School Accommodations for Students with Ehlers-Danlos Syndrome (EDS)
Ehlers-Danlos Syndrome (EDS) is a connective tissue disorder that affects mobility, dexterity, and overall physical well-being. Students with EDS may experience chronic pain, joint instability, fatigue, and sensory challenges, all of which can impact their ability to participate fully in school activities.
This document outlines suggested accommodations that can help create an inclusive learning environment for students with EDS. Not all accommodations will be applicable to every student or every school setting. Schools, parents, and students should work together to develop a tailored plan based on individual needs.
Attendance Accommodations
- Virtual Schooling Options:
- Synchronous learning (real-time online participation).
- Asynchronous learning (accessing lectures and materials at a flexible time).
- A combination of both.
- Flexible Attendance Policies:
- Waiver of strict attendance requirements when medically necessary.
- Exemptions from school-wide or classroom-specific attendance policies.
Mobility & Accessibility Accommodations
- Classroom & School Navigation Support:
- Elevator/lift access.
- Permission to use a school wheelchair or other assistive equipment.
- Extra time for class transitions to accommodate mobility challenges.
- Early departure from class to avoid crowded hallways.
- Preferential seating at assemblies or other gatherings.
- Emergency & Immediate Access Needs:
- Ability to leave class without a pass for urgent medical needs (e.g., restroom, medication, or symptom management).
- Carrying & Storage:
- Two sets of books (one for home, one for school).
- Permission to use a rolling backpack if school policy prohibits them.
- Lockers or storage areas positioned at eye level to reduce strain.
Seating Accommodations
- Flexible Seating Arrangements:
- Option to use a table with a chair instead of a standard desk.
- Adjustable seating that allows foot elevation.
- Cushions for additional back support.
- Bean bag or alternative supportive seating.
- Standing desks for students who need to change positions frequently.
- Assembly & Event Seating Considerations:
- Early access to seating to choose an appropriate location.
- Wheelchair-accessible, aisle, or front-row seating if needed.
Classroom Accommodations
- Testing & Assignment Modifications:
- Extra time on written tests and assignments to reduce hand strain and fatigue.
- Deadline extensions for assignments due to symptom unpredictability.
- Waiver of handwriting-based grading.
- Option to complete assignments using a laptop, tablet, or dictation software.
- Alternative assessment methods (e.g., oral responses instead of written work).
- Notetaking Support:
- Access to pre-printed lecture notes or copies of a peer’s notes.
- Permission to take photos of the board or record lectures.
- Use of a “smart pen” for recording and timestamping notes.
- Fill-in-the-blank formats for guided notetaking.
- Sensory & Environmental Adjustments:
- Minimized background noise where possible.
- Permission to use noise-canceling headphones or earbuds.
- Adjustable classroom lighting as needed.
- Avoidance of heavily scented materials (e.g., perfumes, cleaning products).
- Flexible seating placement to minimize discomfort from heating or cooling vents.
- Access to a printout of presentations ahead of time.
Physical Education & Activity Accommodations
- Adaptive Physical Education Options:
- Modified physical education activities based on medical needs.
- Enrollment in an adaptive physical education class.
- Substituting general physical education with:
- Physical or occupational therapy.
- An approved out-of-school activity.
- A study hall or alternative course.
- Exemption from P.E. credit if medically necessary (may require medical documentation).
- Medical Support During Physical Activity:
- Permission to wear braces, splints, or assistive devices during physical activity.
Food & Nutrition Accommodations
- Meal & Snack Accessibility:
- Permission to bring home-prepared meals or snacks.
- Access to food and hydration during class if medically required.
- Additional portions from the school lunch program if needed.
- Communication of food intolerances and allergies to school staff.
- Use of non-food-based incentives and rewards.
Clothing & Dressing Assistance
- Support for Dressing Challenges:
- Assistance with coats, gym uniforms, lab coats, or costumes if needed.
- Permission to wear adaptive or easy-on clothing (e.g., slip-on shoes).
- Adjustments to school uniform requirements for:
- Comfort (e.g., avoiding tight elastics or restrictive closures).
- Accommodation of braces, medical devices, or support equipment.
Restroom Accommodations
- Access to ADA-Compliant Restrooms:
- Permission to use accessible stalls with grab bars.
- Written passes for access to restricted restroom areas if necessary.
- Flexible Bathroom Use Policies:
- Extended restroom time if needed.
- Emergency bathroom access without prior approval.
- Use of a discreet hand signal or phrase to request bathroom breaks.
Medical & Care Needs
- Pain & Fatigue Management:
- Access to a quiet, dim space for resting when needed.
- Flexible school start times to accommodate morning fatigue.
- Scheduled rest breaks during the school day.
- Medication & First-Aid Access:
- Permission to carry and self-administer necessary medications.
- Availability of ice packs, heating pads, and pain management tools.
- Clearly defined pain management plans with teachers and nurses.
Support & Assistance from Others
- Aide & Peer Support:
- Access to a personal aide for classroom support if needed.
- Permission to have a designated “buddy” assist with carrying books or navigating school.
- Notetaking & Writing Assistance:
- Availability of lecture notes from teachers or peers.
- Access to a scribe for test-taking or written work.
Helpful Information for Schools
Parents may choose to provide schools with the following information to enhance support:
- Basic EDS-related medical information and symptom descriptions.
- Emergency response instructions for symptom flares.
- Preferred clinics, hospitals, and medical contacts.
- Medication schedules and assistive device guidelines.
- Information regarding service or support animals.
Additional Considerations
- Recess & Outdoor Safety:
- Access to a designated safe space for recess if needed.
- Supervision on playgrounds, especially in icy or uneven terrain.
- Social & Extracurricular Activities:
- Inclusion in field trips, assemblies, and guest speaker events with necessary accommodations.
- Accessibility considerations for “fun days” and school-wide activities.
- Music & Fine Arts Modifications:
- Consideration of joint and pain limitations when selecting musical instruments.
Conclusion
Providing appropriate accommodations ensures that students with EDS can access their education while managing their health. Schools and families should collaborate to create an individualized plan that meets the student’s unique needs while fostering an inclusive and supportive learning environment.
The information provided on this website is intended for informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment. It is also not intended to serve as legal advice or replace professional legal counsel. While efforts have been made to ensure the accuracy of the information, there is no warranty regarding its completeness or relevance to specific medical and legal situations. As medical information continuously evolves, users should not rely solely on this information for medical or legal decisions and are encouraged to consult with their own physician or qualified attorney for any legal matters or advice.
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