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Running Head: MILESTONE 1 1

MILESTONE 1 6

Milestone 1

Sandy Pennington

Southern New Hampshire University

Description

A five-year-old child named Billy, has been diagnosed with Cerebral Palsy (CP). He has had some trouble with in his cognitive abilities and could be a delay in his cognitive skills. His speech has a lot to be desired, because he can only make involuntary noises in other words he has little to no speech. He appears to be unable to talk except for the gibberish. He is in a manual wheelchair and it is red. Billy came to the new foster home like this. He doesn’t even try to speak much because when he does he can ’t be understood. He doesn’t have a communication or what is known as a ‘talking board ‘. Billy recognizes his name or simple instructions given to him. He responds also to the tone of people’s voices. His fine motor skills are very undeveloped as illustrated in his inability to tear up a paper on his own. Billy struggled for over an hour until he exhausted himself trying to grasp the paper and in the end Billy succumbed to the exhaustion and fell asleep in his wheelchair. Billy shows great interest in toys that are for little boys his age such as superhero figurines, trucks and even an occasional book. When left alone Billy will fall asleep in his wheelchair.

Behaviors being watched

Ever since Billy came to the foster home he watches everyone’s activity. It’s as if he is saying I see you but I don’t trust you. Since Billy came into foster care Billy is known for the way he just sits there in his wheelchair and smiles and he doesn’t appear to be troubled in any way. Night time is extremely different for Billy, he screams in horror but when he is up he appears to be fine. The night time behaviors are most disturbing because they wake the other children and most of them aren’t the pleasant children that Billy is.

Strategies for Treating Billy

Not only are the other children being woken by Billy’s horrific screaming, but he also will just make himself stay awake at night and he acts frighted to go to sleep at night. Because of his vulnerabilities Billy gets his foster parents attention right when he makes the slightest noise his foster parents think he is needing something or he is in pain. This causes distress amongst the other children because they are not yet old enough to understand the reason Billy is getting all kinds of attention and they have to beg it seems to get any attention, because the other children are stressed this makes the whole household seems to be a bit more stressful.

Both verbal and visual reinforcements in addition to speech therapy and occupational therapy ought to be offered to him. When approached by others Billy needs to have the experience of being able to talk to his peers and begin to understand he can’t just be giving them a smile and glance every time. The communication board or ‘talking board’ will be of great assistance in this . His foster parents should demonstrate different kinds of ways to communicate so he can see the difference between positive and negative interactions and choose the one he wants to have in life. That the attention could be negative attention.

Non-communication should be addressed as well on a weekly basis to understand more about the screaming in his sleep and try to help him to overcome whatever is so troublesome in his sleep.

The Legal System

Preschool schedules that indicate that they address toddler who have a physical disability. (Nieuwenhuys et al, 2016).

Numerous arguments about a successful agenda for interventions. Families desire good outcomes when it comes to properly treating their children. Service providers usually have problems with family members as they do not have the necessary skills to put in place an effective program (Wiart, et al, 2016). parents get support from school district services, pediatric physicians, psychological services, and numerous others. It is striking, the likelihood that children have higher levels of emotional problems are in foster care system.

Ethical and Confidentiality Issues

One of the primary responsibilities is of a therapist working from an interdisciplinary conceptual framework is confidentiality is required to the person with a physical disability and their family. All the individuals that require help have the right to effective treatment. Doctors and analysts should always advocate and educate the client about the most effective The necessary scientific procedures need to be followed to determine the real cause of the problem rather than using shortcuts (Auld et al, 2017). It would be unfair to label/diagnose a child/individual as having a particular disability with an incomplete form of investigation (Levitt & Addison 2018).

References

Auld, M. L., Johnston, L. M., Russo, R. N., & Moseley, G. L. (2017). A Single Session of Mirror‐based Tactile and Motor Training Improves Tactile Dysfunction in Children Unilateral Cerebral Palsy: A Replicated Randomized Controlled Case Series. Physiotherapy Research International, 22(4), e1674.

Levitt, S., & Addison, A. (2018). Treatment of cerebral palsy and motor delay. Wiley- Blackwell.

Nieuwenhuys, A., Papageorgiou, E., Pataky, T., De Laet, T., Molenaers, G., & Desloovere, K. (2016). Literature review and comparison of two statistical methods to evaluate the effect of botulinum toxin treatment on gait in children with cerebral palsy. PloS one, 11(3), e0152697.

Wiart, L., Rosychuk, R. J., & Wright, F. V. (2016). Evaluation of the effectiveness of robotic gait training and gait-focused physical therapy programs for children and youth with cerebral palsy: a mixed methods RCT. BMC neurology, 16(1), 86.