Children with Special Needs Flashcards
what is global developmental delay (GDD)
performance below 2SD below mean of age-appropriate, norm-referenced testing
learning disability
significant impairment in intellectual functioning that affects a persons ability to learn and problem solve in their daily life
primary care assessment tools for learning disabilities
- ASQ
- PEDS
- M-CHAT
- SOGS-2
information wanted from history for learning disability
- family history
- history of miscarriage
- prenatal/ perinatal/ neonatal course
- drugs and alcohol use in pregnancy
- developmental, behavioural, social, educational history
- record of medications
- results of previous metabolic/ thyroid testing
- neuroimaging
- lead and iron screening
- growth records
- vision and hearing surveillance
- high index of suspicion for abuse and neglect
examination for learning disability
- head circumference
- dysmorphic features
- skin abnormalities
- movement quality
- ability to sit and stand from supine
- eye movements and eye examination
- general, cardio and resp exams
- observation of behaviour
red flag signs in children
- loss of developmental skills
- concerns re vision
- concerns re hearing
- floppiness
- no speech by 18-24 months
- asymmetry of movements
- persistent toe walking
- head circumference >99.6th/ <0.4th
when should a child be able to sit unsupported by?
12 months
when should a boy be able to walk?
18 months
when should a girl be able to walk?
2 years
when should a child be able to run
2.5 years
when should a child be able to hold objects in their hands
5 months
when should a child be able to reach for objects
6 months
when should a child point to objects to share interest
2 years
genetic testing investigations for learning disability
- chromosomal analysis
- fragile X
- FISH
- array CGH
investigations for learning disability
- genetic testing
- creatinine kinase
- thyroid screening
- metabolic testing
- neuroimaging
- opthalmological
- audiology
- consider congenital infection
metabolic testing for learning disabilities
- amino and organic acids
- NH4
- lactate
common motor problems causing delayed development
- cerebral palsy
- developmental coordination disorder
common sensory problems causing delayed development
- deafness
- visual impairment
- multisensory impairment
common language/ cognitive problems causing delayed development
- specific language impairment
- learning disability
common social/ communication problems causing delayed development
- autism
- asperger syndrome
- elective mutism
MDT involved in learning disabilities
- developmental paediatrician
- speech and language therapist
- OT/PT
- psychologist
- social worker
- geneticist
effects of learning disability on a family
- emotional
- social isolation
- financial implications
- implications for siblings
- wider family
purpose additional support learning
‘ensures the development of personality, talents, mental and physical abilities that child or young person to their fullest potential’
describe personal learning planning
a way of thinking about, talking about and planning what and how a child learns. its also a way of assessing their progress and acting on the results of that assessment
what is individualised educational plane
detailed plan for a Childs learning, containing specific short-term learning targets for the child and will set out how those targets are reached.
in an individualised educational plane, what should targets be
- specific
- measurable
- achievable
- relevant
- timed
what is a co-ordinated support plan (CSP)
detailed plan of how a Childs support will be provided.
LEGAL DOCUMENT
ensures that all professionals and everyone else involved with the child are involved and working together
indication for co-ordinated support plan
- complex or multiple needs
- needs likely to continue for >1 year
- support required >1 agency
what is GIRFEC approach attributed to
Children and Young Peoples Act 2016
what will a GIRFEC, Childs plan contain information about
- why a child/ young person requires support
- type of support a child/ young person will need
- how long a child will need support and who should provide it
