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Pre-K through Grade 8

Providing spiritual and educational leadership

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Phone: 203-269-4477

Fax: 203-294-4983

8:00 A.M. - 2:25 P.M.

Monday to Friday

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P: 203-269-4476

F: 203-294-4983

11 North Whittlesey

Wallingford, CT

8:10am - 2:25pm

Monday to Friday

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By: Pierre Kory, MPA, MD

  • Associate Professor of Medicine, Fellowship Program Director, Division of Pulmonary, Critical Care, and Sleep Medicine, Mount Sinai Beth Israel Medical Center Icahn School of Medicine at Mount Sinai, New York, New York

https://www.medicine.wisc.edu/people-search/people/staff/5057/Kory_Pierre

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Example: A young man with Down syndrome has atlantoaxial instability with neurologic symptoms medicine definition discount 250mg mildronate mastercard. He does not ride because this condition makes it very possible that a fall from an equine could cause a severe spinal cord injury or death 911 treatment discount 500mg mildronate amex. Even the well-trained equine is subject to treatment example discount mildronate 250mg without prescription its instinctive fght or fight responses. Equines are large, move quickly and can be dangerous to the participant who is unable to respond appropriately. Example: A young woman with a cerebellar brain tumor has jerky, erratic movements when she attempts to move. She requires one-on-one assistance with grooming tasks to avoid accidentally striking the equine and frightening him. Standards for Certifcation & Accreditation 9 2018 wheelchair may be more easily moved if necessary. The equine is held rather than tied to allow quicker movement of the equine away from the participant. If all of these situations cannot be met, grooming activities for this participant are contraindicated. The training, performance and communication skills of the team members should allow for a safe and effective session. Instructor notes that the only available sidewalker appears to be having an asthma attack. Mounted activities are contraindicated until a safe session can be carried out with qualifed staff. Center may refuse access for safety concerns if it refuses access equally to all individuals with similar characteristics and if there is concern for the safety of personnel, volunteers or other participants as a result. Center may have a written policy to serve only those individuals weighing less than 200 lbs. These pre-determined written policies must be administered fairly with no exceptions. Center may fnd that providing services safely would be a considerable fnancial hardship. If this is not the case, it is expected that the center would make reasonable accommodations to provide services. They should not be used solely to justify admission or denial of a participant to the center. Center should have the numbers and quality of staff (training, licensure, certifcation and qualifcations) necessary to capably serve those participants accepted at the center. For example, if two sidewalkers and a leader are unavailable for a participant who requires them, only participants who do not need such support can be served. Center that provides and bills for therapy services must have a qualifed, licensed/credentialed health professional who has additional training in work ing with equines to provide direct treatment. A center that accepts a participant with severe behavioral diffculties should have staff with adequate training to deal with the behavioral issues competently and safely. This liaison can help the program and the community physician understand the issues related to an equine-based activity. Standards for Certifcation & Accreditation 2018 Equines Successfully matching a participant with an appropriate equine is part of deciding if a person can be served safely at a center. Temperament, gait, age, health, conformation, energy level, responsiveness, sensitivity and level of training are just some of the considerations for the equine in mounted activities. Each equine must be evaluated and adequately trained for the work to be performed. All equines must have the temperament and training to work closely with the participant.

References:

  • https://www.drugpolicy.org/sites/default/files/Cannabis_and_Cancer_ARblog_081115.pdf
  • https://phpa.health.maryland.gov/IDEHASharedDocuments/rocky_mountain_spotted_fever.pdf
  • http://www.virginiapremier.com/wp-content/uploads/PriorAuthorizationCriteriaMedallion-4.pdf

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