric (wool, etc)
  • Physical and manual activities:
  • Check if bandages need replacing (dirt, excessive sweat, damage)
  • Re-apply cream if needed after cleaning skin
  • Help with changes of clothes if required
  • Foods and drinks:
  • Avoid nuts and egg white (intolerance ; may require a dose of antihistamines in case of allergic reaction)
  • Encourage drinking water to help with skin hydration
/ Teacher
School Dinner Supervisors
Emotional and social aspects
General well being /
  • Social inclusion and confidence:
  • Make sure Gaelle is comfortable and confident with her peers; look out for signs of self-consciousness or withdrawal.
  • Understand that Gaelle may occasionally feel unwell due to:
  • Skin infections
  • Sore inflamed eczema patches with open wounds or sensitive scabs
  • Very itchy skin
  • Use of anti-histamines which can make her drowsy
/ Teacher
Communication between school and family
Consistency and support /
  • Use of a diary & traffic light system (see attached chart)
  • Comments about Gaelle’s day at school which her family should know about
  • Comments about Gaelle’s home life which school should know about
  • Questions and general communication between teacher and family as required
  • Formal meetings
  • Review of plan
  • Meetings as required
/ Teacher & Family
Family/Depute Head/Teacher/Nurse/

WE ALSO DISCUSSED THE FOLLOWING

ANY FURTHER QUESTIONS OR COMMENTS