SEATTLE ScHlooL o1strucT MIDIVIDUALIZED EVALUATION REPORT/ ‘SECTION 508 PLARI (FORM 504-8) Stodent Name! Date: 2082015 cy: Seattie ap: S818 aren) /Gu Home Pore: i The Schoo! Intervention Tear ("SI to incudeindvideals who areknontedgeable about the sadn, the sucer's diab, ane/orthe meaning ofthe data/informationraviewad. The infermston ‘evlewed by te Sif shouldbe current ang ocis onthe ateas of concern rons Disease dlagnesed 4/23/2014 and ADHD Medication: Mercaptopurine (Gmp), SO mg 1 4/2 tablet at right ‘Ondansetron: 4 mg 2 tablets every 6 hours as needed for nausea er vomiting “Tyleno) as neccod for shoulda and back pain. 1,000 mg (2 tablets)owe 28205 3. Summary ofstffrepor ements: Pet mecthg i TE 27d KEEN physical attendance Is crucial 1 ‘completing and passing coursework, [is dificult to Keep fig to date on ‘assgnmants and course notes with his low atlendance, Summary ofraran(/euaeione opert/commante 1 2013) Was realy sick. Mwasn Un the end Of Apr that We found out ‘thalggmmmm fad Crohn's disease. We also found out that not only did he have Crohn's, buthe had the worst type. INN has Cron’ cel in his esophagus ‘and his colon and ful bicwn Crohns in his smal intestines. mis 09 ‘animmune suppressant. Tetefore, his immune sysem Is bastealy non-existent andis aia gieae! tsk of caiciing a cold, fu, etc IN throat is red ‘constantly due to Crohn's cels and he is aways thirsty. MNmmeico had bad pain in his shculders and back due to inflammationvn are, 3182015 — ‘Student reportsicomments MM wants to be in school and class. \Wants teachers o know thet even tough he Is not there that ne can sl do he work. He just needs the rescurces (online, Look, et. \Weula tka to cormmunisate with teachors whon ho is not thore through emails ot Phone calls he has questions on an assignment Wants his teachers fo understand the he doesnt want the disease, tis net fun having Crohn's dcoase anc that itis a painful dsoace but he will do the best that he ean in class and wil sk i he doasn understand ne] yes pace dace MMM 2s Crohn's disease. Sometimes his pain is bad and he cannot walk ‘210und. HIN is on a coccer teat but has not baon able to ationd practices in month due to flare up he nad recently There are timas wien not feeling wel tha! he wil get angry about ving the disease and how Ne wishes that he could go back to before he got sick. He deals with alot of discomfort in his shoulders and back. Chrohrnis Gscase affects sevatal pats cf the body.— arene seudent 1 ah Docs the mental or physical impsimont tantly mit one armors majors actif vet 7] nom (Chrohris disease can cause flare ups at any time. This will prevent him from physical actvty, making walking uncomfortable. nis energy is drained and is Unable to hang out wih friends at tines. has mes when all he does is ‘sleep because the disease takes everything out of him. He fight with pain almost daly Does the mentalor physical impsimmantimpact the ctudar' bil to paripatain and/or benef from program ana series?3. tehavirs/Sec Assessment Texting xia time if needed Able to use the restioom ‘Able to have gum o1 hard candy for dry mouth side effect of medication ‘small bieak so nat to get strassed curt f neededote, 218018 __ —— Deserve sn etated seruces, as, meancations, andor acemmedaters tat il be provced 1. Instructions Extra time on tests Bera time on laige projects Feecoiving missed assignments in a timely manner Able to s2@ school nurse or counselor ‘Able to go to locker for change of clothes (if needed) and liquids (water, lemonade, etc.) lease s22 Health Care Plan from school nurse. MMMM parenis have agreed to a reduced schedule to accommodate health isguse. He wil ationd Periods 3-6 for the remainder ofthe 2014-15 echoel year. (Oe toRNChrohn's medications, ha is currently not on ADHD medication. “This could vary due to coctor recommencaton, Enirormental cea ‘Aceass to restrooms at all times. 10 minutes betore oF afer Cass fr balhvoom not to apply to himseudent 10 te: Be able to crink liquids in cass (wate, lemonade, and ginger ale for nausea) Hard cancy and gum to holp with dry mouth (sido offct ftom medication) ‘Small snacks (Crohns patients should eat small meals or snacks throughout the cay. Be ale to contact mother if he is not doing we, either by coming to her class or cling Wil comvetse wth teachers about protocol for missing assignments Wil attend MASH to gat caught up. ‘Wil ask a fiend in oach clacs for information on assignments or got assignments and take notes ‘Wal Siay in contact with counsetor.aneno1s — aren()/Suareans resporsibes: Will work cosoly with tho school nurso regarding NInodications. Inform the school whenININIls nct able to come due to his physical condition. Will asSisiNNMIN completing assignments that need to be completed at home due to his absence’s from class/es. ‘Wil emall ner teacners whenever thay think they WoUlc Ike to communicate about wha is happening at present concerning physical conditon,