A big obstacle for kids with a chronic illness like lupus is the uncertainty of their condition. They may feel fine one day and unwell the next. Add the stress of school to this and, understandably, kids and their parents can feel overwhelmed. The good news is that there are ways to make getting through school with lupus easier. Developing a plan is essential for parents, kids, and their school. This toolkit provides useful resources that will help you create a plan for your child.

See COMMUNICATING WITH SCHOOL for quick tips to help you discuss with teachers, the school nurse, and other staff members how lupus specifically affects your child. Then read our STEPS FOR SUCCESS for building a school care team to support your child’s academic and social-emotional development.

Kids have a role to play too. To get the most out of school, kids need to listen to their bodies and speak up to teachers and school staff about how they’re feeling. Check out TIPS FOR KIDS for empowering ways kids can help manage their own health and enjoy school to the fullest.

Tips for communicating with your child’s school about lupus

An important part of making sure your child’s medical, social, and emotional needs are met at school is developing solid relationships with teachers, the school nurse, and other staff members. You will want to think of teachers and staff as allies—these are the people you can work with to figure out how to help your child with lupus succeed, while keeping him or her as healthy as possible. There are several communication tips that can help you develop successful parent-staff relationships:

• Stay focused and positive. Keep all your communications with teachers and staff centered on the goal of meeting your child’s needs.
• Be proactive. Don’t be afraid to make the first move. Suggest steps for advancing the conversation with teachers and staff, and recommend how people at the school can help. Remember that it’s important for your child’s health that you start addressing her or his lupus needs with the school sooner instead of later. Download our “Letter to School Regarding My Child’s Lupus” template below to get started.
• Avoid misunderstandings by asking questions. If you are confused about what teachers or staff members are trying to say, don’t be afraid to ask direct questions, ask them to explain their point in a different way, or ask them to provide examples. It can also help to restate what you think they are saying in your own words.
• Ask the school for suggestions. Teachers and staff members may have additional ideas for meeting your child’s needs, based on their experiences working with children at the school. It can be helpful to ask them, in addition to providing your own suggestions.
• Acknowledge the school’s own needs and challenges. Recognizing that meeting some of your child’s needs may require effort and resources from the school will show that you are reasonable and willing to cooperate. This will encourage the school to carefully consider your own needs in return.
• Be open about your child’s lupus. It is very likely that your child’s teachers and school staff members have not heard of lupus and don’t understand the disease. Sharing information with them about lupus, including your child’s own symptoms and experiences, will help them grasp the seriousness of the condition and understand why your child needs the provisions you are requesting. The following section includes essential information to share with your child’s school care team and details of adjustments and assistance you might consider.

Building your child’s school care team

Your child’s school care team is the group of teachers and staff members you will want to inform and educate about the specifics of your child’s lupus. You’ll want to build relationships with them and work together on an ongoing basis to meet your child’s needs. The care team may include: your child’s teacher(s), the school nurse, counselor or therapist, special education teachers, and the school principal.

Additional steps to consider

Research different ways the school can assist your child, and think about which (if any) formal plans may be necessary and appropriate for your child. You may be able to ensure that your child’s needs are met by developing a plan that is only self-enforced by you and your child’s school care team, or you may end up wanting something formalized.

• A 504 plan can help a child with a qualifying disability learn and succeed in school. This type of plan describes how a child will have access to their learning environment and the kinds of adjustments or assistance that will be provided to them. This assistance is appropriate for students who need help to access the learning environment but who don’t require specialized instruction (special education).
• An Individualized Education Plan (IEP) is a plan used for children who need specialized instruction (special education) to learn and succeed in school because of a disability. An IEP lays out the program of instruction, supports, and services that will be provided to the student. It contains annual goals that the child can reasonably accomplish. These goals may relate to physical needs or address other educational needs.
• An Individualized Healthcare Plan (IHP) is a written plan the school nurse develops for children with health care needs that require special services from the school (like administering medications).
• An Emergency Care Plan (ECP) should be developed by the school nurse to ensure that the correct actions are taken if your child has a lupus flare or other lupus-related medical emergency at school. 

School survival guide for kids with lupus

Your parents and doctors make a lot of the important decisions about your health, but you have a big role to play, too. When you’re at school, it’s important that you manage your lupus as well as you can. This means making smart decisions and thinking about how you feel. Having lupus may make you feel different from classmates, but you can help them understand why you have to do certain things and be mindful of your health. Here are some things to do so you can make sure school is as productive and fun as possible.