Saturday, February 23, 2019
Developmental History Case Study Essay
youngsters Name Rita G.Lapid conflict of Interview November 7 2007 catch of Birth June, 20 2003 mature of barbarian 4Address 136 Bellemont St. Greenville, manila remember n/a ( clannish purposes) naturalize New Jerusalem School (NJS) Grade Pre- instill, Kinder-1Teacher Female, Mrs. Rosia LewerReferral InformationWhy atomic number 18 you squargon upking patron for this sister? She has delayed run-in victimization.Who referred you to our serve? NJS School Pediatrician, Ms. Emelita ZobelWhat kind of services ar you seeking? I am seeking mental consultation for my girl about her delayed voice communication problem.PRIMARY missionGIVER/ upraise INFORMATIONFatherName Rino S. LapidAddress (if different from yield) 136 Bellemont St. Greenville, ManilaPhone n/a usage Civil Engineer aloofness of meshing 10 yearsOccupation Engineer Highest Grade Level College Degree, MA, PhDStepfather n/aPrimary dustup Tagalog Secondary Language side of meat obtainName Magdalene G. LapidAddr ess 136 Bellemont St. Greenville, ManilaPhone n/aEmployment noneLength of Employment n/aOccupation denturemaker Highest Grade Level College DegreeStepmother n/aPrimary Language Tagalog Secondary Language EnglishPrimary CargongiverWith what adults does this electric razor ackat onceledge? The squirt resides together with her parentsHow great in the current alert function? The kid has started this state since parentage.Name of Caregiver Magdalene G. LapidRelationship to Child set outAddress136 Bellemont St. Greenville, ManilaAge 31Home Phone n/a Work Phone n/aOccupation lady of the houseEmployer n/aHow long with present employer n/a Highest crisscross Completed College degreePrimary Language Tagalog Secondary Language EnglishFAMILY HISTORYPlease list all brothers and sisters, and some(prenominal) other tikeren living with the familyAge Sex Relationship to this pincer living at home?Rita G. Lapid Female4 yrs sr.- Only babeCHILD CAREIf primary billingfulnessgiver wor ks outside the home, please provide the pursuit information.Who wangles for this child when caregivers are gone? The caregiver is basically the childs mother who is a housewife. If in case the mother is gone, the father or the housemaid takes care of the child.How many hours per day is this child in a child-care setting? 5 hours per day, 4 days a weekHow many different people care for this child? Usually the mother takes care of the child how incessantly, if the mother is non available, the father or housemaid assumes the role. maternalismPlanned motherliness? YesPregnancy under doctors care YesNumber of previous miscarriages n/a interference any of the succeeding(a) complications that occurred during the maternalism______ worry in conception ______Toxemia _______ Abnormal weight gain______Measles soften Excessive vomiting _______German measles confine Excessive swelling none Emotional problems disclose Vaginal bleeding______Flu ________Anemia Check High slant pressureRh- incompatibility n/aMaternal injuryDescribe n/aHospitalization during gestation period Reason For consultations and routine tally-up purposesX-rays during pregnancy n/aMedications apply during pregnancy n/aAlcohol used during pregnancy noCigarettes during pregnancy noOther drugs used during pregnancy n/aParacetamol500mg- As neededBIRTH At this childs birth, what was the mothers age? 27 yrs experienced Fathers Age?28 yrs old lets age at birth of FIRST child? 27 yrs oldWas this child born in the hospital? YesIf No, where? n/aLength of pregnancy 9 months and 5 days Birth Weight not remembered by motherLength of Labor n/a Apgar Score n/aChilds condition at birth normal and stableMothers condition at birth normal and stableCheck any of the succeeding(a) complications that occurred during birth______Forceps used ______Breech Birth ______Labor Induced Check Caesarean DeliveryOther Delivery Complications n/a brooder No How long? n/aJaundiced No haematoidin Lights? No If Yes, How Long? n/aBreathing worrys right aft(prenominal) birth n/aSupplemental Oxygen No If yes, how long? n/aWas anesthesia used during delivery? Yes If yes, what kind? n/aDEVELOPMENTAt what age did this child initiatory do the following? Please indicate year/month of age.Turn oer 4 mos. toss down Stairs 1- 1 and 5 mos. yr. oldSit completely not observed Show interest in or attraction to sound not observedCrawl 9 months Understand first words 2 yrs oldSand Alone 2 yrs old Speak first words 3 yrs old, (da-da, ma-ma)Walk Alone 2 yrs old Speak in sentences n/aWalk up Stairs 2 yrs oldWas this child suck? NoWhen wean? n/aWas this child bottle-fed? Yes When weaned? n/aWhen was this child toilet trained? 2 yrs old Days vary Nights varyDid bed wetting occur later toilet training? Yes If yes, until what age? 3 yrs. oldDid bed-soling occur after toilet training? NoHas this child experienced any of the following problems? If yes, please describe.Walking difficulty No undecipherable Speech YesMy daug hters speech is somewhat delayed. She only speaks the words ma-ma or da-da, simply she still raftnot forms any phrase. In addition, she started dissertation these words very late. stay Problem NoFeeding Problem NoUnderweight Problem NoEating Problem NoOverweight Problem NoColic NoDifficulty learning to Ride a roulette wheel YesMy daughter is having a hard time riding her bicycle. She seems to play with it entirely not like any other kids. She just stairs on it, touches it and every time we place her on the bike, she gets disappointed. It is a bit spiritual to have a behavior like that.Difficulty Learning to leap out YesI have not seen her skipping ever since. I dont know why. She only plays with her dolls and seems to be introvert in hurt of her behavior.Difficulty Learning to Throw and Catch YesShe does not play throw and catch. If a ball for example is thrown to her, she just looks at it and dodges it.During this childs first four (4) years, were any special problems noted in the following areas? If yes, please describe.Eating NoMotor skills YesShe moves little frequently and does not show any active spark officipation in school, other children or even inside the house. She just plays with her dolls, which seems to be her only world.Sleeping in addition much NoTemper tantrums NoExcessive crying NoSleeping too little NoFailure to thrive NoSeparating from parents NoWhich hand does this child used for composing or muster? Right Eating? RightHas this child been forced to change writing hand? No medical checkup HISTORYChildhood Illnesses/InjuriesPlease check the illnesses this child has had and indicate age, year and monthMeasles No derelict feverishness NoGerman measles No Diphtheria No epidemic parotitis No Meningitis NoChicken pox No Encephalitis NoTuberculosis No Anemia NoWhooping Cough No pyrexia above 1040 NoScarlet Fever No Broken beat NoHead injury No Sustained high fever NoComa or any loss of consciousness NoIllness/OperationsHas this chi ld ever been on any practice of medicine for six months or more? NoPlease indicate whether this child currently has any of the following problems.Respiratory Cardiovascular Gastrointestinal______Frequent colds _______Shortness of suggestion _______Excessive vomiting____Chronic cough ___Dizziness with physical exertion _____Frequent diarrhea________Asthma ________Activity limited collectible to heart _______Constipation______ Hay fever ________Condition ______Stomach suffer ______Sinus condition ______Heart murmur GU Musculosketetal NeurologicalCheck Urination in pants/bed _______Muscle pain ______Seizures/convulsions______Pain while urinating ________Clumsy walk Check Speech defects______ Excessive micturition Check Poor posture _______Bites nails______Strong odor to urine _______ Other muscle problems _____Sucks riffle______Tics/twitches______ Bangs head Check Rocks back and forthAllergies Skin________Allergy to medicine 0Frequent rashes________Allergy to fare 0Bruises easil y________Bowel movements in other allergies_____ Sores_____ Pants/bed_____Severe acne_____ Itchy kowtow (Eczema)Speech Hearing Vision______Stuttering ______ Ear infections______ Vision problemsCheck Unclear speech______ Hearing problems______ Glasses/contactsDelayed speech Other speech problems _______Ear tubes age of most recent speech exam August 20, 2007Date of most recent hearing exam n/aDate of most recent vision exam n/aMEDICAL CAREChilds Physician Emilta ZobelHow often does child see doctor? My daughter is having her check-up twice every 6 months since last year.Is this child currently on medication? NoHas this child ever been physically or sexually abused or neglected? NoHas this child ever had mental counseling or therapy? NoHas this child ever had a neurological exam? NoHas this child ever had a psychological or psychiatric exam? NoDevelopmental compend Starting out with the brief background, the customer is the only child of the couple with one housemaid living togeth er in the capital metropolis of Manila. The child, having the primary concern of language development delays, has been recommended by the school pediatrician for a psychological consultation. The primary breadwinner of the family is the father who is actually a obliging engineer, while the mother resides solely in the house as the housewife. The care of the child is distributed among the triad individuals in the house however, the primary care is accustomed by the mother herself. The child is studying in a private school, NJS, in a kinder-1 preschool level. In the initial statement mentioned by the mother, the child is said to be having delayed speech problem however, other handle of child development are normal in the case of the child. Upon estimation of care delivery, it has been concluded that the child receives specialised parental attention of the mother in the childs earliest years. The care of the child is subjected to three important personas with housemaid as the la st option of care facilitator. In much(prenominal) case, we can conclude that the care needed by the child is adequately provided by appropriate significant individuals.There have been no conception anomalies noted in the assessment phase hence, clinical or congenital contributors are most likely negative in terms of child condition effect. However, the mother has had excessive swelling, emotional problems referable to personal reasons, slight vaginal bleeding noted and occurrence of high bank line pressure. Some of these signs and symptoms are most commonly associated with pre-eclamptic effect (Erickson, 2005 p.23), although the mother has not indicated any possible diagnosis of pre-eclampsia during pregnancy. Language development can be affected by drug intake during period of pregnancy specially during times of critical brain development particularly during the foremost quarter of the pregnancy (Johnson & Eviritt, 2000 p.216) however, the only medicine that has been noted is Paracetamol, which apparently is not anymore significant since the intake is only during times of fever. In addition, the pregnancy has not suffered any significant medical difficulties aside from the following mentioned. Analyzing now the developmental features of the child, the speech developmental delays are the evident features of the child. The child has mouth her first words at the age of 3 yrs old, which is supposed to be less than one year old. Moreover, the child has not spoken any complete phrase, but only baby-talk words, da-da or ma-ma. The mother mentioned that the child speaks less frequently, which is contrary to the normal language development of a child that is, supposedly, speaking more than 2000 words at the age of one (Philipps & Guilherme, 2004 p.12).During the assessment of the cues that dexterity participate in the relationship of such effect, other behavioural alterations are observed. The child manifests inappropriate introvert behaviors that are usually found in some delayed psychological and/ or mental impaired condition. The child is having difficulties riding bicycle as well as skipping however, the problem, basically, is not repayable to motor decline in qualitys but rather due to substantial cognitive and psychological in the essence. Other associated problems are not evident in the child, especially physical in origin.Another manifesting deviation on the childs behavior is primarily related on her accessible character. The child enters school with other kids however, as stated by the mother, the child possesses an isolative behavior that tends to impinge on her attention towards mingling with other kinds. Instead, the child focuses imaginative play in an object, particularly her doll.If we analyzed the given statement in terms of part records, the child has neer had any negative experiences in the past, such as trauma, rape or accident, which may have caused this certain behavior. The client has never had any physical i mpairment or a disease that may have contributes to this psychological manifestations. Moreover, the child is not into medication, treatment procedures or psychological supervision that aims to take hold of the web site. In fact, this is the first time that the child is having her psychological assessment however, she has had initial check-ups that resulted to referral for psychological examination.In addition to the clients assessment, she also possesses poor postural features noted on her back, and urination in bed, although this has been alleviated just recently through trainings. Moreover, the client has manifested uncertain behavior such as rocking back and forth with less apprehension on her environment.Discussing now possible disorder pathology, the case of the patient has liberal range of possibilities in terms of disorder development. The following two conditions are the closest however, still requires push validation and assessment of the client features. The first is the possibility of Aspersers Syndrome attainment, which is primarily evident due to her poor social capacity, delayed language progression and imaginative play with enigmatic behavioral flaws. Second, is language development delay, which involves the primary concern of the patient that is speech delay.In the analysis of possible Aspergers syndrome development, the patient involves the primary signs of the condition such as the impairments in language, social participations and imaginative play. However, the only validated impairment is the speech delay. Other impairments are resulted by the parental observation, which apparently, still requires further assessment on the child. The child may exhibit these behaviors as due to situational causation, which happens to be unfamiliar with the parents, or a behavioral altering family situation that displaces the normal behavior of the child.This may be difficult to diagnose as of now since, the case of the child does not support the major and specific behaviors associated with the condition. Although if the child progresses in this type of developmental pattern, she may acquire dysfunctional behavior such as introversion, social self-degradation, self-infliction, and worst of all, further progression towards Aspergers condition.In terms of language development delay, the child perchance be evidently having such developmental deficit however, other symptoms are contradicting the statement, since behavioral isolation is not present if the case is solely language development problem. However, the possibility is still there that the child is just experiencing this development lag, and with further trainings, can help improve language development.The following implications are based on critical interpretation and analysis of the gathered info from the psychological assessment history taking. It does not, however, conclude that the client possess the feature conditions. Although, this are the possibilities that may in cur to the child if behavioral patterns progress.ReferencesErickson, T. (2005). Pediatric Toxicology diagnosis and Management of the Poisoned Child. McGraw-Hill Professional.Johnson, M., & Eviritt, M. J. (2000). Essentials in Reproduction. Blackwell Publishing.Philipps, A. M., & Guilherme, M. (2004). Critical Pedagogy Political Approaches to Language and Intercultural Development. multilingual Matters.
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