'Developmental History Case Study Essay\r'

' tiddler’s appellation: Rita G.Lapid\r\n regard of Interview: November 7 2007\r\n engagement of yield: June, 20 2003\r\nAge of kidskin: 4\r\n manner of speaking: 136 Bellemont St. Greenville, manila\r\n call up: n/a ( hugger-mugger purposes)\r\nSchool: New ceiling of Israel School (NJS) commemorate: Pre-school, Kinder-1\r\nTeacher: Female, Mrs. Rosia Lewer\r\nReferral reading:\r\nWhy argon you pursuit assistant for this youngster? She has delayed langu years tuition.\r\nWho referred you to our operate? NJS School Pediatrician, Ms. Emelita Zobel\r\nWhat grade of services atomic number 18 you seeking? I am seeking amiable consultation for my daughter nigh her delayed quarrel hassle.\r\nPRIMARY health professional/PARENT INFORMATION\r\nFather\r\nName: Rino S. Lapid\r\nAddress (if unalike from acquire): 136 Bellemont St. Greenville, Manila\r\nPhone: n/a\r\n trading: accomplished Engineer\r\n aloofness of Employment: 10 divisions\r\n agate line: Engineer H ighest make Level: College Degree, MA, PhD\r\nStep give: n/a\r\n particular wording: Tagalog Secondary wrangle: slope\r\n give\r\nName: Magdalene G. Lapid\r\nAddress: 136 Bellemont St. Greenville, Manila\r\nPhone: n/a\r\nEmployment: none\r\nLength of Employment: n/a\r\nOccupation: Housewife Highest Grade Level: College Degree\r\nStepm otherwise: n/a\r\nPrimary verbiage: Tagalog Secondary Language: English\r\nPrimary health shell out provider\r\nWith what adults does this kid live? The nestling resides together with her p atomic number 18nts\r\nHow gigantic in the current living circumstance? The chela has started this state since feature.\r\nName of C atomic number 18giver: Magdalene G. Lapid\r\nRelationship to Child: Mother\r\nAddress:136 Bellemont St. Greenville, Manila\r\nAge: 31\r\n nucleotide Phone: n/a flirt Phone: n/a\r\nOccupation: Housewife\r\nEmployer: n/a\r\nHow astray with turn over employer: n/a Highest localize Completed: College degree\r\nPrimary Lang uage: Tagalog Secondary Language: English\r\nFAMILY write up\r\nPlease list all brothers and sisters, and both other babyren living with the family\r\nAge wake Relationship to this barbarian living at home?\r\nRita G. Lapid â€â€â€â€Femaleâ€â€â€â€â€â€4 yrs sexagenarianâ€â€â€â€â€â€- Only sister\r\nCHILD dread\r\nIf base treatgiver works outside the home, ravish provide the by-line information.\r\nWho c ars for this pincer when caregivers are gone? The caregiver is essentially the kid’s spawn who is a planetary housewife. If in face the beget is gone, the buzz off or the amah foreshortens care of the nipper.\r\nHow some hours per day is this fry in a baby-care setting? 5 hours per day, 4 old age a week\r\nHow m some(prenominal) different people care for this peasant? practicely the mother takes care of the kid; however, if the mother is non available, the father or housemaid assumes the role.\r\nPR EGNANCY\r\nPlanned maternal quality? Yes\r\n gestation under doctor’s care: Yes\r\nNumber of previous miscarriages: n/a\r\nCheck all of the chase complications that make passred during the maternity\r\n______Difficulty in conception ______Toxemia _______ Abnormal tip gain\r\n______Measles Check extravagant regurgitate _______German measles\r\nCheck Excessive pomposity Check Emotional problems Check vaginal shed pitch\r\n______Flu ________ genus Anemia Check High blood line pressure\r\nRh-incompatibility: n/a\r\n agnate injury:\r\nDescribe: n/a\r\nHospitalization during pregnancy: \r\nReason: For consultations and moment ticktock-up purposes\r\nX-rays during pregnancy: n/a\r\nMedications utilize during pregnancy: n/a\r\nalcoholic beverage used during pregnancy: no\r\nCigarettes during pregnancy: no\r\n opposite drugs used during pregnancy: n/a\r\nParacetamolâ€â€â€â€â€â€â€â€â€â€â€500mgâ€â€â€â€â€â€â€â€- As undeniable\r\nBIRTH \r\nAt this fry’s bloodline, what was the mother’s age? 27 yrs disused Fathers Age?28 yrs old\r\nMother’s age at birth of FIRST peasant? 27 yrs old\r\nWas this claw born in the hospital? Yes\r\nIf No, where? n/a\r\nLength of pregnancy: 9 calendar months and 5 days bring forth Weight: non remembered by mother\r\nLength of Labor: n/a Apgar Score: n/a\r\nChild’s hold in at birth: normal and stable\r\nMother’s condition at birth: normal and stable\r\nCheck either of the following complications that occurred during birth:\r\n______Forceps used ______Breech Birth ______Labor Induced Check Caesarean rake\r\nOther Delivery Complications: n/a\r\nIncubator: No How long? n/a\r\nJaundiced: No hematoidin Lights? No If Yes, How Long? n/a\r\nBreathing chores right later on birth: n/a\r\nSupplemental group O: No If yes, how long? n/a\r\nWas anesthesia used during delivery? Yes If yes, what kind? n/a\r\nDEVELOPMENT\r\nAt what age di d this child first do the following? Please indicate year/month of age.\r\nTurn Over: 4 mos. Walk down steps: 1- 1 and 5 mos. yr. old\r\nSit just: non observed Show stake in or attraction to salutary: not observed\r\nCrawl: 9 months Understand first manner of speaking: 2 yrs old\r\nSand Alone: 2 yrs old Speak first words: 3 yrs old, (da-da, ma-ma)\r\nWalk Alone: 2 yrs old Speak in sentences: n/a\r\nWalk up Stairs: 2 yrs old\r\nWas this child nurse? No\r\nWhen weaned? n/a\r\nWas this child bottle-fed? Yes When weaned? n/a\r\nWhen was this child toilet accomplished? 2 yrs old Days: interpolate Nights: vary\r\nDid bed wetting occur after toilet training? Yes If yes, until what age? 3 yrs. old\r\nDid bed-soling occur after toilet training? No\r\nHas this child experienced any of the following problems? If yes, please describe.\r\nWalking difficulty: No\r\n indecipherable mother tongue: Yes\r\nMy daughter’s language is somewhat delayed. She merely speaks the words ma-m a or da-da, provided she still potentiometernot forms any phrase. In addition, she started speaking these words very late.\r\n respite Problem: No\r\nFeeding Problem: No\r\nUnderweight Problem: No\r\nalimentation Problem: No\r\n gravid Problem: No\r\nColic: No\r\nDifficulty learning to Ride a Bike: Yes\r\nMy daughter is having a tricky cadence riding her motorcycle. She seems to meet with it but not like any other kids. She just stairs on it, touches it and each time we place her on the bike, she gets disappointed. It is a bit weird to rent a way like that.\r\nDifficulty schooling to Skip: Yes\r\nI have not seen her skipping ever since. I don’t know why. She unless(prenominal) plays with her dolls and seems to be introvert in terms of her behavior.\r\nDifficulty knowledge to Throw and Catch: Yes\r\nShe does not play throw and catch. If a ball for guinea pig is thrown to her, she just looks at it and dodges it.\r\nDuring this child’s first four (4) years, were any special problems noted in the following areas? If yes, please describe.\r\nEating: No\r\n get skills: Yes\r\nShe moves less frequently and does not steer any active participation in school, other children or even inside(a) the house. She just plays with her dolls, which seems to be her only(prenominal) world.\r\ndormancy too much: No\r\n soreness tantrums: No\r\nExcessive crying: No\r\nSleeping too little: No\r\nFailure to thrive: No\r\nSeparating from parents: No\r\nWhich hand does this child used for compose or drawing? Right Eating? Right\r\nHas this child been forced to channelize writing hand? No\r\n medical testinationinationination HISTORY\r\nChildhood Illnesses/Injuries\r\nPlease check the illnesses this child has had and indicate age, year and month\r\nMeasles: No Rheumatic feverishness: No\r\nGerman measles: No Diphtheria: No\r\nMumps: No Meningitis: No\r\nChicken pox: No encephalitis: No\r\nTuberculosis: No Anemia: No\r\nWhooping Cough: No febri city above 1040: No\r\nScarlet febrility: No Broken bone: No\r\nHead injury: No sustained high fever: No\r\n lethargy or any loss of knowingness: No\r\nIllness/Operations\r\nHas this child ever been on any music for six months or more? No\r\nPlease indicate whether this child before long has any of the following problems.\r\nRespiratory cardiovascular Gastrointestinal\r\n______Frequent colds ­­­­_______Shortness of breath _______Excessive vomiting\r\n____Chronic coughing ___Dizziness with tangible exertion _____Frequent diarrhea\r\n________Asthma ________Activity peculiar(a) cod to heart _______Constipation\r\n______ Hay fever ________Condition ______Stomach pain ______Sinus condition ______Heart murmur\r\n GU Musculosketetal Neurological\r\nCheck Urination in pants/bed _______Muscle pain ______Seizures/convulsions\r\n______Pain firearm urinating ________Clumsy walk Check Speech defects\r\n______ Excessive urination Check Poor situation _______Bites nails\r\n___ ___Strong odor to urine _______ Other ponderousness problems _____Sucks thumb\r\n______Tics/twitches______ Bangs head Check Rocks underpin and forth\r\nAllergies Skin\r\n________Allergy to medicine 0Frequent rashes\r\n________Allergy to food 0Bruises easily\r\n________Bowel movements in other allergies\r\n_____ Sores\r\n_____ gasp/bed\r\n_____Severe acne\r\n_____ Itchy skin (Eczema)\r\nSpeech audience hatful\r\n______Stuttering \r\n______ Ear infections\r\n______ Vision problems\r\nCheck Unclear speech\r\n______ Hearing problems\r\n______ Glasses/contacts\r\nDelayed speech Other speech problems _______Ear tubes\r\nDate of nearly new-fangled speech exam: August 20, 2007\r\nDate of most recent hearing exam: n/a\r\nDate of most recent vision exam: n/a\r\nMEDICAL CARE\r\nChild’s Physician: Emilta Zobel\r\nHow often does child see doctor? My daughter is having her check-up double every 6 months since last year.\r\nIs this child currently on medication? No\r\nHas this child ever been physically or sexually abused or overleap? No\r\nHas this child ever had mental counseling or therapy? No\r\nHas this child ever had a neurological exam? No\r\nHas this child ever had a psychological or psychiatric exam? No\r\nDevelopmental Analysis\r\n starting out with the brief background, the node is the only child of the couple with one housemaid living together in the capital city of Manila. The child, having the primary take of manner of speaking 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 civil engineer, bit the mother resides solely in the house as the housewife. The care of the child is distributed among the third individuals in the house; however, the primary care is given by the mother herself. The child is studying in a private school, NJS, in a kinder-1 preschool level.\r\n In the sign statement menti oned by the mother, the child is utter to be having delayed speech problem; however, other fields of child development are normal in the case of the child. Upon legal opinion of care delivery, it has been abstaind that the child receives particular(prenominal) parental attention of the mother in the child’s soonest years. The care of the child is subjected to three measurable personas with housemaid as the last plectrum of care facilitator. In much(prenominal)(prenominal) case, we abide conclude that the care needed by the child is adequately provided by becharm significant individuals.\r\nThere have been no conception anomalies noted in the sagacity phase; hence, clinical or noninheritable contributors are most likely disallow in terms of child condition effect. However, the mother has had excessive swelling, emotional problems due to personal reasons, slight vaginal bleeding noted and occurrence of high blood pressure. Some of these signs and symptoms are most normally associated with pre-ecl angstrom unittic effect (Erickson, 2005 p.23), although the mother has not indicated any viable diagnosis of pre-eclampsia during pregnancy.\r\n Language development can be bear upon by drug intake during result of pregnancy especially during times of particular brain development particularly during the first 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 diversion from the following mentioned.\r\n Analyzing now the developmental features of the child, the speech developmental delays are the evident features of the child. The child has spoken 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 subst itute 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).\r\nDuring the judgement of the cues that might participate in the kind 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 due to motor impairments but quite an due to substantial cognitive and psychological in the essence. Other associated problems are not evident in the child, especially physical in origin.\r\nAnother manifesting deviation on the child’s behavior is in the beginning related on her social character. The child enters school with other kids; however, as stated by the mother, the child possesses an isolative behavior that tends to ask out her attention towards mingling with other kinds. Instead, the child focuses imaginative play in an object, particularly her doll.\r\nIf we analyzed the given statement in terms of part records, the child has never had any negative experiences in the past, such as trauma, rape or accident, which whitethorn have caused this certain behavior. The client has never had any physical impairment 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 situation. 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.\r\nIn addition to the client’s assessment, she also possesses miserable postu ral features noted on her back, and urination in bed, although this has been alleviated just recently by dint of trainings. Moreover, the client has manifested enigmatic behavior such as rocking back and forth with less perception on her environment.\r\nDiscussing now possible perturb pathology, the case of the patient has wide range of possibilities in terms of disorder development. The following two conditions are the close-hauled; however, still requires further validation and assessment of the client features. The first is the possibility of Asperser’s Syndrome proficiency, 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.\r\nIn the depth psychology of possible Asperger’s syndrome development, the patient involves the primary signs of the condition such as th e impairments in language, social participations and imaginative play. However, the only authorize 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.\r\nThis may be difficult to nominate 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 maladaptive behavior such as introversion, social self-degradation, self-infliction, and conquer of all, further progression towards Asperger’s condition.\r\nIn terms of language development delay, the child maybe be evidently having such developmental deficit; however, oth er 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.\r\nThe following implications are based on minute interpretation and analysis of the gathered selective information from the psychological assessment history taking. It does not, however, conclude that the client possess the featured conditions. Although, this are the possibilities that may incur to the child if behavioral patterns progress.\r\nReferences\r\nErickson, T. (2005). Pediatric Toxicology: Diagnosis and Management of the Poisoned Child. McGraw-Hill Professional.\r\nJohnson, M., & Eviritt, M. J. (2000). Essentials in Reproduction. Blackwell Publishing.\r\nPhilipps, A. M., & Guilherme, M. (2004). Critical pedagogy: Political Approaches to Language and Intercultural Development. Multilingual Matters.\r\n'