Developmental History Case Study Essay

Childs plant Rita G.LapidDate of Interview November 7 2007Date of Birth June, 20 2003 season of baby bird 4Address 136 Bellemont St. Greenville, ManilaPhone n/a (private purposes)School New Jerusalem School (NJS) st get along Pre-school, Kinder-1Teacher distaff, Mrs. Rosia LewerReferral InformationWhy are you seeking help for this infant? She has delayed language maturement.Who referred you to our operate? NJS School Pediatrician, Ms. Emelita ZobelWhat kind of services are you seeking? I am seeking psychological hearing for my daughter about her delayed lecturing problem.PRIMARY CAREGIVER/PARENT INFORMATIONFatherName Rino S. LapidAddress (if different from acquire) 136 Bellemont St. Greenville, ManilaPhone n/aEmployment Civil Engineer length of Employment 10 years art Engineer Highest soma Level College Degree, MA, PhDStepfather n/a base run-in Tagalog Secondary Language EnglishMotherName Magdalene G. LapidAddress 136 Bellemont St. Greenville, ManilaPhone n/aEmployment none distance of Employment n/aOccupation Housewife Highest Grade Level College DegreeStepmother n/a principal(a) Language Tagalog Secondary Language EnglishPrimary CaregiverWith what adults does this nestling live? The baby bird resides together with her parentsHow long in the current living mail? The barbarian has started this state since have got.Name of Caregiver Magdalene G. LapidRelationship to Child MotherAddress136 Bellemont St. Greenville, ManilaAge 31Home Phone n/a Work Phone n/aOccupation HousewifeEmployer n/aHow long with present employer n/a Highest grade Completed College dotPrimary Language Tagalog Secondary Language EnglishFAMILY HISTORYPlease list all brothers and sisters, and all other squirtren living with the familyAge Sex Relationship to this kidskin living at home?Rita G. Lapid Female4 yrs elderly- Only tykeCHILD CAREIf direct plowfulnessgiver works extraneous the home, please provide the following information.Who cares for this child when caregi vers are gone? The caregiver is basically the childs mother who is a housewife. If in case the mother is gone, the father or the housemaid takes care of the child.How m some(prenominal) hours per day is this child in a child-care setting? 5 hours per day, 4 days a workweekHow many different people care for this child? Usually the mother takes care of the child however, if the mother is not available, the father or housemaid assumes the role.PREGNANCYPlanned maternal quality? YesPregnancy under reanimates care YesNumber of previous miscarriages n/a reverse any of the following complications that occurred during the pregnancy______Difficulty in conception ______Toxemia _______ Abnormal weight gain______Measles set Excessive vomiting _______German measlesCheck Excessive swelling Check Emotional problems Check Vaginal bleeding______Flu ________Anemia Check High declension pressureRh-incompatibility n/aMaternal spotDescribe n/aHospitalization during pregnancy Reason For consultati ons and routine check-up purposesX-rays during pregnancy n/aMedications apply during pregnancy n/aalcoholic beverage used during pregnancy noCigarettes during pregnancy noOther drugs used during pregnancy n/aParacetamol500mg- As neededBIRTH At this childs birth, what was the mothers age? 27 yrs old Fathers Age?28 yrs oldMothers age at birth of beginning child? 27 yrs oldWas this child born in the hospital? YesIf No, where? n/a continuance of pregnancy 9 months and 5 days Birth Weight not remembered by motherLength of Labor n/a Apgar Score n/aChilds condition at birth normal and motionlessMothers condition at birth normal and stableCheck any of the following complications that occurred during birth______Forceps used ______Breech Birth ______Labor Induced Check Caesarean tarOther Delivery Complications n/aIncubator No How long? n/a chicken No Bilirubin Lights? No If Yes, How Long? n/aBreathing Problems right after birth n/aSupplemental Oxygen No If yes, how long? n/aWas anesthesia used during delivery? Yes If yes, what kind? n/aDEVELOPMENTAt what age did this child premiere do the following? Please indicate year/month of age.Turn Over 4 mos. travel checkmate Stairs 1- 1 and 5 mos. yr. oldSit Alone not observed Show pas term in or attraction to sound not observedCrawl 9 months Understand archetypal spoken communication 2 yrs oldSand Alone 2 yrs old Speak first-class honours degree actors line 3 yrs old, (da-da, ma-ma)Walk Alone 2 yrs old Speak in sentences n/aWalk up Stairs 2 yrs oldWas this child breast-fed? NoWhen weaned? n/aWas this child bottle-fed? Yes When weaned? n/aWhen was this child toilet trained? 2 yrs old Days vary Nights varyDid bed wetting occur after toilet training? Yes If yes, until what age? 3 yrs. oldDid bed-soling occur after toilet training? NoHas this child experienced any of the following problems? If yes, please describe.Walking difficulty NoUnclear Speech YesMy daughters deliverance is somewhat delayed. She hardly speaks the words ma-ma or da-da, notwithstanding she still cannot forms any phrase. In addition, she started speaking these words very late.Sleep Problem NoFeeding Problem NoUnderweight Problem No ingest Problem NoOverweight Problem NoColic NoDifficulty learnedness to Ride a Bike YesMy daughter is having a hard time riding her bicycle. She seems to embolden with it alone not like any other kids. She just stairs on it, touches it and every time we domicile her on the bike, she gets disappointed. It is a bit weird to have a behavior like that.Difficulty encyclopaedism to Skip YesI have not seen her skipping ever since. I dont know why. She only(prenominal) plays with her dolls and seems to be introvert in terms of her behavior.Difficulty Learning to Throw and Catch YesShe does not play throw and catch. If a ball for interrogationple is thrown to her, she just looks at it and dodges it.During this childs first four (4) years, were any special problems noted in the following areas? If yes , please describe.Eating Nopush keister skills YesShe moves less frequently and does not show any active participation in school, other children or even inside the house. She just plays with her dolls, which seems to be her only world.Sleeping too much No formidability tantrums NoExcessive crying NoSleeping too little NoFailure to prevail NoSeparating from parents NoWhich hand does this child used for writing or drawing? Right Eating? RightHas this child been forced to change writing hand? NoMEDICAL HISTORYpuerility Illnesses/InjuriesPlease check the illnesses this child has had and indicate age, year and monthMeasles No Rheumatic fever NoGerman measles No Diphtheria NoMumps No Meningitis NoChicken syphilis No Encephalitis NoTuberculosis No Anemia NoWhooping Cough No febricity above 1040 NoScarlet Fever No Broken bone NoHead injury No Sustained high fever NoComa or any loss of soul NoIllness/OperationsHas this child ever been on any medication for six months or more? NoPlease indicate whether this child currently has any of the following problems.Respiratory cardiovascular Gastrointestinal______Frequent colds _______Shortness of breath _______Excessive vomiting____Chronic cough ___Dizziness with physical exertion _____Frequent diarrhea________Asthma ________Activity limited collectable to affectionateness _______Constipation______ Hay fever ________Condition ______Stomach pain ______Sinus condition ______Heart murmurGenitourinary Musculosketetal NeurologicalCheck Urination in pants/bed _______Muscle pain ______Seizures/convulsions______Pain while urinating ________Clumsy walk Check Speech defects______ Excessive urination Check Poor posture _______Bites nails______Strong odor to urine _______ Other muscle problems _____Sucks thumb______Tics/twitches______ Bangs head Check Rocks back and forthAllergies Skin________Allergy to medicinal drug 0Frequent rashes________Allergy to Food 0Bruises easily________Bowel movements in other allergies_____ Sores_____ Pants/bed_____Severe acne_____ fretful skin (Eczema)Speech interview Vision______Stuttering ______ Ear infections______ Vision problemsCheck Unclear speech______ Hearing problems______ Glasses/contactsDelayed speech Other speech problems _______Ear tubesDate of close recent speech exam August 20, 2007Date of some recent hearing exam n/aDate of most recent vision exam n/aMEDICAL CAREChilds medical student Emilta ZobelHow often does child see doctor? My daughter is having her check-up twice every 6 months since last year.Is this child currently on medication? NoHas this child ever been physically or sexually maltreated or neglected? NoHas this child ever had psychological counseling or therapy? NoHas this child ever had a neurological exam? NoHas this child ever had a psychological or psychiatric exam? NoDevelopmental Analysis Starting out with the brief background, the client is the only child of the couple with one housemaid living together in the capital city of Manila. The c hild, having the primary concern of language 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, while the mother resides solely in the house as the housewife. The care of the child is distributed among the three 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. In the initial statement mentioned by the mother, the child is said to be having delayed speech problem however, other fields of child development are normal in the case of the child. Upon assessment of care delivery, it has been foldd that the child receives unique(predicate) maternal(p) attention of the mother in the childs earliest years. The care of the child is subjected to three weighty personas with housemaid as the last option of care facilitator. In such case, we can c onclude that the care needed by the child is adequately provided by appropriate significant individuals.There have been no conception anomalies noted in the assessment phase hence, clinical or congenital contributors are most likely minus 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 commonly associated with pre-eclamptic effect (Erickson, 2005 p.23), although the mother has not indicated any possible diagnosis of pre-eclampsia during pregnancy. Language development can be affected by drug intake during period of pregnancy in particular during times of critical brain development in particular during the 1st 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 on ly during times of fever. In addition, the pregnancy has not suffered any significant medical difficulties aside from the following mentioned. 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 sibylline to be less than one year old. Moreover, the child has not spoken any complete 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).During the assessment of the cues that might go in in the relationship of such effect, other behavioral 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 havin g difficulties riding bicycle as well as skipping however, the problem, basically, is not due to motor impairments but or else due to substantial cognitive and psychological in the essence. Other associated problems are not evident in the child, especially physical in origin.Another manifesting deviation on the childs behavior is primarily 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 remove her attention towards mingling with other kinds. Instead, the child focuses imaginative play in an object, particularly her doll.If we analyzed the given statement in terms of part records, the child has neer had any negative experiences in the past, such as trauma, rape or accident, which may 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.In addition to the clients assessment, she in addition possesses poor postural features noted on her back, and urination in bed, although this has been alleviated just recently done trainings. Moreover, the client has manifested enigmatic behavior such as rocking back and forth with less perception on her environment.Discussing now possible disarray pathology, the case of the patient has wide range of possibilities in terms of disorder development. The following two conditions are the closest however, still requires further validation and assessment of the client features. The first is the possibility of Aspersers Syndrome onward motion, 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.In the analysis of possible Aspergers syndrome development, the patient involves the primary signs of the condition such as the impairments in language, social participations and imaginative play. However, the only validated impairment is the speech delay. Other impairments are resulted by the agnatic 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.This may be difficult to diagnose 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 develo pmental pattern, she may acquire maladaptive behavior such as introversion, social self-degradation, self-infliction, and worst of all, further progression towards Aspergers condition.In terms of language development delay, the child maybe be evidently having such developmental deficit however, other symptoms are contradicting the statement, since behavioral closing off 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.The following implications are base on critical interpretation and analysis of the gathered data 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.ReferencesErickson, T. (2005). Pediatric Toxicology diagnosis and M anagement of the Poisoned Child. McGraw-Hill Professional.Johnson, M., & Eviritt, M. J. (2000). Essentials in Reproduction. Blackwell Publishing.Philipps, A. M., & Guilherme, M. (2004). Critical Pedagogy Political Approaches to Language and Intercultural Development. Multilingual Matters.