• Early morning stiffness can impact upon attendance - build in time to allow for this in morning routine
• Pupils can look fit and well so care needs to be given that pain relief is available if required.
• Fine motor tasks can be tiring - consider access to ICT.
• Attendance can be affected - ensure pupil has the means to catch up
• Avoid carrying heavy books - second set of books for home and increased locker access around school
• Make individual adaptations as required annotated in an I.E.P
• Extra time in examinations
• Consider the different aspects of PE activities and the effect of the cold.
• Pupils may be mobile sometimes and use a wheelchair at others
• This condition can fluctuate day by day - plan to accomodate this
• Personal care needs- does the pupil need help?
• Iritis can be linked to JIS, monitor for eyes that appear red and inflamed
• Access to pain relief quickly if medically advised.

• Pauci-articular arthritis affects fewer than 5 joints, and is the most common form.
• It tends to occur in children under the age of 5, and this type effects more girls than boys.
• Iritis (eye condition) can be associated with this condition.
• Many children go into remission after 3 or 4 yrs.
• Others progress to Polyarticular arthritis.

This type of Juvenile Arthritis accounts for 40 percent of new JIA patients.

It is diagnosed when four or fewer joints are involved within the first six months.

This form is more common in girls.

A child is diagnosed with polyarthritis when five or more joints are involved during the first six months.

This form of arthritis is more common in girls.

This type is characterized by the inflammation of the entheses, or sites where tendons attach to the bone.

Though broad in reach, with the potential to involve the entire body – systemic JIA is narrow in scope, comprising only about 10 percent of JIA cases.

Symptoms may include a non-contagious fever and rash, and inflammation can particularly affect the spleen or the membranes that are covering the lungs and heart.

Other forms include

• juvenile lupus
• juvenile scleroderma
• juvenile psoriatic arthritis
• juvenile dermatomyositis

Children can also experience non-inflammatory disorders, which are characterized by chronic pain associated with heredity, injury or unknown causes.

• No specific cure.
• Aim to reduce inflammation and control pain.
• Splints and orthotics can offer some relief and support.