Case Study-susie-5 Years Old
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Transcript of Case Study-susie-5 Years Old
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CASE STUDY-
SUSIE-5 YEARS OLDPRESENTED BY ETHELDA MENDS
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Presentation Overview
• Case of 5 year old Susie
• Normal development
• Compare Susie and normal
• Diagnosis• Resources
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DOMAINS OF HUMAN DEVELOPMENT
Biosocial development
Fetus
Exposure to teratogens
Birth weight
2-3 years
Growth patterns
0-2 year
Growth rate
Nutrition
Brain development
Motor skills
listening
4-5 years
Growth patterns
Peers
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Teratogen effects
Fetal alcohol syndrome
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Body Shape: BiosocialDuring early childhood children become slimmer
Lower body lengthens
Well nourished children from ages 2 to 6
Add almost 3 inches in height
Gain about 4.5 pounds
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Gross and Fine motor skills
• Gross Motor Skills
• Walking
• Sitting
• Jumping
• Fine Motor Skills
• Finger movements
• Enabling humans to write
• Draw
• Type• Tie
• Movement of jaw, lips and toes.
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NUTRITION
• Breast is best
• Breast milk has so many advantages
• Miracle food
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NUTRITION
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DOMAINS OF HUMAN DEVELOPMENT
Psychosocial development
Fetus 2-3years
Goodness of fit
Temperament
0-2years
Psychoanalytic theory
Behaviorism
Oral and anal stagesTrust and autonomy
Attachment
Synchrony
4-5 years
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Attachment Styles: Psychosocial
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Erikson’s Psychosocial Development
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Temperament
• Temperament
• Epigenetic
• Originating in genes
• Affected by child rearing practices
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Erickson: Trust and Autonomy
• First crisis of life is trust versus mistrust
• When infants learn whether the world can
be trusted
• Babies feel secure when food and
comfort are provided with• Consistency
• continuity• Sameness of experience
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DOMAINS OF HUMAN DEVELOPMENT
The Six Stages of Sensorimotor Intelligence:Cognitive development
Fetus 2-3 years
Decrease reaction time
ScaffoldingLanguage
Lateralization
0-2 years
Baby talk
Sensorimotor intelligence
BabblingVocalization
First word
Assimilation
accommodation
4-5 years
Social referencing
Language
500-10,000 words
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Piaget’s Developmental Stages
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Six Stages of Sensorimotor Intelligence
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Cognitive theory
• Infant’s working model
• Use early relationships
• Assumptions that become a frame of reference
• To be called on later in life
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SCAFFOLDING
• Temporary support tailored to a learner’s
• Needs and abilities
• Aimed at helping the learner master in a given learning process
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Language As A Tool For Cognition
• Private speech• Occurs when people talk to themselves
• Developing new ideas
• Young children use private speech
• Typically talking out loud to review• Decide
• Explain events to themselves
• Older preschoolers use private speech more selectively
• In whisper as they tell themselves what to do next
• Social mediation• Function of speech occurs during both formal instruction and
casual conversation
• Language is the link between brain potential andknowledge
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Assimilation and Accommodation
• Assimilation
• Piaget’s term for a type of adaptation in which
• New experiences are interpreted to fit into old ideas
• Accommodation
• Piaget’s term for a type of adaptation in which
• Old ideas are restructured to include new experiences
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Susie’s Milestones
• Crawling
• Walking
• Speaking
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Susie early years
Prenatal
Mom possibly abused alcohol and drugs during
pregnancy.
First year Severely neglected
Locked in closets
Malnourished
Being in unclean environment
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Susie 1-3 years
• No contact with mother
• Father deceased
• Placed with grandmother
• Spoiled her for second year of life
• Grandmother died when Susie was two and a half years
• Placed with maternal aunt and uncle who had three
children
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Susie’s Difficulties
• Struggle at home with• Making bed
• Buttoning her shirt
• Tying her shoes
• struggle at school with• writing her name
• Reading
• Counting (cannot count past 20)
• Not on the same educational level as other students
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Susie’s Attitude
Impulsive and strong willed
Defiant and quick tempered
Did what she wanted whenever she wants
BossyWent from hording food to being a picky eater
Refuses to listen
o To work on assignments
Disrupt school environmentMaking noise in class
Screaming and yelling at teacher
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Susie Biosocial
• crawling, walking, and speaking at the right time
frame.
• Underfed during first years with her mom.• Small for her age
• Falling in 10th percentile compared with her peers.
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Susie Psychosocial
• Temperament
• defiant
• Quick tempered
• Calls her teacher a freak and argues with teacher
• Had to be carried out of class yelling “ I hate you” and “ I could just die” • Sometimes kicking, scratching, and biting.
• Bossy
• Argues with her foster mother
• what she can and cannot bring to school
• involved in physical fights with other children• hitting and kicking at them
• Also put her hands around another child’s neck
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Susie Psychosocial
• Other discipline incidents include• Throwing shoes
• Breaking her glasses
• Knocking her milk off her lunch tray
• Susie’s teacher reported • Easily frustrated and loses her temper quickly
• Has difficulty monitoring her frustration level.
• Snaps with no precursors being obvious.
• On occasion will become violent when she does not get her way.
• Flips her desk when not allowed to bathroom.• Her feelings are hurt more easily.
• Swore at her teacher when told to stop tapping her pencil
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Susie Cognitive
• Language
• Cannot write her name
• Cannot count past 20
• Cannot yet read
• Teacher reports that Susie
• Disorganized
• Distractible
• Does not follow direction
• Has difficulty transitioning from one activity to another • Seems to have a need to control all situations
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Diagnosis
• Maltreated child
• Locked in closets
• Not fed appropriately
• Being in unclean environment
• Neglected child
• Grandmother spoiled her and died
• No contact with mother
• Deceased father
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Intervention
• Susie needs to see a Psychiatrist
• To help her talk about what is bothering her
• To help talk about her aggression
• Need to be in a stable environment• Needs more time with caregivers to
demonstrate trust
• To help catch up in school
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Interventions
• Intervention Programs
• Camp for neglected children
• Talk to auntie about being patient
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Camps for Neglected and Abused
Children• Camp Alandale
• A Christian camp for abused children
• Royal Family Kids
• give children a week of positive memories in a Christian
environment.
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Problems
• Susie is small for her age
• Aggressive
• Trying to hurt others before being hurt
• Temperament need adjusting
• Not trusting
• Will have difficulty trusting and talking
to anybody.
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AGGRESSIONType of Aggression Definition Comments
Instrumental aggression Hurtful behavior that is
aimed at gaining
something that someone
else has.
Often increases from
age 2 to 6: involves
objects more than
people; quite normal;more egocentric than
antisocial.
Reactive aggression An impulsive retaliation
for a hurt that can be
verbal or physical.
Indicates a lack of
emotional regulation,
characteristic of 2 year olds. A 5 year old can
usually stop and think
before reacting.
Relational aggression Nonphysical acts, such
as insults or social
rejection, aimed atharming the social
connections between the
victim and others
Involves a personal
attack and thus is
directly antisocial; can bevery hurtful; more
common as children
become socially aware.
Bullying aggression Unprovoked, repeated
physical or verbal attack,
especially on victims
In both bullies and
victims, a sign of poor
emotional regulation;
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Resources
• Invitation to the Life Span
• By Kathleen Stassen Berger
• Power Point Presentation
• By Abigail McNeely
• JeanPiaget320
• http://jeanpiaget320.wikispaces.com/
• Pmpr652: Pediatrics Nutrition by Donna M. Kraus,Pharm
D
• http://www.uic.edu/classes/pmpr/pmpr652/Final/krauss/pedsnutritio
n.html
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Resources
• Camp Alandale
• Www.campalandale.org
• Royal family kids
• www.royalfamily kids.org
• Stages in Piaget's theory of cognitive-development
• http://faculty.plattsburgh.edu/william.gaeddert/classes/101ovds/m13
-1c.htm