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Paediatric Neurology - Neurodevelopmental disability

ness37's version from 2018-04-29 13:23


Question Answer
Prematurity If a child is not born before 38-40 weeks. When born between 22-32 weeks they are a particular risk of disability
Birth traumaFor example, cervical cord injury - child gets reduced levels of oxygen. APGAR score help to illustrate trauma
InfectionIntrauterine (within the uterus) - rubella, syphilis, taxoplasmois from raw/undercooked meat or Neonatal infection e.g. meningitis
Toxic/metabolic Drug (prescription/recreational) or alcohol abuse. Epilepsy medication has been linked to autism and learning disability
Hypoxic-Ischemic Encephalopathy Common type of brain damage caused by oxygen loss - can lead to serve developmental/cognitive delay or motor impairment (e.g. Cerebral Palsy)
Common chromosomal abnormalitiesDown syndrome (trisomy 21), Edward's (trisomy 18) and Patau's syndrome (trisomy 13)
Grief reactions from parentsNot what parents had thought would happen, emerging picture from the beginning. Diagnosis can take a long time - medical tests and assessments are done but there needs to be a period of observation to look at early development. Occasionally the baby does not survive (premature 23/24 weeks)
Healthy Child Wales programmePlanned contact with families and children from 0-7. Covers 3 ares of intervention (screening, immunisation and monitoring/supporting child development. There is growing evidence that investing in early years significantly improves health, social and educational development and long term outcomes.
Health surveillance Children are monitored for the first few years of life - Inoculations are given at appropriate times and SOGS
Schedule of growing skills (SOGS)Examines nine key areas - passive/active posture, locomotor, manipulative, visual, hearing + language, speech + language, interactive social and self care social
Ruth Griffiths Identifies if a child is developing appropriately for their age or whether difficulties in specific areas could be linked to a specific developmental/learning disorder - foundations of learning, language and communication, eye and hand coordination, personal, social and emotional, gross motor
Informal assessmentsUseful when there is a difficulty with interpreting scores of formal assessments