Summer

Inclusion of Children with Special Needs

ECEP237

To Lisa McCaie

Yingying Pan

Section 063

30068068

Meeting the Needs of Children and Families

She was three year old, she has had

a stroke leaving her paralyzed on the

left side of her body. Currently she is

living at home with her family.

Her father spends a lot of time working

overtime to bring extra income for

Summer’s expenses and needs.

Her Mother is feeling very overwhelmed

with the role of the primary care giver.

Recently, her Mother has hurt her back

trying to carry Summer who is increasing

getting heavier and harder to carry.

Reference: http://www.rajeshsetty.com/wp-content/uploads/prayer-small.jpg

A CHILD WHOSE NAME IS SUMMER……

PEDIATRIC STROKE AWARENESS MONTAGE

Video from YouTube http://www.youtube.com/watch?v=B31CKWa5j80

• Summer needs to treat immediately Stroke can be treat, recover or get better. It is better to treat immediately when she stroke.As Summer is three year old, her body still grow and has plasticity. Go to the child sick hospitals and stroke associations to find the best treatment for Summer, it will be the most effective way to help her recover or get better.

Reference: http://gett hespecialists.co.uk/ESW/Images/kids_small.jpg?xcache=3073

PART 1: NEEDS OF THE CHILD AND HER FAMILY

• Parents need to have the knowledge of Summer’s special needs

As a patient who had a stroke, she will have a risk of having another stroke. Therefore, it is so important to recognize the signs of stroke for Summer’s parents and call 9-1-1 or local emergency number immediately. It is important for Summer to learn independence in daily living because her parents can’t take care her forever, therefor parents should find a physiotherapist or occupational, seek their professional suggestion about how to take care of Summer and build her independence in daily living.

Reference: http://borpyouthsports.files.wordpress.com/2010/09/836279753_myybt-x2.jpg


• Summer needs assistive device She paralyzed on the left side of body, and her mother was hardly to carry her because she increasing getting heavier. Considering Summer independence, she need an assistive device.

There have lots of assistive devices for the child with paralysis such as wheelchair, walking aids or robotics. Her parents can ask for doctor’s suggestion, and choose one of them which they can afford. There also have assistive devices program in Ontario, parents can get the information by asking the clients or social assistance.Reference: http://wwwc.mentalfloss.com/wp-content/uploads/2009/02/LTWT_WHEELCHAIR_LRG.jpg


• Parents need to provide the safety environment Summer paralyzed on the left side of her body which means she can move on the left body. Her parents need to consider the environment around Summer, such as braces, canes, walkers and wheelchairs can help her lead to increased strength and movement.

Parents also need to consider the safety issues at home. Make home modifications, For example, move the furniture which provide a bigger space for Summer to movement, or add the grab bars at the bathroom which can help Summer to use the toilet.Reference: http://www.christopherreeve.org/site/c.mtKZKgMWKwG/b.4453475/k.A820/Home_Modification.htm


• Parents need seek funding and supportThe treatment would have a high cost which their family can’t afford. Her father spends a lot of time working overtime to bring extra income for her expenses and needs. It is important for her parents to find out what types financial support are available in their province and then apply it. There have lot of support such as tax credits, disability benefits or medical expense deductions in each provincial government. “You may also get special drug benefits coverage or travel grants for medical treatments in your area. Visit Canada Revenue Agency to learn more about tax credits and deductions. Visit Canadian Life and Health Insurance Association to learn more about general insurance options and policies.” (From Heart & Stroke Foundation website)

References: htt p://www.wisieforkids.com/wisieblog/wp-content/uploads/2012/01/child-discipline.jp

ghtt p://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5506029/k.E7E/Stroke__Questi ons_you_may_have_aft er_your_stroke.htm#fi nancialaid


• Parents need to have a break Summer’s father need to do extra work to earn money for her expenses and needs, her mother is feeling very overwhelmed with the role of the primary care giver. They feel depressed or frightened. Parents have those feeling are not means you don’t like your child, all of those feeling are all normal reactions. Have a break, go some where with Summer, and adjust your mood, which will help you feel better.

Reference: http://blog.ketchum.com/wp-content/uploads/2012/08/take-a-break-from-work.jpg


• Both child and her parents need to concern their own healthSummer was paralyzed on left side of body, her father was working overtime, and her mother has hurt her back when she cared Summer. Summer’s parents afford the responsibility to take care of Summer, they need have a healthy body and enough energy to achieve the hard goal. Therefor her father need to have a rest, and her mother need to see the doctor as soon as possible. Reference: http://www.plusesmas.com/img_administracion/47_curso_on-line_de_genealogia_e_historia_familiar.jpg


What is stroke?“A stroke is a sudden blockage or damage in the blood vessels in part of the brain. This stops blood from flowing to that part of the brain, and as a result, less oxygen and other nutrients can get to that part of the brain. This can cause some permanent damage and stop it from working properly.”

“A stroke can happen to anyone at any age. Strokes happen in babies, children, and teenagers as well as in adults and seniors.”“There are many reasons why a child might have a stroke that may be different from why adults have stroke.”

Reference: http://www.aboutkidshealth.ca/en/healthaz/conditionsanddiseases/brainandnervoussystemdisorders/pages/childhood-stroke-arterial-ischemic-stroke-ais.aspx

http://www.nhlbi.nih.gov/health/health-topics/images/stroke_hemorrhagic.jpg

PART 2: STROKE

Form YouTube videohttp://www.youtube.com/watch?v=b2GHf6TS490 Reference: http://www.nasam.org/images/effects_of_stroke.jpg

Effects of Stroke

PART 2: STROKE

http://www.youtube.com/watch?v=b2GHf6TS490

Stroke in children Stroke can occur in these three different age groups: • The prenatal phase, or in the womb.• The first 28 days of life, or newborn phase.• The infant years up to 18 years of age.

Stroke is relatively more common in the first two age groups, occurring in up to one in every 4,000 live births. In the third age group, stroke is more rare, only affecting about five out of every 100,000 children each year in Canada.Reference: http://www.heartandstroke.com/site/c.ikIQLcMWJtE/b.5458215/k.1E7B/Stroke__Stroke_in_children_Paediatric_stroke.htm

http://www.informationconnections.org/Images/red%20dress.jpg

PART 2: STROKE

Children may experience two types of stroke: hemorrhagic stroke (rupturing of blood vessels)Ischemic stroke (blockage caused by a blood clot)

hemorrhagic strokeThe causes in children include: • An artery malformation or disorder.• A brain tumour. • Drug or alcohol abuse by the mother (rare).

Reference: http://www.heartandstroke.com/site/c.ikIQLcMWJtE/b.5458215/k.1E7B/Stroke__Stroke_in_children_Paediatric_stroke.htm

http://static6.depositphotos.com/1068169/578/v/950/depositphotos_5780804-Brain-stroke.jpg

PART 2: STROKE

ischemic stroke

A common cause of ischemic strokes is that a blood clot forms in the heart and travels to the brain. This can be caused by congenital heart problems such as abnormal valves or infections. In these cases children may need surgery or antibiotics.The leading risk factors for ischemic stroke in children include: Heart disease. Blood-clotting disorders. Irregular arteries Viruses Other risk factors : heart or brain surgery. trauma to the brain or neck. moyamoya disease. leukemia.sickle cell disease. migraine headaches with aura. metabolic illness. autoimmune disease that attacks arteries in the brain. Reference: http://www.heartandstroke.com/site/c.ikIQLcMWJtE/b.5458215/k.1E7B/Stroke__Stroke_in_children_Paediatric_stroke.htm

PART 2: STROKE

The signs of stroke:Stroke is a medical emergency. Recognizing and responding immediately to the signs of stroke by calling 9-1-1 or your local emergency number can significantly improve survival and recovery.

Use FAST to remember the warning signs:

Reference: http://www.stroke.org/site/PageServer?pagename=SYMP

PART 2: STROKE

PART 2: STROKE

There is a video about recognize stroke F.A.S.T.

From YouTube website: http://www.youtube.com/watch?v=yXONEHmupy0

• Treatments of stroke in childrenIn children who have had a hemorrhagic stroke, treatment focuses on stabilizing the child (controlling blood pressure and body temperature, and helping them breathe), and treating the hemorrhage itself. Children who have had an ischemic stroke may need to go on blood thinners.

Treatment for hemorrhagic stroke Kids who have had a hemorrhagic stroke will be looked after by the vascular neurosurgery team. Surgical options may include microsurgery to clip the aneurysm or remove the abnormal vessels.

Treatments for ischemic stroke The goal of treatment in ischemic stroke is to reduce damage to the brain and prevent another stroke. If your child has been diagnosed with an ischemic stroke, doctors will most likely prescribe a blood thinner.

Reference ： http://www.heartandstroke.com/site/c.ikIQLcMWJtE/b.5458215/k.1E7B/Stroke__Stroke_in_children_Paediatric_stroke.htm

PART 2: STROKE

• Assistive device for stroke patient Patients who suffer a stroke, particularly when associated with hemiplegia, often require the use of an assistive device such as a wheelchair, walking aids or robotics. The major functions of walking aids post-stroke are to increase stability, to improve muscle action. Aids such as canes serve to increase the base of support and improve ambulation for those with impaired balance. Canes and walkers appear to be effective in compensating for their decreased postural sway and for enhancing their participation in activities of daily living (Fernie et al., 1982), especially if they have hemiplegia (Maeda et al., 2001).

Reference ： htt p://strokengine.ca/intervention/index.php?page=topic&id=27

htt p://visual.merriam-webster.com/images/society/health/walking-aids_2.jpg

htt p://images.gizmag.com/hero/robotic-devices-restore-neural-pathways-in-stroke-victims-8.jpg

PART 2: STROKE

What does the Early Childhood Educator can do for the child with stroke and paralyzed on the left side of body??“Observers, participates in creating and implementing IPP’S, make adaptations in the environment, supports families, links with other professionals… and much more!!!!! ”(ECEP-233, week 9 notes)

As a ECE, we need consider lots of fact:• Physical environment • Teaching strategies• Focus on the child as part of the larger group of children • Include the needs of the family as a wholeReference: ECEP-233 inclusion of children with special needs week 9 class notes

http://ruthcatchen.files.wordpress.com/2012/03/thinking-cap.gif

PART 3: MEET THE NEEDS IN THE CHILD CARE SETTING

Physical environment:Considering Summer paralyzed on the left side of body, I need to create a free and welcome physical environment, this will provide a safety environment for her and it can also help her to build independence. • Each area in the room must need to include materials, toys and books

about child with disability. For example, I can add different people with special needs toys and materials, and I can also add books about child with disability in child care center. So she will feel inclusion in the room and other children will be familiar with child with special needs.• Considering the physical safety for the child both indoor and outdoor.For example, I can add handrail on the playground or bathroom; make the ground without obstacles for child to free move; add rubber on the sharp corners.Reference: http://www.pottytrainingconcepts.com/CM-4925.html


• Arrangement the room physical environment, make the care center easy to access.

For example, move the furniture to have enough physical space for the wheelchair to free move. • Create an environment which warm welcome both the child and her

family. For example I can put some pictures on the wall about child sit in the wheelchair at the room; get to know the child individual from her parents; to be “sensitivity communicates value”; “know the child’s favorite toys or activity.” (ECEP-233, Week 1 notes); share the daily experiences about the child with her parents. Reference: ECEP-233 Inclusion of Children with Special Needs week 1 notes

http://media1.onsugar.com/files/2013/02/08/1/2415/24155406/a31cf4c27b0bc6af_shutterstock_98920793.preview.jpg


Teaching strategies• Arrange the appropriate daily schedule to meet the child as part of the larger group of children. For example, considering the transition time for outdoor play, give the child enough time to change outdoor clothes. • Encourage the child with physical disabilities to do as much as possible on

his own. The tasks could take a little more time, but it can help her to build self confidence and independence.

For example, when washing hands, I can encourage her to use the right hands to help her left hands to wash.• Encourage prosocial behaviors in all children. Use appropriate books or

pictures to teach children helping behaviors. For example, when the circle time, I can read the scripted story for all the group children. Encourage other children to help the child with special needs.Reference: http://1.bp.blogspot.com/_UVqusWXd9Wk/S9ruvNe0eVI/AAAAAAAAKTM/ymdyqWSEGQI/s1600/daily+schedule.bmp


• Teach the children how to management their mood. For example, Summer with physical disability, every little thing such as eating lunch or change clothe will be a hard thing for her. She will be frustrated when she can’t do it, when dealing this situation, I can read the “Tucker Turtle Takes Time to Tuck and Think”(ECEP-233, handout) to let her calm down, and take deep breath when she feel upset or frustrated.• Considering her each developmental domain, use adapting toys to meet

her needs. For example, when go to the outdoor playground, I can provide the small ball which can easy to grasp; provide the block for her to build her motor development; Plan the activity on the dramatic center, provide the clothe which easy to dress up. This will help her to build the dressing skill.Reference: http://www.eddfund.org/assets/images/photos/nysoccer_1.JPG


The Heart and Stoke Foundation of Ontario (HSFO) VISIONARY MISSIONHealthy lives free of heart disease and stroke. Together we will make it happen. PURPOSE The Heart and Stoke Foundation of Ontario (HSFO) is committed to excellence in serving our supporters (volunteers, donors, and staff). We are committed to giving people with disabilities the same opportunity to access our goods and services, both electronically and in person, in a manner that respects the dignity and independence of persons with disabilities. Reference: http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.3581583/k.BE4C/Home.htm

PART 4: RESOURCES OR AGENCIES IN THE LOCAL AREA WHERE FAMILY CAN BE REFERRED

WHAT WE DOThe Heart and Stroke Foundation, a volunteer-based health charity, leads in eliminating heart disease and stroke and reducing their impact through:• the advancement of research and its application• the promotion of healthy living• advocacy. Toronto Office: Supporting the City of Toronto2300 Yonge Street, Suite 1300Toronto, Ontario M4P 1E4Telephone (416) 489-7111Fax (416) 489-6885 Website: http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.3581583/k.BE4C/Home.htm


Resources in the local area:

Assistive Devices Program (Ministry of Health and Long-Term Care)The objective of the Assistive Devices Program (ADP) is to provide consumer centered support and funding to Ontario residents who have long-term physical disabilities and to provide access to personalized assistive devices appropriate for the individual’s basic needs.Devices covered by the program are intended to enable people with physical disabilities to increase their independence through access to assistive devices responsive to their individual needs.ADP pays up to 75 per cent of the cost of equipment, such as artificial limbs, orthopaedic braces, wheelchairs and breathing aids.Reference: http://www.health.gov.on.ca/en/public/programs/adp/


There are many sources of funding for the client's share of the cost including:• clients • voluntary/charitable organizations e.g. March of Dimes, The Easter

Seals Society, Kiwanis, Lions Clubs • social assistance, DVA • Insurance companies relatives/friends Address: 7th Floor, 5700 Yonge StreetToronto, ON M2M 4K5Toronto 416-327-8804Website: http://www.health.gov.on.ca/en/public/programs/adp/


Canadian Pediatric Stroke Support Association (CPSSA)The Canadian Pediatric Stroke Support Association (CPSSA) was founded in 2011 for children and their families impacted by pediatric stroke. The CPSSA is a joint effort between clinicians and families to build relationships and strengthen communication for the purpose of research, awareness, and support. It is the CPSSA's vision to provide a compassionate community for Canadian families impacted by pediatric stroke.

This is a new support association, it provide all the resources about child with stroke.Reference: http://www.cpssa.org/index.htm


The CPSSA's mission is to: Provide support, education and resources for children with stroke, their families and their communities;

Facilitate and support connections among pediatric stroke communities Canada-wide and internationally;

Increase awareness about pediatric stroke throughout Canada;

Support collaboration between families, physicians and the medical community for purposes such as education or advancement of science;

Inform families of fundraising opportunities that will help support research and advocacy projects;

Inform policymakers about pediatric stroke so that they may support appropriate legislation and research that will impact these special children; and carryout the vision, mission and activities of the CPSSA in such a way that illustrates non-profit industry best practices.

Facebook of the association: http://www.facebook.com/pages/Canadian-Pediatric-Stroke-Support-Association/357931224242952

Website of the association: http://www.cpssa.org/index.htm


Date post:	19-Dec-2014
Category:	Health & Medicine
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Summer

Health & Medicine