Special Needs Flashcards

1
Q

Define developmental delay

A

“Functional aspects of the child’s development in 1 or more domains are significantly delayed compared to predicted level for age”

(Motor, language, cognitive, social & emotional)

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2
Q

What is required to diagnose Global Developmental Delay?

A

GDD = performance 2SD below mean of age-appropriate norm-referenced testing

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3
Q

What tools can we use in primary care to assess development?

A

ASQ (age & stage questionnaire)
PEDS (Parents evaluation of developmental stages)
M-CHAT (checklist for Autism in toddlers)
SOGS-2 (Schedule of growing skills)

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4
Q

What tools would be more applicable in secondary care?

A
  • Griffiths mental development scales
  • Bayley scales of infant development
  • Weshcler preschool/primary scales of intelligence
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5
Q

What parts of a history are particularly relevant to assessing child’s development?

A

FH
H/o miscarriages
Course of pregnancy, birth and early life
Drugs/alc in pregnancy
Medications
Development, behaviour, social & education history

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6
Q

What red flags could pop up in history or exam of a child?

A
  • Regression of skills
  • Hearing/vision concerns
  • Floppiness
  • Assymetrical movement
  • Persistant toe walking
  • No speech by 18-24months
  • Head circumference >99.6thC or <0.4thC
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7
Q

What first line tests can we run when we’re concerned about a child’s development?

A

1) GEnetic testing for chromosomal disorders & Fragile X
2) CK for muscular dystrophy
3) TFTs for hypothyroidism
4) U&Es + Urate
5) FBC
6) Ferritin
7) Lead (poisoning)
8) Opthalmological exam & Audiology assessment

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8
Q

Define Additional Support Needs?

A

Kids have ASNs if they need additional support with education that isn’t normally provided in mainstream education

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9
Q

List 4 types of plan we can set in place for a child with ASNs?

A
  • Personal Learning Plan (PLP)
  • Individualised Education Plan (IEP)
  • Coordinated Support Plan (CSP)
  • Child’s Plan
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10
Q

Which “plan” is described by:

“A way to plan what/how a child learns, assess their progress and act on that assessment”

A

A personal learning plan

PLP

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11
Q

What plan is described by:

“Detailed plan for child’s learning using SMART targets”

A

IEP - individualised Educational Plan

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12
Q

What plan is used if a kid needs extra support e.g. access to mental health services, respite care or help from multiple agencies? And may include an IEP or CSP?

A

A child’s plan (Part of the GIRFEC approach)

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13
Q

What plan is a legal document and has the following criteria:

  • Complex or multiple needs
  • Needs likely to continue >1yr
  • Support required from >1 agency
A

A coordinated Support Plan (CSP)

The only legally binding document

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