Intellectual Developmental Disorders Matri1
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Intellectual Developmental Disorders Matrix
Brian Fazio
College of Humanities and Social Sciences, Grand Canyon University
PCN 673 Developmental Disabilities
Dr. Mariama Sandifer
December 13, 2023
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Intellectual Developmental Disorders Matrix
Intellectual Developmental Disorder #1 based on genetic conditions Selected genetic condition: Fragile X Syndrome Q99.2
Child’s symptomology (50-75 words): Fragile X syndrome impacts a child's intelligence, mental health, physical features, and behavior. Common symptoms include learning disabilities, low IQ,
delayed developmental milestones, slowed nonverbal communication, math problems, and language processing issues. Mental health problems include anxiety, depression, and obsessive-
compulsive behaviors. Physical features include long faces, large foreheads, jaws, soft skin, large
ears, and enlarged testicles. Behavior has ADHD, social anxiety, shyness, poor eye contact, and sensory disorders (
Fragile X Syndrome
, 2021).
Presenting symptoms (50-75 words): The child is 40 months old. The child has physical signs, including a longer face and lazy eye. The child also has poor eye contact, is very shy, and loud sounds greatly disturb him. He is a picky eater; sometimes he likes food and will not eat it next time. He has trouble sleeping and learning as well (Association, 2022). Family system (50-75 words): The nuclear family system has both parents living together with two kids. The parents are both college-educated and work 45-50 hours a week. They do have health care through private insurance. They have shelter, proper nutrition, no birth complications,
and no significant concerns. The children are in school and attend. Cultural considerations (50-75 words): This is a white Anglo-Saxon family. The family is Christian but is a holiday Christian as they only go on holidays and weddings. They do not
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follow any cultural beliefs closely. They cook a variety of food and speak English at home. They
have pets. The family sees their extended family on major holidays. Presenting symptoms (50-75 words): The child is 40 months old. The child has physical signs, including a longer face and lazy eye. The child also has poor eye contact, is very shy, and loud sounds greatly disturb him. He also has poor coordination as well/ He is a picky eater; sometimes
he likes food and will not eat it next time. He has trouble sleeping and learning as well (Association, 2022). Type (severity level) with justification for level of functioning: The child with Fragile X is male, and males are more likely to have a more severe version because males have only 1 X chromosome. Hence, any damage or mutation has a more dramatic effect. The child has moderate severity which is shown with the coordination issues as well as anxiety. Treatment plan (100-200 words): Treatment Objectives
Fragile X Treatment Plan:
A)
Able to be in social settings long and more frequent B)
Reduce Muscle Pain
Treatment Plan to Achieve Plan A
1)
Will be provided with Lorazepam to deal with anxiety 2)
Will have CBT to help deal with anxiety
3)
Family will be part of the some sessions
Treatment Plan to Achieve Plan B
1)
The client will have Physical Therapy
2)
The client will have Occupational Therapy
3)
Will take tizanidine as a muscle relaxant
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Goal: A client will be comfortable around average size crowds found in malls, stores, and movies. The client will have minimal anxiety or be able to cope successfully with feelings of anxiety 90% of the time. Goal B-Client will have increased movement and less pain, have a 50% reduction of pain, and receive maintenance therapy. [Client] will participate in outpatient therapy and med clinic to address concerns related to their mental health goals. They will be discharged from therapy when they meet treatment goals 90% of the time and maintain progress for 180 days (1 full review). They will follow medication management team recommendations and continue utilizing family/community support.
Intellectual Developmental Disorder #2 based on complications during pregnancy or birth Selected complications during pregnancy or birth: FASD Q86.0
Child’s symptomology (50-75 words): Fetal alcohol syndrome (FAS) is a condition characterized by abnormal facial features, low body weight, short height, sleep and sucking difficulties, and vision or hearing problems. It can also develop in early childhood and beyond, causing delayed speech and language development, difficulty concentrating, hyperactivity, learning disabilities, low IQ, poor coordination, reasoning, judgment skills, poor school performance, and short-term memory (
Fetal Alcohol Syndrome
, 2022). FASD, a complex
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condition, can manifest in childhood or early adulthood with mild social or intellectual issues, congenital disabilities, or growth issues during pregnancy (Anton,et al., 2021).
Family system (50-75 words): The structure is a single Mom with a single child. Mom did not have good pre-natal care and drank before she knew she was pregnant. The mom works two jobs and has medical assistance. She has family who help her out, but they are her mom and aunt, and
both are older. Cultural considerations (50-75 words): The family has a Hispanic background and cooks many ethnic foods. They use a lot of family recipes for cooking, as well as family remedies when sick. She hasn’t taken the child to the doctor much since birth. The child has the most immunizations, but the diet has more veggies and carbs. They are religious and attend church weekly. Presenting symptoms (50-75 words): The child is of small size and stature. The features of the child are also small. When walking, the child has trouble with balance and coordination (Association, 2022). The child has restless sleep and difficulty sleeping. The child’s weight is also low, and muscle tone is reduced. The child has delayed reactions as if watching a show and the screen skips. Type (severity level) with justification for level of functioning:
FAS, the child has a variety of defects and neurological problems; highest level.
Treatment plan (100-200 words): FAS Treatment Plan
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A) To be able to move around more easily
B) To control temper and frustration
Treatment Plan to Achieve Plan A
1)
Physical Therapy
2)
Occupational Therapy
Treatment Plan to Achieve Plan B
4)
Will take Adderall for focus 5)
Will take Fluoxetine 6)
Therapy for Coping Skills-ABA
Goal A- The client will have increased movement and less pain, reduce pain, and receive maintenance therapy. Goal B-Client will use therapy to redirect unwanted behavior with the assistance of medication.
[Client] will participate in outpatient therapy and med clinic to address concerns related to their mental health goals. They will be discharged from therapy when they meet treatment goals 90% of the time and maintain progress for 180 days (1 full review). They will follow medication management team recommendations and continue utilizing family/community support.
Intellectual Developmental Disorder #3 based on diseases or toxic exposure:
Selected disease or poisonous exposure: Cytomegalovirus during birth leads to vision/hearing problems Usher Syndrome H35.53
Child’s symptomology (50-75 words): Type 1 Usher syndrome affects children with profound hearing loss or deafness at birth and severe balance issues. Many may benefit from hearing aids but may be candidates for a cochlear implant. Type 2 has moderate to severe hearing loss but average balance. Type 3 has normal hearing at birth but develops hearing loss by adolescence, requiring hearing aids by mid-to-late adulthood (Usher, 2017).
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Family system (50-75 words): The child's family, consisting of his parents and an older sister, has a history of depression, with the mother experiencing past episodes. Culturally, they value emotional resilience and may have negative attitudes towards mental health. They do not go to the doctor often, and the children are not fully immunized.
Cultural considerations (50-75 words): The family is devout Christian. They cook a variety of food and speak English at home. They have pets. The family sees their extended very often as they live near each other. They believe in the power of prayer. The kids are homeschooled as well. Presenting symptoms (50-75 words): The child was early and low in weight at birth. They also had jaundice and had a lung infection. The child is dizzy at times and cries. The child was like this from birth, without any change in the symptoms. The child seems to react poorly to anyone holding and playing with them. Type (severity level) with justification for the level of functioning: Type 3 Usher syndrome has normal hearing at birth but develops hearing loss by adolescence, requiring hearing aids by mid-
to-late adulthood (National Institute of Health, 2017).
Treatment plan (100-200 words): Usher syndrome, a condition with no cure, involves managing hearing, vision, and balance issues. Early diagnosis helps tailor educational programs based on a child's age and ability. Treatment services may include hearing aids, assistive listening devices, cochlear implants, auditory training, American Sign Language, and independent living training.
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Attainment of a higher level of functioning as evidenced by Increased satisfaction with life. Ability to cope with past issues, ability to cope with current stressors
(National Institute of Health, 2017).
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References
Association, A. P. (2022). Diagnostic and statistical manual of mental disorders, text revision dsm-5-tr
(5th ed.). Amer Psychiatric Pub Inc.
Ayton, L. N., Galvin, K. L., Johansen, L., O'Hare, F., & Shepard, E. R. (2023). Awareness of Usher Syndrome and the Need for Multidisciplinary Care: A Cross-Occupational Survey of Allied Health Clinicians.
Journal of multidisciplinary healthcare
,
16
, 1927–1936. https://doi.org/10.2147/JMDH.S411306
Fetal alcohol syndrome
. (2022, February 16). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/15677-fetal-alcohol-syndrome
Fragile x syndrome
. (2021, May 18). Cleveland Clinic. Retrieved December 8, 2023, from https://my.clevelandclinic.org/health/diseases/5476-fragile-x-syndrome
National Institute of Health. (2017).
Usher Syndrome
. Department of Health and Human Services.
https://www.nidcd.nih.gov/sites/default/files/UsherSyndrome2018-508.pdf
Usher Syndrome
. (2017, March 16). NIDCD. https://www.nidcd.nih.gov/health/usher-
syndrome#f
National Institute of Health. (2017).
Usher Syndrome
. Department of Health and Human Services.
https://www.nidcd.nih.gov/sites/default/files/UsherSyndrome2018-508.pdf
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