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Low incidence disabilities_and_syndromes
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Transcript of Low incidence disabilities_and_syndromes
Low Incidence Disabilities and
Syndromes
Lindsay JohnsonJuly 21, 2014
Most common condition that can affect both a person’s hearing and vision
Major symptoms are:
• Hearing Loss• Retinitis Pigmentosa (RP)• Causes night-blindness and a loss of peripheral vision• Progressive degeneration of the retina• As the RP Progresses the field of vision narrows
Usher Syndrome
Approximately 6-12% of children who are deaf or
hard-of hearing have Usher Syndrome. It is a autosomal-recessive disorder that a child
inherits when both parents have or carry the gene.
Usher Syndrome
There is a 25% chance a child will be unaffacted25% chance a child will have the disorder50% chance the child will be a carrier
Usher SyndromeThree Types
Usher Syndrome
The retina on the left is a person with Usher Syndrome compared to the retina on the right of a normal retina.
Child should sit where they are more comfortable can see:• The chalkboard• The teacher• Other Students• Sit in front of a window, not
behind it
When a teacher is talking, they should stand in front of the
window
Modifications for Usher Syndrome
• Keep clean of clutter, unnecessary drawers
or doors open. • Inform student if the room should change at
any time
Keep the format of the
room the same
• Non glare paper• Whiteboard, use dark colors. Chalkboard use
light colors avoid yellows because it is hard to see
• Experiment with lighting in the room to help the child out.
Pay attention to color
contrasts. Easier to see
for the student.
Modifications Cont.
Print out individual copies for the student to examine on their own. •Graphs, Charts, Maps etc
Time and a half on test
Additional time to complete assignments
Shorten Assignments • limit the number of questions asked
Modifications Cont.
Genetic birth defects that occurs in
one in every 10,000 birth
Extremely complex syndrome that differs in each child
Babies born with CHARGE Syndrome suffer from life-threatening birth defects, including heart defects,
hearing loss, vision loss and balance problems
Charge Syndrome
Charge Syndrome
“CHARGE” Acronym for characteristics
C: Coloboma, Cranial nerves H: Heart Defects A: Atresia of the choanae R: Retardation in growth
and Mental Development G: Genital abnormalities E: Ear malformation and/or
hearing loss 4/6 characteristics must be
present for diagnosis
Children with CHARGE typically suffer from both hearing and
vision loss. Educators should use:
• Total Communication• Gestures, print/braille, symbols, PECS, Facial expression,
simple signs etc.• Make sure all activities have a clear beginning, middle and
end and are at their level of understanding• Sensory Breaks
• Quiet room with low lighting• Bean bag chair• Books and magazines• Weighted vests or blankets
Modifications
Children with CHARGE Syndrome are often
underestimated. They are clever children that need to be challenged to grow and flourish in the classroom.
Techniques teachers can use to assist and motivate the
child:
Hang up their work Intriguing material in the classroom Rotate material Be as creative as possible
Modifications
• Organizational Skills• Negotiation techniques• Let the child feel in control
• Sharing• Peer-to-peer interactions
• Motivation• Choose activities that the child will find interesting
• People Preferences• Choose who to work with
• Modeling• Choices• Gives the child a sense that they are in control
Structuring
activities
Modifications
• Touch when signaling that someone is
talking or signing• Hand Over/Under Hand• Sensory Breaks
• Short break between activities and during long activities
• Signals: Verbal/Auditory/Visual• Gesture to gain their attention• Tap to signal that you want their
attention• Speak softly
Sensory Technique
s
Modifications
Down Syndrome
A genetic condition when a baby is born with 47 chromosomes instead of 46
People with Down syndrome are widely noticeable due to their facial appearance
Create a planning matrix to show how goals will be worked on throughout the student’s day.• A chart can be created to show the specifics of the matrix. • At lunch they will learn about handling money• Communication will be in the afternoon with peers• Reading will be in the morning, one-on-one with an aide
Modifications
Keep the classroom
interesting, showcase the student’s work to
promote student motivation
Make connections as much as possible and
allow time for the student to apply their
new knowledge. Repetition is key
Contain the noise level in the classroom
Allow the student to work one-on-one or in
small groups
Modifications
Have the student sit in the front
of the classroom
Remove distractions
Speak directly to the student and/or use signs, gestures,
expressions and lights to get their attention
Visual Aids
Larger Font
Use simple directions, break items down into smaller chunks
Modifications
Usher
SyndromeDual sensory impairment of hearing and
vision loss
Characteristics also include balance, motor and language development and
intellect delays
Genetic syndrome
Hearing loss as early as 6 months, but child is diagnosed with Usher later on in
childhood
Life Expectancy is normal
Intelligence range is normal-high
CHARGE Syndrome
Has symptoms of loss of hearing and vision loss
Characteristics also include balance, motor and language development and
intellect delays
Genetic Abnormality
Diagnosed at birth, distinct facial features
Highest mortality rate during the child’s first 3 years due to seriousness of condition. Long Term: un known
Intelligence major learning disabilities-normal
Down Syndrome
Recent findings have been discovered showing people with hearing and vision
loss
Besides physical characteristics, 50% of children are born with heart defects and
thyroid disease
Genetic (Chromosomal) Syndrome
Can be diagnosed during prenatal care of mother or at birth
With treatment for health conditions, people can live a long and healthy life
Often suffer cognitive delays/mental retardation
Comparison
Motivation
Hand over/under hand Guidance
Touch Cues
Sit the student closest to the chalkboard and teacher
Extended time and a half on tests
Shorten assignments
Work one-on-one or in small groups
Modifications in Common
Bar-Tzur, D. (2008, June 23). Interpreting and working with Deaf-Blind
people. Retrieved 07 20, 2014, from http://theinterpretersfriend.org/pd/ws/db/text.html
Cleveland Clinic. (1995-2014). Diseases & Conditions. Retrieved 07 19, 2014, from Cleveland Clinic: http://my.clevelandclinic.org/disorders/usher_syndrome/hic_usher_syndrome.aspx
Daniel P. Hallahan, J. M. (2009). Exceptional Learners An Introduction to Special Education. Boston: Pearson.
J., D. (2012). Development and characteristics of children with Usher syndrome and CHARGE syndrome. Retrieved 07 20, 214, from PubMed: http://www.ncbi.nlm.nih.gov/pubmed/22721527
Martha M. Majors, M. a. (2008, March). Educational Needs of Children with CHARGE Syndrome. Retrieved 07 18, 2014, from Charge Syndrome: http://chargesyndrome.org/professional%20packet/11%20educational%20needs.pdf
Bibliography
Meg Hefner, M. (1999). Diagnosis, Genetics and Prenatal
Diagnosis in Charge. Retrieved 07 19, 2014, from http://chargesyndrome.org/manual/Diagnosis.pdf
Molly McLaughlin OTR/L, M. (n.d.). Effectuve Strategues for Home and School for the Student with Usher Syndrome. Retrieved 07 19, 2014, from http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CCEQFjAA&url=http%3A%2F%2Fwww.nmsd.k12.nm.us%2Foutreach%2Fdocuments%2FEffectiveDeaf-blindStrategiesforHomeandSchool.ppt&ei=YzTJU-zVCoeGyATj-4G4Cw&usg=AFQjCNHLhk_xKaWJBc-KnQSZxKZnMbXnGQ&si
Moss, K. (2002, 07 30). Syndromes Which Often Result in Combined Vision and Hearing Loss. Retrieved 07 19, 2014, from SEE/HEAR: http://www.tsbvi.edu/seehear/archive/syndromes.html
Bibliography Cont.
National Down Syndrome Society. (2012). Down Syndrome Facts.
Retrieved 07 20, 2014, from The National Advocate for People with Down Syndrome Since 1979: http://www.ndss.org/Down-Syndrome/Down-Syndrome-Facts/
National Institute on Deafness and Other Communication Disorders. (2014, April 30). Usher Syndrome. Retrieved 07 18, 2014, from National Institute on Deafness and Other Communication Disorders (NIDCD): http://www.nidcd.nih.gov/health/hearing/pages/usher.aspx
Radek, A. &. (2009-2013). Alicja. Retrieved 07 19, 2014, from Alicja: http://www.alicja.org/
WebMD. (2014). Children's Heath Understanding Down Syndrome--the Basics. Retrieved 07 20, 2014, from WebMD: http://www.webmd.com/children/guide/understanding-down-syndrome-basics
Bibliography Cont.