Case Study-susie-5 Years Old

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CASE STUDY-

SUSIE-5 YEARS OLDPRESENTED BY ETHELDA MENDS



Presentation Overview

• Case of 5 year old Susie

• Normal development

• Compare Susie and normal

• Diagnosis• Resources



DOMAINS OF HUMAN DEVELOPMENT

Biosocial development

Fetus

Exposure to teratogens

Birth weight

2-3 years

Growth patterns

0-2 year

Growth rate

Nutrition

Brain development

Motor skills

listening

4-5 years

Growth patterns

Peers



Teratogen effects

Fetal alcohol syndrome



Body Shape: BiosocialDuring early childhood children become slimmer

Lower body lengthens

Well nourished children from ages 2 to 6

Add almost 3 inches in height

Gain about 4.5 pounds



Gross and Fine motor skills

• Gross Motor Skills

• Walking

• Sitting

• Jumping

• Fine Motor Skills

• Finger movements

• Enabling humans to write

• Draw

• Type• Tie

• Movement of jaw, lips and toes.



NUTRITION

• Breast is best

• Breast milk has so many advantages

• Miracle food



NUTRITION




Psychosocial development

Fetus 2-3years

Goodness of fit

Temperament

0-2years

Psychoanalytic theory

Behaviorism

Oral and anal stagesTrust and autonomy

Attachment

Synchrony

4-5 years



Attachment Styles: Psychosocial



Erikson’s Psychosocial Development



Temperament

• Temperament

• Epigenetic

• Originating in genes

• Affected by child rearing practices



Erickson: Trust and Autonomy

• First crisis of life is trust versus mistrust

• When infants learn whether the world can

be trusted

• Babies feel secure when food and

comfort are provided with• Consistency

• continuity• Sameness of experience




The Six Stages of Sensorimotor Intelligence:Cognitive development

Fetus 2-3 years

Decrease reaction time

ScaffoldingLanguage

Lateralization

0-2 years

Baby talk

Sensorimotor intelligence

BabblingVocalization

First word

Assimilation

accommodation

4-5 years

Social referencing

Language

500-10,000 words



Piaget’s Developmental Stages



Six Stages of Sensorimotor Intelligence



Cognitive theory

• Infant’s working model

• Use early relationships

• Assumptions that become a frame of reference

• To be called on later in life



SCAFFOLDING

• Temporary support tailored to a learner’s

• Needs and abilities

• Aimed at helping the learner master in a given learning process



Language As A Tool For Cognition

• Private speech• Occurs when people talk to themselves

• Developing new ideas

• Young children use private speech

• Typically talking out loud to review• Decide

• Explain events to themselves

• Older preschoolers use private speech more selectively

• In whisper as they tell themselves what to do next

• Social mediation• Function of speech occurs during both formal instruction and

casual conversation

• Language is the link between brain potential andknowledge



Assimilation and Accommodation

• Assimilation

• Piaget’s term for a type of adaptation in which

• New experiences are interpreted to fit into old ideas

• Accommodation

• Piaget’s term for a type of adaptation in which

• Old ideas are restructured to include new experiences



Susie’s Milestones

• Crawling

• Walking

• Speaking



Susie early years

Prenatal

Mom possibly abused alcohol and drugs during

pregnancy.

First year Severely neglected

Locked in closets

Malnourished

Being in unclean environment



Susie 1-3 years

• No contact with mother

• Father deceased

• Placed with grandmother

• Spoiled her for second year of life

• Grandmother died when Susie was two and a half years

• Placed with maternal aunt and uncle who had three

children



Susie’s Difficulties

• Struggle at home with• Making bed

• Buttoning her shirt

• Tying her shoes

• struggle at school with• writing her name

• Reading

• Counting (cannot count past 20)

• Not on the same educational level as other students



Susie’s Attitude

Impulsive and strong willed

Defiant and quick tempered

Did what she wanted whenever she wants

BossyWent from hording food to being a picky eater

Refuses to listen

o To work on assignments

Disrupt school environmentMaking noise in class

Screaming and yelling at teacher



Susie Biosocial

• crawling, walking, and speaking at the right time

frame.

• Underfed during first years with her mom.• Small for her age

• Falling in 10th percentile compared with her peers.



Susie Psychosocial

• Temperament

• defiant

• Quick tempered

• Calls her teacher a freak and argues with teacher

• Had to be carried out of class yelling “ I hate you” and “ I could just die” • Sometimes kicking, scratching, and biting.

• Bossy

• Argues with her foster mother

• what she can and cannot bring to school

• involved in physical fights with other children• hitting and kicking at them

• Also put her hands around another child’s neck



Susie Psychosocial

• Other discipline incidents include• Throwing shoes

• Breaking her glasses

• Knocking her milk off her lunch tray

• Susie’s teacher reported • Easily frustrated and loses her temper quickly

• Has difficulty monitoring her frustration level.

• Snaps with no precursors being obvious.

• On occasion will become violent when she does not get her way.

• Flips her desk when not allowed to bathroom.• Her feelings are hurt more easily.

• Swore at her teacher when told to stop tapping her pencil



Susie Cognitive

• Language

• Cannot write her name

• Cannot count past 20

• Cannot yet read

• Teacher reports that Susie

• Disorganized

• Distractible

• Does not follow direction

• Has difficulty transitioning from one activity to another • Seems to have a need to control all situations



Diagnosis

• Maltreated child

• Locked in closets

• Not fed appropriately

• Being in unclean environment

• Neglected child

• Grandmother spoiled her and died

• No contact with mother

• Deceased father



Intervention

• Susie needs to see a Psychiatrist

• To help her talk about what is bothering her

• To help talk about her aggression

• Need to be in a stable environment• Needs more time with caregivers to

demonstrate trust

• To help catch up in school



Interventions

• Intervention Programs

• Camp for neglected children

• Talk to auntie about being patient



Camps for Neglected and Abused

Children• Camp Alandale

• A Christian camp for abused children

• Royal Family Kids

• give children a week of positive memories in a Christian

environment.



Problems

• Susie is small for her age

• Aggressive

• Trying to hurt others before being hurt

• Temperament need adjusting

• Not trusting

• Will have difficulty trusting and talking

to anybody.



AGGRESSIONType of Aggression Definition Comments

Instrumental aggression Hurtful behavior that is

aimed at gaining

something that someone

else has.

Often increases from

age 2 to 6: involves

objects more than

people; quite normal;more egocentric than

antisocial.

Reactive aggression An impulsive retaliation

for a hurt that can be

verbal or physical.

Indicates a lack of

emotional regulation,

characteristic of 2 year olds. A 5 year old can

usually stop and think

before reacting.

Relational aggression Nonphysical acts, such

as insults or social

rejection, aimed atharming the social

connections between the

victim and others

Involves a personal

attack and thus is

directly antisocial; can bevery hurtful; more

common as children

become socially aware.

Bullying aggression Unprovoked, repeated

physical or verbal attack,

especially on victims

In both bullies and

victims, a sign of poor

emotional regulation;



Resources

• Invitation to the Life Span

• By Kathleen Stassen Berger

• Power Point Presentation

• By Abigail McNeely

• JeanPiaget320

• http://jeanpiaget320.wikispaces.com/

• Pmpr652: Pediatrics Nutrition by Donna M. Kraus,Pharm

D

• http://www.uic.edu/classes/pmpr/pmpr652/Final/krauss/pedsnutritio

n.html

http://jeanpiaget320.wikispaces.com/

http://www.uic.edu/classes/pmpr/pmpr652/Final/krauss/pedsnutrition.html










Resources

• Camp Alandale

• Www.campalandale.org

• Royal family kids

• www.royalfamily kids.org

• Stages in Piaget's theory of cognitive-development

• http://faculty.plattsburgh.edu/william.gaeddert/classes/101ovds/m13

-1c.htm

http://www.campalandale.org/

http://www.royalfamilykids.org/






http://www.campalandale.org/

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Case Study-susie-5 Years Old