|
Post by mcscrapper on Nov 5, 2015 2:46:37 GMT
A friend of mine is fighting for the right to have a DNR followed by the school system her son attends. He has a heart condition and autism. The heart condition has caused him multiple surgeries / procedures and any type of resuscitation efforts would be catastrophic for him. She has worked very closely with several paliative care and emergency room physicians and his cardiologist and they all agree that allowing a natural death would be best for this boy. The problem is that the school he attends will not honor the family's wishes to DNR. She is also fighting for the right for her child to still attend school for a few hours each day and she wants to attend with him to help him through his day. The school system he attends states they will not allow the mother to attend but the boy can come for a few hours. What do the Peas think? Mom battles This is the USA Today article local article
|
|
SabrinaP
Pearl Clutcher
Busy Teacher Pea
Posts: 4,350
Location: Dallas Texas
Jun 26, 2014 12:16:22 GMT
|
Post by SabrinaP on Nov 5, 2015 2:51:45 GMT
I thought I read that it was really the state that doesn't recognize DNRs for anyone under 19.
|
|
TankTop
Pearl Clutcher
Refupea #1,871
Posts: 4,767
Location: On the couch...
Jun 28, 2014 1:52:46 GMT
|
Post by TankTop on Nov 5, 2015 2:57:04 GMT
As a teacher, with a class of kids under my watch, I feel this is a very unfair position to put the teacher and students in.
One of my students passed away a few weeks ago. It has been traumatizing for my class. Utterly destructive in so many ways I never even imagined. We cry almost daily. It is the single hardest thing I have ever endured as a teacher. If that student would have passed at school....unimaginable.
However, this might be too fresh for me to look at it objectively. I fully admit that.
|
|
|
Post by Eddie-n-Harley on Nov 5, 2015 3:00:03 GMT
I feel for your friend, but the article says that DNR orders apply only to individuals 19 years or older. The boy is 14. To the extent the article is correct, I can't blame the school for erring on the side of following state law.
I also wonder whether DNR orders apply to non-medical professionals.
|
|
|
Post by rst on Nov 5, 2015 3:00:05 GMT
We have dealt with a POLST (physician orders for life sustaining treatment) for my son who attends a very abbreviated school day due to his medical complexity. It's not technically a DNR, but it does instruct emergency personnel as to what measures are appropriate to take with him, and it would be used in the unlikely event that he coded at school and the EMS got there before I did. As he has a nurse as his para, and she is in charge of his care while at school, it's really not been a big issue for the school.
I hate when stories like this are publicized and get polarizing commentary from people who don't really know the specifics of the case at hand. I have to believe that the family and the medical team caring for this child have given careful consideration to his best interests. I don't think the mom should be with him at school, at least not beyond a training and transition period; there should be an appropriate para-educator to meet the child's care needs.
|
|
|
Post by myshelly on Nov 5, 2015 3:01:14 GMT
There comes a point when that's just not fair to all the other students and the teachers.
|
|
|
Post by tinydogmafia on Nov 5, 2015 3:21:52 GMT
According to the article: "receives hospice care twice a week for a heart condition"
He is a Hospice patient and has advanced directives per his mother. They should be followed. I probably come at this from a different point of view because as a nurse I must follow a doctor's order and in my line of nursing 75% of my patients are DNR, so I see this all the time. It doesn't mean you just stand there and watch someone die and do nothing. It means if the patient is in cardiac or respiratory arrest you do not perform life saving measures. I would imagine in a school setting they would notice his health rapidly declining and call 911, and he would be sent to the hospital to die a natural death. (In a perfect world.) If he were to arrest he would have the DNR (hopefully) with him, or on file at the school so that his wishes would be followed and no CPR would be started. There are few things as private, or difficult to discuss and come to a decision on than a DNR order/end of life care. It is not taken lightly. It must be signed by the doctor. You must understand and sign it as well and I am assuming his mother has signed it on his behalf. Most Hospice that we work with require you to be a DNR, and only in very, very rare instances have I ever seen a Hospice patient with no DNR. And only once in 20 years have I seen a Hospice patient revoke their DNR. I feel this mother knows, and understand her son's options and only she can know what more her child can endure. This is the story of a 5 year old that has made the same decision, no more hospital visits. She is dying and wants to die at home: Heaven over Hospital. Everyone deserves to die with dignity and to many people that means do not resuscitate. I feel for the teachers and school staff who are not medical people and do not deal with this issue frequently. It can be confusing and everyone has the internal gut reaction to SAVE someone when you see they are dying or need assistance. But that is not always the right answer. Apparently according to the laws of the state they reside in, you must be 19 to have a DNR of your own, if I am reading the article correctly. So I'm not sure what the legal ramifications are here. She stated he has advanced directives, but they will not be honored at the school. I feel it's a terrible situation. Horrible on every level. What will happen if he codes at school and EMS is called? They too must follow that DNR. What will happen if he's resuscitated and his quality of life is so diminished that he literally has no quality? Who is responsible for that? Who is responsible for the medical costs associated with that when the mother has the advanced directives in place? Many, many moral and ethical dilemmas here. I feel for her, I feel for the boy and I can try and understand where the school is coming from, but it's difficult. ETA: my post sounds pretty heartless, and that is not my intention. The death of anyone, especially a child, is terrible beyond words. And my heart breaks for anyone in this position including the boy, his mother, his teachers, friends... it's just an awful situation.
|
|
|
Post by freecharlie on Nov 5, 2015 3:24:48 GMT
I'm sorry, but I don't think the decision should be a staff responsibility. I thibk the school staff calls 911 and maybe does not start cpr or use an aed, but that is the end of it.
|
|
theshyone
Pearl Clutcher
Posts: 3,401
Jun 26, 2014 12:50:12 GMT
|
Post by theshyone on Nov 5, 2015 3:30:43 GMT
The case has been discussed in some heart groups I'm in.
the general consensus is that those of us that want our kids attended to quickly with an AED & CPR in event of a SCA have to fight tooth and nail to get plans in place. Often have to remove our kids from school because of refusal to meet our needs. Yet here is a mom, that knows what's best for her and her son, can't have her plan followed.
it makes no sense, none.
Too many kids die at school, at sports events, every single week, because of lack of AEDs & CPR. Those parents would have given anything to have their kid resuscitated. And they can't because schools generally don't step up.
|
|
|
Post by 950nancy on Nov 5, 2015 5:34:08 GMT
The case has been discussed in some heart groups I'm in. the general consensus is that those of us that want our kids attended to quickly with an AED & CPR in event of a SCA have to fight tooth and nail to get plans in place. Often have to remove our kids from school because of refusal to meet our needs. Yet here is a mom, that knows what's best for her and her son, can't have her plan followed. it makes no sense, none. Too many kids die at school, at sports events, every single week, because of lack of AEDs & CPR. Those parents would have given anything to have their kid resuscitated. And they can't because schools generally don't step up. I don't know your circumstances so I really can't speak to that situation, but I am a former teacher with 32 straight years of CPR training. We had at least 10 people in our building (elementary school) who were certified to do CPR and use the office AED. All of our buildings have had AED's for years. We had a coach have heart attack on the field and several instances where life saving actions were performed on high school players before the ambulance arrived. All of the coaches were required to have CPR training yearly. I just can't fathom a school system that doesn't have people, even Good Samaritans, who would know what to do. While I know that students do die even with the actions of these people, I don't know of a school system that doesn't have people trained. The rules/laws in place for schools are actually pretty strong.
|
|
|
Post by RiverIsis on Nov 5, 2015 5:43:31 GMT
Here's my opinion FWIW -It is not for a non medical person to make the call on a DNR, if you have training to help then you should help. I don't want to live in a world where people stop following the Good Samaritan Law because there might be a DNR in place somewhere in the building on a bit of paper I have never seen before but the person in front of me needs help. The call is up to a medically trained professionals and the family, not school staff or members of the public. If you don't want school staff intervening then don't send them to school.
I also feel that it would be incredibly traumatic for students to witness the death of a classmate without any life saving intervention by the staff.
|
|
theshyone
Pearl Clutcher
Posts: 3,401
Jun 26, 2014 12:50:12 GMT
|
Post by theshyone on Nov 5, 2015 7:05:35 GMT
The case has been discussed in some heart groups I'm in. the general consensus is that those of us that want our kids attended to quickly with an AED & CPR in event of a SCA have to fight tooth and nail to get plans in place. Often have to remove our kids from school because of refusal to meet our needs. Yet here is a mom, that knows what's best for her and her son, can't have her plan followed. it makes no sense, none. Too many kids die at school, at sports events, every single week, because of lack of AEDs & CPR. Those parents would have given anything to have their kid resuscitated. And they can't because schools generally don't step up. I don't know your circumstances so I really can't speak to that situation, but I am a former teacher with 32 straight years of CPR training. We had at least 10 people in our building (elementary school) who were certified to do CPR and use the office AED. All of our buildings have had AED's for years. We had a coach have heart attack on the field and several instances where life saving actions were performed on high school players before the ambulance arrived. All of the coaches were required to have CPR training yearly. I just can't fathom a school system that doesn't have people, even Good Samaritans, who would know what to do. While I know that students do die even with the actions of these people, I don't know of a school system that doesn't have people trained. The rules/laws in place for schools are actually pretty strong. Some states do, some states don't. Some countries do, some countries don't. I'm going by what I'm exposed to on a daily basis by parents in the USA struggling to get AEDs, & CPR, plans & programs in place for their children that have genetic causes of possible SCA. Places where the school will not buy an AED. Where the CPR trained person is a building or two away, with the AED a building or two away in the other direction. Lobbyists going to state governments to mandate CPR training. SADS Sudden Arrythmia Death Syndromes does a great job in trying to get USA schools certified heart safe. But they can only help when the school wants to help. A miniscusl percentage of schools are certified. That's what I'm exposed to. This past week one 9 yo boy died at football practice, another 15 yo died running a half marathon. Both previously undiagnosed. The parents I see struggle are the ones that have a SADS diagnosis, that know their kid is at risk. My own daughters school, did not have, would not buy, does not have mandatory trained teachers in CPR. Their answer to the issue..... We will call 911. The critical first moments would have passed long before EMR attended. Even the donation of a AED wouldn't have helped as no one would have used it. It hurts deep down knowing lives are needlessly put at risk, over a few $$$$.
|
|
craftykitten
Pearl Clutcher
Posts: 4,304
Jun 26, 2014 7:39:32 GMT
|
Post by craftykitten on Nov 5, 2015 8:43:19 GMT
It does sound as though he is too sick to be attending school. Maybe they should make some accommodation where he could attend with his mum for a short while to see friends, but I don't think it's fair to put the school in a position where a child may potentially die in class and No-one is able to help him. What a terrible situation all round, poor kid.
|
|
|
Post by anonrefugee on Nov 5, 2015 8:58:00 GMT
theshyone that is appalling, I would have expected CPR training to be standard practice. Is there a national (US) group we can support to ensure this happens? Usually it's a fun or curious factoid I learn. From /RefuPeas, not something disturbing like this. Our schools and public owned City buildings like libraries have AEDs. There's a local group that is active donating them to private organizations like churches and other gathering places. Unfortunately, it's a memorial to a teen who might have been saved. I don't know current stats, but last I looked they had placed over 500 units.
|
|
|
Post by mcscrapper on Nov 5, 2015 12:46:28 GMT
I should have mentioned that the mother is a tech in the ER / trauma center. She has seen her share of MIs and cardiac arrests and how we treat those patients. I don't think she wants all of that for her son because she knows the likely outcome for a patient with such extensive history. She is a top-notch person, employee and mother. I think she is well aware that the likelihood of Alex having an issue at school is very, very slim because she is only asking for four hours per week for him to attend and see friends and feel like a teenager for just a little bit. I personally do not think she is asking a lot of the school system if she is there with the child for those four hours. All she is asking for is the right to allow her son to have a natural death should the need arise.
meredith
|
|
blue tulip
Pearl Clutcher
Posts: 2,983
Jun 25, 2014 20:53:57 GMT
|
Post by blue tulip on Nov 5, 2015 12:54:02 GMT
if he's only going 4 hours a week, can't be without his mom and there is a real risk he could die.. then I think it's time to pull him out of school. I get that not seeing his friends and getting that small time to feel normal would suck, but on the other hand wouldn't just 4 hours a week be distracting to his fellow classmates? school isn't a social group for him to attend, the other kids are trying to learn and get their routines down and probably would benefit from consistency especially if they are autistic. then you add on the possibility of him crashing in the classroom and dying in front of their eyes.. sorry, IMO the mom's (and son's) desires are outweighed by the potential trauma and disruption of the other kids.
maybe they could work out something where he comes for lunch once a week, or mom makes social arrangements for her son outside of school.
|
|
SabrinaP
Pearl Clutcher
Busy Teacher Pea
Posts: 4,350
Location: Dallas Texas
Jun 26, 2014 12:16:22 GMT
|
Post by SabrinaP on Nov 5, 2015 13:00:40 GMT
I think it's pretty black and white. If the state doesn't recognize DNRs for people under 19, the school cannot go against that. The best option would be for mom to keep him home.
|
|
|
Post by Drew on Nov 5, 2015 13:09:24 GMT
Here's my opinion FWIW -It is not for a non medical person to make the call on a DNR, if you have training to help then you should help. I don't want to live in a world where people stop following the Good Samaritan Law because there might be a DNR in place somewhere in the building on a bit of paper I have never seen before but the person in front of me needs help. The call is up to a medically trained professionals and the family, not school staff or members of the public. If you don't want school staff intervening then don't send them to school. I also feel that it would be incredibly traumatic for students to witness the death of a classmate without any life saving intervention by the staff. The whole point is that a dnr child's medical team and parents have determined that your "helping" is not helping. You make it sound like there'd be a bunch of dnr folks milling about and you don't want to feel compelled to perform life saving measures but can't because of dnrs. I think that's an overreach and dnrs at school would be very few and far between. And seriously, I'm so tired of the "just don't send 'em to school" platform when it comes to anything outside the norm. Allergies, medically fragile, behaviorally unstable, etc. I've read that line so much here over the past several years...makes me ill.
|
|
happymomma
Pearl Clutcher
Posts: 4,078
Aug 6, 2014 23:57:56 GMT
|
Post by happymomma on Nov 5, 2015 13:09:44 GMT
How sad, looking at this as a parent. However, I think it is time that he stops attending school if he is that likely to have an incident. To be sure her wishes are carried out, she needs to be in control and present. It seems he is just too sick to go to school, and that happens. If he is going for the social aspect, then perhaps she can arrange after school times for friends to visit and do activities with him. Mostly my heart is breaking because a mom is going to lose her child.
|
|
pridemom
Pearl Clutcher
Posts: 2,843
Jul 12, 2014 21:58:10 GMT
|
Post by pridemom on Nov 5, 2015 13:13:48 GMT
The case has been discussed in some heart groups I'm in. the general consensus is that those of us that want our kids attended to quickly with an AED & CPR in event of a SCA have to fight tooth and nail to get plans in place. Often have to remove our kids from school because of refusal to meet our needs. Yet here is a mom, that knows what's best for her and her son, can't have her plan followed. it makes no sense, none. Too many kids die at school, at sports events, every single week, because of lack of AEDs & CPR. Those parents would have given anything to have their kid resuscitated. And they can't because schools generally don't step up. I don't know your circumstances so I really can't speak to that situation, but I am a former teacher with 32 straight years of CPR training. We had at least 10 people in our building (elementary school) who were certified to do CPR and use the office AED. All of our buildings have had AED's for years. We had a coach have heart attack on the field and several instances where life saving actions were performed on high school players before the ambulance arrived. All of the coaches were required to have CPR training yearly. I just can't fathom a school system that doesn't have people, even Good Samaritans, who would know what to do. While I know that students do die even with the actions of these people, I don't know of a school system that doesn't have people trained. The rules/laws in place for schools are actually pretty strong. I agree. Our small town district, that's surrounded by farmland, has had AEDs for at least 6-7 years. Our head nurse wrote a grant for them. Staff gets CPR certification annually.
|
|
|
Post by pjaye on Nov 5, 2015 13:14:20 GMT
As a nurse, I also think it is unfair to put a school and teachers in that position. It can be tough to follow DNR orders, even for medical professionals and we are trained in these things. I think being a 'lay person' and watching a child have a cardiac arrest and doing nothing is an unfair thing to ask of them....and if the situation does occur, then they will have to live with those memories for the rest of their lives and for some people that could be very traumatic. While I understand the mother's reasoning and wishes for her child, she does not have the right to impact other (non medical) people's lives in this way. Her wishes do not get to supersede everyone else's. If she wants that directive followed and she feels very strongly about it, then she doesn't get to send her child to school, she needs to keep him in an environment where people are in agreement with following that directive. In hospitals we have policies and procedures and as staff we are bound to follow them, agree or not. That's our role. That's not a teacher's role, or another student's or the cleaner, or the cafeteria lady. All she is asking for is the right to allow her son to have a natural death should the need arise. No she's not only asking that. She is asking non medical people to stand and do nothing and watch a child die. Is she taking in account the effect that might have on someone? I've actually been there and done it....and I'm not talking about really old, terminally ill people in severe pain, I mean people who were essentially OK one minute and then having a major episode of some sort (cardiac arrest, stroke etc). It's really awful. I can fully understand how a non medical person could be very traumatised by being forced into such a situation. She doesn't get to put someone else through that. She can choose it for herself, she can make it a directive it for medical personnel, but she doesn't get to do that to teachers or other school workers, or members of the public.
|
|
scrappinghappy
Pearl Clutcher
“I’m late, I’m late for a very important date. No time to say “Hello.” Goodbye. I’m late...."
Posts: 4,306
Jun 26, 2014 19:30:06 GMT
|
Post by scrappinghappy on Nov 5, 2015 13:29:52 GMT
I personally think the mother's wishes should be granted. She is his parent and knows what's best. It's not child abuse. It's a mom, who I believe truely loves her son and only wants the best for him in this situation.
I don't know how our school would handle it. The school has over 4000 kids and who's to say how someone who does not know he has a DNR would react if they were a first responder. In a smaller school things would possibly be different.
We have a very heart healthy school. We have AED devices in all the gyms and a few that are portable, every coach and PE teacher has to be CPR certified and this week EKG and Echocardiograms were offered FREE to every student in the school. About 2000 kids participated.
|
|
|
Post by melanell on Nov 5, 2015 14:11:19 GMT
I am very much on the "for" side of all things related to DNR, end-of-life wishes, choosing your way to die, etc. issues. So I agree with them wanting to have a DNR for this child. However, I cannot fault the school for following state law.
And while I think a school should do what they can to accommodate a child, I cannot ask them to go against state law. When a law seems wrong to you, you need to fight to change the law, not fight the people who are following it.
And in a situation where the amount of time the child would be in school is so very, very small, and they feel so strongly about the DNR that the school cannot legally abide by, I really do think that it may be time to opt to stop sending the child to school.
Now, I obviously don't know or understand the whole situation, because we are only hearing what is told to us by the media, but based on what we've been told, that's how I feel at this point in this situation.
|
|
Deleted
Posts: 0
Apr 28, 2024 13:49:59 GMT
|
Post by Deleted on Nov 5, 2015 14:16:47 GMT
While I feel for the mom and I understand the desire to normalize the son's day to day activities, the truth is this: there is not such thing as normal for them. To ask a school's staff and fellow students to deal with all the necessary steps to have this child in school when he is at such a fragile state is asking too much. I do not believe inclusion was meant to go to such lengths. That's likely a very unpopular opinion, but it's one I hold. At some point, the needs of the other students must be taken into consideration.
This is a no-win situation for all involved.
|
|
|
Post by whopea on Nov 5, 2015 14:56:15 GMT
How sad, looking at this as a parent. However, I think it is time that he stops attending school if he is that likely to have an incident. To be sure her wishes are carried out, she needs to be in control and present. It seems he is just too sick to go to school, and that happens. If he is going for the social aspect, then perhaps she can arrange after school times for friends to visit and do activities with him. Mostly my heart is breaking because a mom is going to lose her child. This pretty much sums up how I feel. I would add that I would not want my child to potentially see a classmate die at school. What if there are other emotionally fragile children in the school? How does that compromise them?
|
|
caro
Drama Llama
Refupea 1130
Posts: 5,222
Jun 26, 2014 14:10:36 GMT
|
Post by caro on Nov 5, 2015 15:04:19 GMT
if he's only going 4 hours a week, can't be without his mom and there is a real risk he could die.. then I think it's time to pull him out of school. I get that not seeing his friends and getting that small time to feel normal would suck, but on the other hand wouldn't just 4 hours a week be distracting to his fellow classmates? school isn't a social group for him to attend, the other kids are trying to learn and get their routines down and probably would benefit from consistency especially if they are autistic. then you add on the possibility of him crashing in the classroom and dying in front of their eyes.. sorry, IMO the mom's (and son's) desires are outweighed by the potential trauma and disruption of the other kids. maybe they could work out something where he comes for lunch once a week, or mom makes social arrangements for her son outside of school. I agree with this as well. And like someone else said, there comes a time when we have to say what is a healthy situation for the other students and the teacher. For 14 years I was a special needs mom and I get what this mom wants. Now that I am on the other side and a teacher, I feel differently. As harsh as this sounds I believe this, 25 regular Ed kids trumps what 1 special needs kid gets in a classroom.
|
|
|
Post by whopea on Nov 5, 2015 15:07:02 GMT
Here's my opinion FWIW -It is not for a non medical person to make the call on a DNR, if you have training to help then you should help. I don't want to live in a world where people stop following the Good Samaritan Law because there might be a DNR in place somewhere in the building on a bit of paper I have never seen before but the person in front of me needs help. The call is up to a medically trained professionals and the family, not school staff or members of the public. If you don't want school staff intervening then don't send them to school. I also feel that it would be incredibly traumatic for students to witness the death of a classmate without any life saving intervention by the staff. The whole point is that a dnr child's medical team and parents have determined that your "helping" is not helping. You make it sound like there'd be a bunch of dnr folks milling about and you don't want to feel compelled to perform life saving measures but can't because of dnrs. I think that's an overreach and dnrs at school would be very few and far between. And seriously, I'm so tired of the "just don't send 'em to school" platform when it comes to anything outside the norm. Allergies, medically fragile, behaviorally unstable, etc. I've read that line so much here over the past several years...makes me ill. I take what she was saying is that if there is an aide / substitute in the classroom or it happens near a washroom with a janitor nearby, are they going to know he's a dnr? I think it's an unfair burden to place on the rest of the students and the school to accommodate the wishes of one student that would require an exception to law and policy.
|
|
Deleted
Posts: 0
Apr 28, 2024 13:49:59 GMT
|
Post by Deleted on Nov 5, 2015 15:11:41 GMT
I can't imagine the heartache she must be experiencing as a mom. And I do understand her desire for her son to experience school and friends.
But I think she should also take into consideration the well-being of the other students. If her son goes into cardiac arrest and isn't allowed to be resuscitated, how will that affect his friends? I would never want to put anyone through that if I could help it.
It's a no win situation, for sure.
|
|
|
Post by Prenticekid on Nov 5, 2015 15:36:25 GMT
So, really, this boils down to the school not permitting the mother to be at the school for four hours a week? What kind of world is it when we can't grant that sort of accommodation to a dying child and his mother? As to the other students, I'd be more concerned about the lessons they are being taught by refusing such a simple accommodation, and the ones they are not - like empathy, kindness and concern for fellow human beings.
|
|
|
Post by RiverIsis on Nov 5, 2015 16:29:56 GMT
Here's my opinion FWIW -It is not for a non medical person to make the call on a DNR, if you have training to help then you should help. I don't want to live in a world where people stop following the Good Samaritan Law because there might be a DNR in place somewhere in the building on a bit of paper I have never seen before but the person in front of me needs help. The call is up to a medically trained professionals and the family, not school staff or members of the public. If you don't want school staff intervening then don't send them to school. I also feel that it would be incredibly traumatic for students to witness the death of a classmate without any life saving intervention by the staff. The whole point is that a dnr child's medical team and parents have determined that your "helping" is not helping. You make it sound like there'd be a bunch of dnr folks milling about and you don't want to feel compelled to perform life saving measures but can't because of dnrs. I think that's an overreach and dnrs at school would be very few and far between. And seriously, I'm so tired of the "just don't send 'em to school" platform when it comes to anything outside the norm. Allergies, medically fragile, behaviorally unstable, etc. I've read that line so much here over the past several years...makes me ill. When citing the Good Samaritan law I was discussing DNRs in general. I've known many patients throughout the years that had DNRs on their medical notes (back when they were physical) and were still transported to Hospital and kept alive until then when the professional heathcare and family could be verified. Medical situations change all the time and it is always better to err on the side of caution and keep a person alive until verification. I understand that a teacher is not a healthcare professional and should not be compelled to act as one beyond the accepted boundaries. I feel that a DNR crosses those boundaries. Again this child is not the only one in class and it could also be detrimental to the others to see nothing done. His parents and healthcare professionals need to work with the school to find the money/funding to provide a one on one nurse/educational attendant who will be responsible for enacting the DNR on the school's premises. This is not an additional duty for a teacher or member of the public to have to concern themselves with. If the parent doesn't like the stance of the school of not adding to the burden of their already stretched teachers then it is up to the parent to sort out an acceptable compromise and that could include taking the student out of the physical school and asking for them to be declared homebound. Indeed it seems a pretty good reason to be declared homebound. Mom has to decide what is more important. Sending him to a physical school means she runs the risk of a DNR not being acknowledged. No different that if any other patient with a DNR is roaming around in public and collapses. The expectation is that a healthcare professional is called upon to make the DNR call not a member of the public.
|
|