| Emotional | Social | |
Birth to 1 month | Feedings: 5-8 per daySleep: 20 hrs per daySensory Capacities: makes basic distinctions in vision, hearing, smelling, tasting, touch, temperature, and perception of pain | Generalized Tension | Helpless Asocial Fed by mother |
2 months to 3 months | Sensory Capacities: color perception, visual exploration, oral exploration.Sounds: cries, coos, gruntsMotor Ability: control of eye muscles, lifts head when on stomach. Delight | Distress | Smiles at a Face Visually fixates at a face, smiles at a face, may be soothed by rocking. |
4 months to 6 months | Sensory Capacities: localizes soundsSounds: babbling, makes most vowels and about half of the consonantsFeedings: 3-5 per day Motor Ability: control of head and arm movements, purposive grasping, rolls over. | Enjoys being cuddled | Recognizes his mother. Distinguishes between familiar persons and strangers, no longer smiles indiscriminately.Expects feeding, dressing, and bathing. |
7 months to 9 months | Motor Ability: control of trunk and hands, sits without support, crawls about. | Specific emotional attachment to mother. | Protests separation from mother. Enjoys “peek-a-boo” |
10 months to 12 months | Motor Ability: control of legs and feet, stands, creeps, apposition of thumb and fore-finger.Language: says one or two words, imitates sounds, responds to simple commands.Feedings: 3 meals, 2 snacksSleep: 12 hours, 2 naps Anger | AffectionFear of strangersCuriosity, exploration | Responsive to own name.Wave bye-bye.Plays pat-a-cake, understands “no-no!”Gives and takes objects. |
1 years to 1 ½ years | Motor Ability: creeps up stairs, walks (10-20 min), makes lines on paper with crayon. Dependent Behavior | Very upset when separated from motherFear of Bath | Obeys limited commands.Repeats a few words.Interested in his mirror image.Feeds himself. |
1 ½ years to 2 years | Motor Ability: runs, kicks a ball, builds 6 cube tower (2yrs) Capable of bowel and bladder control.Language: vocabulary of more than 200 wordsSleep: 12 hours at night, 1-2 hr nap | Temper tantrums (1-3yrs) | Resentment of new baby Does opposite of what he is told (18 months). |
2 years to 3 years | Motor Ability: jumps off a step, rides a tricycle, uses crayons, builds a 9-10 cube tower.Language: starts to use short sentences controls and explores world with language, stuttering may appear briefly. Fear of separation | Negativistic (2 ½ yrs)Violent emotions, angerDifferentiates facial expressions of anger, sorrow, and joy.Sense of humor (Plays tricks) | Talks, uses “I” “me” “you”Copies parents’ actions.Dependent, clinging, possessive about toys, enjoys playing alongside another child.Negativism (2 ½ yrs).
Resists parental demands.
Gives orders.
Rigid insistence on sameness of routine. Inability to make decisions.
|
3 years to 4 years | Motor Ability: Stands on one leg, jumps up and down, draws a circle and a cross (4 yrs) | Self-sufficient in many routines of home life. Affectionate toward parents.Pleasure in genital manipulationRomantic attachment to parent of opposite sex (3 to 5 yrs)Jealousy of same-sex parent.
Imaginary fears of dark, injury, etc. (3 to 5 years)
| Likes to share, uses “we”Cooperative play with other children, nursery school. Imitates parents.Beginning of identification with same-sex parent, practices sex-role activities. Intense curiosity & interest in other children’s bodies.Imaginary friend. |
4 years to 5 years | Motor ability: mature motor control, skips, broad jumps, dresses himself, copies a square and a triangle.Language: talks clearly, uses adult speech sounds, has mastered basic grammar, relates a story, knows over 2,000 words (5 yrs) | Responsibility and guiltFeels pride in accomplishment | Prefers to play with other children, becomes competitive prefers sex-appropriate activities |
Sunday, July 29, 2012
Tuesday, July 24, 2012
Understanding and recognizing risk factors and clinical
clues for communication disorders is an important way to identify children
under the age of 3 with possible communication disorders. Some of these risk
factors and clinical clues can be identified at a very early age; others are
not as apparent and may not be recognized until caregivers or professionals
notice that the child's use of language is delayed. In general, risk factors
for communication disorders that can be identified early in infancy are those
that are closely related to certain biological and social-environmental
factors.
The presence of a particular risk factor or clinical clue is
not sufficient to establish that a communication disorder exists. Risk factors
and clinical clues for communication disorders are sometimes seen in children
who are typically developing and do not have a communication disorder.
Therefore, recognition of a risk factor or clinical clue is just the first step
in the process of identifying children with communication disorders and merely
indicates that further assessment is needed.
Table-1:
Risk Factors for Speech / Language Problems In Young
Children
Prenatal complications
Prematurity*
Microcephaly
Dysmorphic child features
Genetic disorders
Fetal alcohol syndrome
Known exposure to a teratogen
Positive toxicology screen at birth
Ear and hearing problems (See Table III-2)
Oral-motor or feeding problems (See Table III-3)
Cleft lip/cleft palate
Tracheotomy
Autism (See Table III-4)
Persistent health/medical problems, chronic illness, or
prolonged hospitalization
History of intubation
Lead poisoning
Failure to thrive
Family history of hearing or speech/language problems
Parents with hearing impairment or cognitive limitation
Children in foster care
Family history of child maltreatment (physical abuse or
child neglect)
* The more premature the birth and the more complicated the
perinatal course, the greater the risk is for communication disorders and other
developmental problems.
Table-2:
Risk Factors for Hearing Problems in Young Children
Family history of hereditary childhood sensorineural hearing
loss
Congenital infections known to be associated with hearing
loss
Craniofacial anomalies
Birth weight less than 1,500 grams
A genetic syndrome known to include hearing loss
Low Apgar Scores (0-4 at one minute or 0-6 at five minutes)
Hyperbilirubinemia requiring exchange transfusion
Ototoxic medications
Bacterial meningitis
Mechanical ventilation for five days or longer
Recurrent or chronic otitis media with effusion
From: Joint Committee on Infant Hearing, 1994
Table -3:
Risk Factors And Clinical Clues For Oral-motor/Feeding
Problems in Young Children
Craniofacial disorders or syndromes (of the head and neck)
Cleft lip/cleft palate
Tracheotomy
Cerebral palsy
Poor weight gain
Prolonged feeding time
Poor suck
Gagging
Excessive drooling
Hyper/hypo sensitivity
Undifferentiated cry sounds
Poor volume or quality of crying
Lack of reciprocal babbling
Reduced vocal play
Failure to thrive
Table-4
Clinical Clues of Possible Autism in Young Children
The clinical clues listed below represent delayed or
atypical behaviors that are seen in children with autism (although some of
these findings may also be seen in children who have a developmental delay or
disorder other than autism).
If any of these clinical clues are present, further
assessment may be needed to evaluate the possibility of autism or other
developmental disorder.
Delay or absence of spoken language
Looks through people; not aware of others
Not responsive to other peoples facial expressions/feelings
Lack of pretend play; little or no imagination
Does not show typical interest in, or play near peers
purposefully
Lack of turn taking
Unable to share pleasure
Qualitative impairment in nonverbal communication
Does not point at an object to direct another person to look
at it
Lack of gaze monitoring
Lack of initiation of activity or social play
Unusual or repetitive hand and finger mannerisms
Unusual reactions, or lack of reaction, to sensory stimuli
From: Clinical Practice Guideline for Autism/Pervasive
Developmental Disorder, New York State Department of Health, 1999.
We naturally think of height and weight, but from birth to 5 years, our child should reach milestones in how he plays, learns, speaks and acts. A delay in any of these areas could be a sign of a developmental problem, even autism. The good news is, the earlier its recognized the more you can do to help your child reach her full potential. Early recognition of developmental disabilities such as autism is key for parents and providers.We may ask our self sometimes this questions; What is child development? A child’s growth is more than just physical. Children grow, develop, and learn throughout their lives, starting at birth. A child’s development can be followed by how they play, learn, speak, and behave. What is a developmental delay? Will my child just grow out of it? Skills such as taking a first step, smiling for the first time, and waving “bye bye” are called developmental milestones. Children reach milestones in playing, learning, speaking, behaving, and moving (crawling, walking, etc.). A developmental delay is when your child does not reach these milestones at the same time as other children the same age. If your child is not developing as he or she is supposed to then you has a mother or a father should star getting concerned and make your first step of taking in them to a doctor and talk about your child's development so you can help them early.
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