Children with Special Needs Flashcards
When is a delay in skills considered to be severe?
When development occurs greater than two standard deviations away from the mean for that skill
What is global developmental delay?
When two or more domains are affected by developmental delay
What is a learning difficulty?
Significant impairment in intellectual functioning and affects the persons ability to learn and problem-solve in their daily life
In what percentage of cases of global developmental delay are there identifiable causes?
50-70%
What are the primary care assessment tools for learning disability?
ASQ (ages and stages questionnaire)
PEDS (Parents evaluation of developmental status)
M-CHAT (Checklist for autism in toddlers)
SOGS-2 (Schedule of Growing Skills
What are the secondary care assessment tools for learning disability?
Griffiths mental development scales
Bayley scales of infant development
Wechsler preschool and primary scales of intelligence
What are the positive red flag signs in learning disability?
Loss of developmental skills Concerns re vision Concerns re hearing Floppiness No speech by 18-24 months Asymmetry of movement Persistent toe walking- persists to 2/3yo Head circumference >99.6th C or < 0.4th C
What are the negative red flag signs in learning disability?
Sit unsupported by 12 months
Walk by 18months (boys) or 2 years (girls): Check creatinine kinase
Walk other than on tiptoes
Run by 2.5 years
Hold objects in hand by 5 months
Reach for objects by 6 months
Points to objects to share interest by 2 years
What investigations can be done in learning disability?
Based on clinical anomalies and suspicion but can include:
•Genetic testing
•Creatinine kinase
•Thyroid screening
•Metabolic testing
•Ophthalmological and audiology assessment
•Neuroimaging (only if >2 years old as myelination will not be complete before then)
