17 Oct Supporting Students with Chronic Health Conditions Excel in School
SUPPORTING STUDENTS WITH CHRONIC HEALTH CONDITIONS IN SCHOOL

For students managing chronic health conditions, school can be both a challenge and an opportunity. Balancing medical appointments, treatments, and daily academics requires a careful approach from parents, teachers, and support staff.
A JAMA Network study concludes that the prevalence of chronic conditions in American children has increased over the years. Between 2011 and 2023, the proportion of 3- to 17-year-olds with a chronic condition increased from 39.9% to 45.7% in PEDSnet. In the general population, it increased from 25.8% to 31.0%.
During this period, rates of obesity, early menstruation, sleep problems, activity limitations, physical symptoms, depression, and loneliness all rose. Children facing ongoing health issues often experience interruptions in learning, missed classroom time, and social stress. All of these can affect both academic performance and emotional well-being.
Understanding how to support these students is essential for ensuring they remain engaged and successful in their educational journey.
Understanding the Unique Challenges
Chronic health conditions vary widely, from asthma and diabetes to more complex medical needs such as the use of medical devices. Students may require accommodations, extra time for assignments, or assistance navigating physical limitations within the school environment.
Families often find themselves advocating for their child to ensure that teachers, administrators, and classmates understand the challenges the student faces.
In some cases, students also have to rely on medical devices. For instance, students suffering from long-term kidney problems, cancer, etc., require a port catheter for quick intravenous access. However, using such medical devices can also present unique challenges, as seen with the port catheter lawsuit.
According to TorHoerman Law, several victims have filed lawsuits alleging problems with design defects. Patients have experienced breakage of the device, leading to fracturing, migration, deep vein thrombosis, etc.
Such situations can create additional stress for both parents and children. The additional health conditions can prevent children from focusing on their studies. On the other hand, parents must manage the legal process alongside ensuring their child’s academic continuity and emotional support.

Creating a Supportive Environment
Teachers and school staff play a critical role in supporting students with chronic conditions. A flexible approach to attendance, understanding the need for rest or breaks during the day, and accommodating medical appointments are all essential strategies.
Establishing open communication between the family and the school ensures that any sudden health changes or treatment schedules do not negatively impact learning outcomes.
Students with chronic health issues may feel isolated due to absences or physical limitations. Encouraging inclusion, fostering empathy among classmates, and providing opportunities for social engagement can help students feel more connected.
A meta-review published in Frontiers Journal analyzed 24 scientific articles to explore strategies teachers can use to support students facing illness, grief, and death. Six key themes emerged, which were:
- Using schools as transformative spaces
- Normalizing illness and bereavement
- Addressing the needs of students with limiting illnesses and their peers
- Identifying challenges and needs
- Rethinking classroom interventions
- Leveraging technology and training
The review highlights the role of tools such as AI, social robotics, and remote learning in helping students participate and progress academically. It also offers practical recommendations to equip teachers with effective support strategies.
Integrating Academic Support and Health Needs
Tutoring, executive function coaching, and personalized study plans can be highly effective for students who must balance complex medical needs with their academic responsibilities. Tailoring assignments to account for energy levels and cognitive fluctuations can help students maintain progress without feeling overwhelmed.
In addition, teaching self-advocacy skills enables students to communicate their needs and participate actively in managing both their health and learning. Parents and caregivers can collaborate with educators to implement accommodations such as extended deadlines, access to remote learning tools, or modified classroom activities.
According to a meta-review published on the NCBI website, education support showed some evidence of improving school engagement. However, results for academic achievement were mixed.
One small study indicated a possible positive effect on school transition, but with very low certainty. Mental health, measured as self-esteem, improved in the two studies that assessed it, with low certainty of evidence.
These strategies help students keep up academically and reduce the stress that comes with trying to meet traditional expectations while managing chronic conditions.

Promoting Emotional Well-Being Alongside Academic Support
Addressing a student’s emotional well-being is just as important as supporting their academic progress. Chronic health conditions can cause anxiety, stress, or feelings of isolation, which may affect motivation and focus in school.
Teachers and parents can help students by creating a predictable routine, offering reassurance, and validating their feelings. Peer support groups or mentorship programs can provide social connection and reduce loneliness. Encouraging mindfulness exercises, journaling, or relaxation techniques can also help students manage stress.
It is also important for educators and parents to maintain open communication about any medical challenges the student may be facing. Understanding these stressors allows adults to provide targeted emotional support and flexibility in academic expectations. Creating a safe space for students to express concerns ensures they feel heard, supported, and empowered to engage fully in their education.
Frequently Asked Questions
1. How can parents advocate for their child without overstepping teacher responsibilities?
Parents can provide medical documentation, communicate regularly about their child’s needs, and collaborate on realistic accommodations. Clear, respectful communication ensures teachers understand the student’s limitations while maintaining professional boundaries. This partnership fosters a supportive environment that balances academic expectations with health considerations.
2. Can extracurricular activities be adapted for students with chronic health conditions?
Yes, schools can modify sports, clubs, and arts programs to accommodate physical or energy limitations. For example, participation can be adapted with shorter sessions, alternative roles, or virtual options. Involvement in extracurriculars helps students maintain social interaction, self-confidence, and a sense of normalcy despite health challenges.
3. What role can school counselors play in supporting students with chronic illnesses?
School counselors can serve as advocates, emotional support, and liaisons between teachers, parents, and healthcare providers. They can help students develop coping strategies, manage anxiety related to illness, and create individualized academic plans. Counselors also facilitate peer support programs and promote inclusion within the classroom environment.
Supporting students with chronic health conditions is not only about managing immediate challenges; it is also about cultivating long-term resilience. By recognizing each child’s strengths, celebrating achievements, and providing consistent emotional support, families and schools can help students develop confidence and independence.
Encouraging involvement in extracurricular activities, hobbies, or peer support groups can provide a sense of normalcy and accomplishment. Ultimately, the goal is to create a comprehensive support system that considers all medical, academic, and social needs. When families, educators, and healthcare providers work together, students with chronic health conditions can thrive and achieve both academic success and personal growth.
Craig Selinger
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