This paper offers practical suggestions to educators working with the increasing numbers of students who are technologically dependent and/or medically fragile. Suggestions address the following areas: (1) management of the physical environment and specialized equipment (e.g., maximizing accessibility, equipment in the classroom, classroom arrangement, and field trips); (2) staff concerns (staff orientation, specific care training, instructional modifications, and specialist involvement); and (3) student/family needs (assistance in developing positive peer relationships; adaptation of behavioral management techniques; and establishment of a mechanism for providing emotional support to the family, school health caretakers, and educational staff). (DB)