N674 Week 11 - Discussion Language Delay Case Study
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Samuel Merritt College *
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N674
Subject
Linguistics
Date
Jan 9, 2024
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docx
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Uploaded by angeliquealturner
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N674 - Key - Case Study – Language Delay
You are seeing Ethan Scott for his 2-year-old well child visit.
His mother, Anne, who
brought him in today reports, he has been well since his last check-up. He is not
taking any medications, nor is he allergic to any medications. He is up-to-date on all
previous immunizations. Ethan has been in pre-school since six months old as both
parents work. His only sister is 4-years-old and is also healthy. His birth weight was
7 pounds 5 ounces, vaginal birth– no complications at 40 weeks gestation. He was
breast fed for six months. His father is a computer engineer. His mother is a chemist
and teaches at the local junior college in the biology department.
She appears
anxious. She tells you that Ethan does not seem to have as many words as his sister
did at his age. He cries intensely when getting his haircut and often cannot be
consoled. He only eats cheese noodles or toast.
He has never been a good sleeper
and she is at her wits end with these new issues.
1.
What is normal speech development for a 2 year old?
Normal speech development for a 2 year old are simple phrases such as
o
2 word phrases such as “yes please”
o
Follow simple commands
o
Comprehend simple questions
2.
Anne asks you, “Are these things related?” How do you respond?
I would let her know that children develop skills in their own way and their own
timing within a normal range. I would validate her concerns and inform her that
there are screening tools that can determine if further action/treatment needed.
3.
What is expressive language?
This pertains to how the child uses specific words to express themselves. This could
be how the child expresses certain emotions like sadness, or even when
experiencing pain.
4.
What is Pragmatic language delay?
Pragmatic language delay involves a child that is unable to speak and/or understand
language in an age appropriate way. For example, a child may not listen or respond
appropriately. They may appear rude or self centered based on their response or
inattentiveness. They may also be disruptive, shift topics, and ignore or not
recognize the cues of others that may show discomfort.
5.
What are some red flags that indicate a need for referral?
Based on the case study some of the red flags would be
2
o
Ethan’s mother reported that he does not speak many words like his sister
did at that same age. (Speaking less than 50 words and not using simple
phrases)
o
He struggles with expressing himself (Ethan cries and is inconsolable. He is
not able to express himself or emotions using simple phrases/words)
6.
What are some online screening tools for assessing language delay?
o
Ages and Stages
o
Brigance Preschool Screen
o
Language Development Survey
7.
What should be included in the history?
o
Language milestones
o
Babbling, nodding, grunting, pointing at objects by 12 to 15
months
o
Not talking by 24 months
o
Maternal illness history
o
Birth weight
o
Gestational age
o
Birth weight
Past medical history
o
Family history of illness
o
Family history of language delay
o
Mother’s exposure to ototoxic medications during pregnancy
o
Languages spoken by the family in the home
8.
What should the focused physical examination include?
o
Height, weight
o
Eyes, ears, nose assessed for abnormalities
o
Head circumference
o
Vision testing/assessing
o
Hearing testing/assessing- refer to Audiology for baseline
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