Rene, Aside from the issue (mentioned earlier) of students not being asked to provide documentation to YOU, and YOU not being held responsible for making decisions based on that documentation, I think the problem you describe runs deeper. I don't think you should be held responsible for defending the academic integrity of the nursing program. You are only in a position to explain why the student is or is not succeeding in YOUR class. Oh... wait. I made an assumption that you are an instructor. If you are a counselor or an admissions rep then my answer would be slightly different. I still think the college needs someone who can speak to the issues of disability for both the student and the faculty -- someone other than you. But when a student comes to you and complains that their lack of success is the result of disability, my best advice is to let them know that while they have a right to appropriate accommodations for access, whether or not they succeed is still their responsibility. I don't think the "nursing isn't for everyone" discussion is nearly as useful (targeted?) as saying, "nothing we can do will make the disability go away, so you have to determine whether it is possible for you to accomplish your goals regardless of your limits." Dr. Jane Jarrow