Please enable JavaScript.

Coggle requires JavaScript to display documents.

Brooke 15 months old (Diagnosis/ Diagnostic History (1 month old (G-tube…

- - - - Place on phenobarbital then Trileptal after 7 consecutive seizures in 2-3 days
- - - - Brooke will accept pureed foods with preferred spoon but will not eat without her spoon
        
        Has tried small solids like dry cereal but inconsistently and only if it is fed to her. She will only eat one type of dry cereal, the original Cheerios
      - Takes liquids via sippy cup but not independently, mother has tried different types of cups with lids but refuses. She has to have someone hold the sippy cup
      - Does not attempt to use utensils, only uses hands which makes meal time very messy
    - - Does not assist with dressing
    - - She is resistant to toothbrushing in the morning and at night. Mother has tried multiple types of toothpaste and toothbrushes and nothing seems to work with her.
    - - Brook throws a fit when it is bathtime and the mother has a hard time keeping her in the baby tub
      - She gets water everywhere and requires bath time to take longer than normal because of her squirming
  - - - Poor wake/sleep cycle. Brooke takes a long time to go to bed after she is put in her crib and then wakes up multiple times throughout the night. She is tired in the morning but does not want to sleep
  - - - Only plays with preferred toys
      - Limited play due to poor endurance. She is unable to play continuously with toys, play with others, or play with toys that have some strength to them. She has to take breaks and she gets frustrated when she is unable to play.
- - - - Personal-social, adaptive, motor, communication, and cognitive
    - - Delayed developmental milestones
      - Need for early intervention
      - Help to assist in developing the IFSP and IEP for the child
  - - - Reflexes, stationary, locomotion, object manipulation, grasping, visual-motor integration
    - - Standard scores and percentiles will result in age similar to adjusted age rather than chronologic age
      - Lower scores in fine motor compared to gross motor
  - - - This observation allows for a sense of meal time routines, feeding practices, social/behavioral interactions, and parent-child relationship
- - - - Playing with a "magic ball" that gets passed/rolled around to other toddlers
      - Parents sharing their attention with multiple toddlers in order to gain independence and promote sharing time
      - Share time where one toddler shows another toddler what they can do and the other toddler produces the same activity