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Table of Contents

I.Introduction
II.Patient Profile/ Client Profile
III.Theories
IV.Growth and Development Assessment
V.Evaluation
VI.Referrals
VII.Bibliography
VIII.Appendices

INTRODUCTION

Developmental disability is estimated to occur in 5-10% of the population with enormous psychological, emotional, and economic impact on the affected individuals and society. Studies have shown that developmentally delayed children who are recognized at an early age receive more developmental optimization and greater gains than those who are identified later in life. Early recognition of children with developmental problems is therefore important. When many of the key developmental milestones are not reached in time then children are often diagnosed with Global Developmental Delay, a brain development disorder. Although there is currently no known cure, many children are able to develop further with specialist help. Children with Global Developmental Delay can suffer from a wide range of limitations, ranging from fine and gross motor skills, speech and language acquisition to social and emotional maturity. Often children with Global Developmental Delay display unusual sensitivities in one or more of the senses: hearing, vision, touch, smell, taste or balance. How the brain processes and perceives these sensory input signals can be altered through structured training programmes. This can greatly reduce the stress children with Global Developmental Delay often suffer from and help them to respond to everyday sensory input with more ease. Many children with Global Developmental Delay find it difficult to pay attention, stay focused or concentrate. Most also have poor social skills, lack eye contact or may have retracted into their own inner world, cutting themselves off from the outside world. These behaviours can adversely affect how a child develops and learns. In children with no or limited speech, the poor attention span and limited social contact can play a key role in holding back the emergence of speech. The five senses – hearing, vision, touch, smell and taste – plus our sense of balance and where our body is in the space around us (proprioception) all contribute to how we learn and develop. How the brain receives, filters, processes and interprets the signals from these senses determines how we perceive reality and how we react, behave and express ourselves.

II. Patient/Client Profile

Patient Biography:
Name: “JUDAEN”
AGE: 4 y/o
ADDRESS: Cagayan de Oro City
BIRTHPLACE: Maternity Hospital Cagayan de Oro City
NATIONALITY: Filipino
RELIGION: Christian
CIVIL STATUS: Child
BIRTHDAY: October 2, 2008
PARENTS: Jean and Bryan
DIAGNOSIS: Global Developmental Delay, Mild to Moderate with Dysmorphic Features TC Down Syndrome, Congenital Heart Disease, ASD, TR, Moderate Doctor: Dr. Annah Rebecca P. Doroja

Past History:
Judaen is the second child of Jean and Brian. He was born full term last October 2,2008 via caesarian section. The pregnancy of Judaen was not easy according to her mother because during the pregnancy she had a low lying placenta so she had to stay in bed most of the time. She almost lost Judaen twice due to bleeding during the course of the pregnancy and was admitted to the hospital 3 times just to keep Judaen safe and alive.

The day Judaen was born the doctor told them that Judaen has “clubfoot” and that he might be a special child based on their assessment. He was referred to Dr. Chan regarding his clubfoot problem and casting was done for straight two months. They were also referred to Dr. Doroja but they opted to just observe Judaen first and make and appointment with her later. At 5 months his parents noticed that he had difficulty swallowing and he breathes faster than usual. They found out that he has ASD so a maintenance medication was given to him. At 10 months old Judaen was brought to Dr. Doroja and he was...
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