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CASE STUDYSUSIE-5 YEARS OLD

PRESENTED BY ETHELDA MENDS

Presentation Overview
Case of 5 year old Susie

Normal development
Compare Susie and normal Diagnosis Resources

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

Teratogen effects
Fetal alcohol syndrome

Body Shape: Biosocial


During 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

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.

NUTRITION
Breast is best Breast milk has so many advantages Miracle food

NUTRITION

DOMAINS OF HUMAN DEVELOPMENT


Psychosocial development Fetus 2-3years Goodness of fit Temperament

0-2years Psychoanalytic theory Behaviorism Oral and anal stages Trust and autonomy Attachment Synchrony

4-5 years

Attachment Styles: Psychosocial

Eriksons Psychosocial Development

Temperament
Temperament Epigenetic
Originating in genes Affected by child rearing practices

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

DOMAINS OF HUMAN DEVELOPMENT


Cognitive development
The Six Stages of Sensorimotor Intelligence:

Fetus

2-3 years Decrease reaction time Scaffolding Language Lateralization 4-5 years Social referencing Language 500-10,000 words

0-2 years Baby talk Sensorimotor intelligence Babbling Vocalization First word Assimilation accommodation

Piagets Developmental Stages

Six Stages of Sensorimotor Intelligence

Cognitive theory
Infants working model Use early relationships Assumptions that become a frame of reference To be called on later in life

SCAFFOLDING
Temporary support tailored to a learners Needs and abilities Aimed at helping the learner master in a given learning process

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 and

knowledge

Assimilation and Accommodation


Assimilation Piagets term for a type of adaptation in which
New experiences are interpreted to fit into old ideas

Accommodation Piagets term for a type of adaptation in which


Old ideas are restructured to include new experiences

Susies Milestones
Crawling

Walking
Speaking

Susie early years


Prenatal Mom possibly abused alcohol and drugs during pregnancy. First year Severely neglected Locked in closets Malnourished Being in unclean environment

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

Susies 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

Susies Attitude
Impulsive and strong willed Defiant and quick tempered Did what she wanted whenever she wants Bossy Went from hording food to being a picky eater Refuses to listen
o To work on assignments

Disrupt school environment Making noise in class Screaming and yelling at teacher

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.

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 childs neck

Susie Psychosocial
Other discipline incidents include
Throwing shoes
Breaking her glasses Knocking her milk off her lunch tray

Susies 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

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

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

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

Interventions
Intervention Programs
Camp for neglected children

Talk to auntie about being patient

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.

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.

Type of Aggression Instrumental aggression

Definition Hurtful behavior that is aimed at gaining something that someone else has.

Comments Often increases from age 2 to 6: involves objects more than people; quite normal; more egocentric than antisocial.

AGGRESSION

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.
Involves a personal attack and thus is directly antisocial; can be very hurtful; more common as children become socially aware. In both bullies and victims, a sign of poor emotional regulation;

Relational aggression

Nonphysical acts, such as insults or social rejection, aimed at harming the social connections between the victim and others Unprovoked, repeated physical or verbal attack, especially on victims

Bullying aggression

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

Resources
Camp Alandale Www.campalandale.org Royal family kids www.royalfamilykids.org Stages in Piaget's theory of cognitive-development http://faculty.plattsburgh.edu/william.gaeddert/classes/101ovds/m13 -1c.htm

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