Casey JonesProjected Evaluations
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Rehabilitation /Long-Term NeedsAssessment
Assess HandicappingConditions
Per Year
Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)
Ending
1 X already accomplished during6/27/05 evaluation. Re-eval needed toassist with transition from schoolprogram to long term planning. $4,500 -$5,000 excluding expenses.
Beginning Per Unit2 X Only at ages8 and 16.
1
8 6/27/05
16 2012
Neuropsychological Assess cognitive levelsand educationalattainment for schoolplacement andadjustments to theteaching methodology.
$1800 - $3200
Per Year
Ellen Jansen, Ph.D.(6/7/04) and Dr.Kallan, Neurologist(7/7/04)Ending
Beginning Per Unit
Multiple factors are associated with increased risk of behavioral problems in children with epilepsy. Additional neurological impairment, neuropsychological deficits, intractableseizures and problems within the family have been found most consistently. Studies have shown that children with epilepsy plus additional neurological impairment haveapproximately twice the rate of behavioral problems as children with uncomplicated epilepsy. Since behavioral disturbance occurs in both new-onset seizures and epilepsy,monitoring for emotional difficulties should begin as soon as the diagnosis is made and should be a part of ongoing care for the child with epilepsy. Source: Dunn, David W.;Review Neuropsychiatric aspects of epilepsy in children. Department of Psychiatry and Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.Received 29 January 2003; accepted 29 January 2003. Epilepsy & Behavior 4 (2003) p. 101-106.
1 X / 3 years toage 16
2
8 7/2005
16 2012
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 1
Casey JonesProjected Evaluations
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Psychological Evaluation Evaluate family’s need forcounseling & instructionon disability managementand parent effectivenesstraining with the specialneeds child.
$150 - $200
Per Year
Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)
Ending
Addressing behavioral & psychologicalissues before they become significantproblems reduces costs and long termconsequences.
Beginning Per Unit
Multiple factors are associated with increased risk of behavioral problems in children with epilepsy. Additional neurological impairment, neuropsychological deficits, intractableseizures and problems within the family have been found most consistently. Studies have shown that children with epilepsy plus additional neurological impairment haveapproximately twice the rate of behavioral problems as children with uncomplicated epilepsy. Since behavioral disturbance occurs in both new-onset seizures and epilepsy,monitoring for emotional difficulties should begin as soon as the diagnosis is made and should be a part of ongoing care for the child with epilepsy. Source: Dunn, David W.;Review Neuropsychiatric aspects of epilepsy in children. Department of Psychiatry and Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.Received 29 January 2003; accepted 29 January 2003. Epilepsy & Behavior 4 (2003) p. 101-106.
Children with brain damage (CP) are four to five times more likely to have behavior disturbances than non-disabled children (Rutter, et al, 1970). This is due to a myriad of issuessuch as the pressures and stress put on the family and the child who has CP, which may affect behavior. There is often a lack of adequate counseling, information and practicalassistance when it is required in the early stages of diagnosis and thereafter. Many families feel unsupported and ill-informed by the numbers of professional team members whocan be involved in the child’s care. The child, also, feels frustrated by lack of mobility and muscular movements. All of these factors may contribute towards the development ofbehavioral disorders. Thus, counseling and education for the parents, and counseling for the child (developmentally appropriate) will greatly aid both the child and the family.Source: The Cerebral Palsy Handbook. A Practical Guide for Parents and Carers. Marion Stanton, Vermilion, London, 2002.
1 X Only
3
8 7/2005
8 7/2005
Speech Therapy Monitor therapy programin early years andcommunication needsthrough life.
$85 - $325
$85 - $325Per Year
Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending
Beginning Per Unit
NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.
1 X / Year (Inaddition to theschool systemsannualevaluation.)
4
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 2
Casey JonesProjected Evaluations
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Occupational Therapy Monitor and evaluatetherapy program andequipment needs.
$85 - $125
$85 - $125Per Year
Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending
Beginning Per Unit1 X / Year (Inaddition to to theschool systemsannualevaluation.)
5
8 7/2005
65 2061
Physical Therapy Monitor therapy program.$85 - $125
$85 - $125Per Year
Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending
Beginning Per Unit1 X / Year (Inaddition to to theschool systemsannualevaluation.)
6
8 7/2005
Life Exp.
Audiological Evaluation Reprogramming ofCochlear Implant anddevice checks.
$200 - $300
$500 - $1000Per Year
Kara Natane,Audiologist (6/2/04)and Rita Yonit, MS,CCC-SLP (4/12/04)Ending
Beginning Per Unit
NOTE: Estimate two additional times over life expectancy he will require replacement of cochlear implant. At time of failure will need 3-4 sessions to diagnose; then afterre-implantation he will need 11 sessions in first year; then 4 sessions second year; then back to 2-4 sessions per year thereafter. This would be 11 to 12 additional sessions theyear the implant is replaced; and 1-2 additional sessions the second year after re-implantation.
NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.
2-4 X / Year
7
8 7/2005
Life Exp.
Vocational Rehabilitation Assess avocationalpotential, supported workplacement or shelteredwork placement.
$300 - $1250
Per Year
Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)
Ending
Beginning Per Unit1 X Only
8
18 2014
18 2014
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 3
Casey JonesProjected Therapeutic Modalities
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Play Therapy, IndividualCounseling (As ageappropriate)
Aid in PsychosocialAdjustment $130 - $150
Per Year
Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)
Ending
$1,690 - $1,950 for 13 sessions at ages8, 10, 12, 14, 16, 18 and 21; thereafter$280 - $560 / year.
Beginning Per Unit
NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.
Treatment of behavioral problems should begin with education. Once behavioral problems become established, individual, group or family therapies may be needed. Ziegler et al.suggest ongoing psychosocial assessment and treatment coordinated with neurological care. Psychopharmacology may be another option for therapy of behavioral problems inchildren with seizures. Source: Dunn, David W.; Review Neuropsychiatric aspects of epilepsy in children. Department of Psychiatry and Department of Neurology, IndianaUniversity School of Medicine, Indianapolis, IN, USA. Received 29 January 2003; accepted 29 January 2003. Epilepsy & Behavior 4 (2003) p. 101-106.
Children with brain damage (CP) are four to five times more likely to have behavior disturbances than non-disabled children (Rutter, et al, 1970). This is due to a myriad of issuessuch as the pressures and stress put on the family and the child who has CP, which may affect behavior. There is often a lack of adequate counseling, information and practicalassistance when it is required in the early stages of diagnosis and thereafter. Many families feel unsupported and ill-informed by the numbers of professional team members whocan be involved in the child’s care. The child, also, feels frustrated by lack of mobility and muscular movements. All of these factors may contribute towards the development ofbehavioral disorders. Thus, counseling and education for the parents, and counseling for the child (developmentally appropriate) will greatly aid both the child and the family.Source: The Cerebral Palsy Handbook. A Practical Guide for Parents and Carers. Marion Stanton, Vermilion, London, 2002.
1 X / week for 3months at age 8,10, 12, 14, 16, 18and 21; thereafter2 - 4 X / year forsupport.
9
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 4
Casey JonesProjected Therapeutic Modalities
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Family Counseling &Education
Aid in disabilitymanagement $130 - $150
Per Year
Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)
Ending
$780 - $900 for 6 sessions at ages 8,10, 12, 14, 16, and 18.
Beginning Per Unit
NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.
Treatment of behavioral problems should begin with education. Once behavioral problems become established, individual, group or family therapies may be needed. Ziegler et al.suggest ongoing psychosocial assessment and treatment coordinated with neurological care. Psychopharmacology may be another option for therapy of behavioral problems inchildren with seizures. Source: Dunn, David W.; Review Neuropsychiatric aspects of epilepsy in children. Department of Psychiatry and Department of Neurology, IndianaUniversity School of Medicine, Indianapolis, IN, USA. Received 29 January 2003; accepted 29 January 2003. Epilepsy & Behavior 4 (2003) p. 101-106.
Children with brain damage (CP) are four to five times more likely to have behavior disturbances than non-disabled children (Rutter, et al, 1970). This is due to a myriad of issuessuch as the pressures and stress put on the family and the child who has CP, which may affect behavior. There is often a lack of adequate counseling, information and practicalassistance when it is required in the early stages of diagnosis and thereafter. Many families feel unsupported and ill-informed by the numbers of professional team members whocan be involved in the child’s care. The child, also, feels frustrated by lack of mobility and muscular movements. All of these factors may contribute towards the development ofbehavioral disorders. Thus, counseling and education for the parents, and counseling for the child (developmentally appropriate) will greatly aid both the child and the family.Source: The Cerebral Palsy Handbook. A Practical Guide for Parents and Carers. Marion Stanton, Vermilion, London, 2002.
2 X / month for 3months at ages 8,10, 12, 14, 16,and 18.
10
8 7/2005
18 2014
Physical Therapy Assist with muscularstrengthening, balancedeficits, ambulation, etc.
$168 - $232
$9600 - $19200Per Year
Dr. Kallan,Neurologist(7/7/04), BrodyCort, M.D. (8/3/04)and AndreaZotovas, M.D.
Ending
Beginning Per Unit1-2 X / week (48weeks / year).
11
8 7/2005
16 2012
Occupational Therapy Address activities of dailyliving, right hemiparesis,etc.
$168 - $232
$9600 - $19200Per Year
Dr. Kallan,Neurologist(7/7/04), BrodyCort, M.D. (8/3/04)and AndreaZotovas, M.D.
Ending
Beginning Per Unit1-2 X / week (48weeks / year).
12
8 7/2005
16 2012
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 5
Casey JonesProjected Therapeutic Modalities
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Speech & LanguageTherapy
Address communicationneeds and languageskills.
$168 - $232
Per Year
Dr. Kallan, Neurologist(7/7/04), Brody Cort,M.D. (8/3/04), EllenJansen, Ph.D. (6/7/04)and Andrea Zotovas,M.D.
Ending
$16,128 - $22,272 / year to age 21;then $800 - $1,200 every 3 years to age65.
Beginning Per Unit
NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.
2 X / week for 48weeks per year toage 21; then 4-6X / 3 years towork with newtechnology to age65. 13
8 7/2005
65 2061
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 6
Casey JonesDiagnostic/Educational Testing
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Educational Testing Monitor educationaldevelopment for specialeducation needs and toassist therapist.
$250 - $300
$250 - $300Per Year
Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)
Ending
Beginning Per Unit1 X / Year
14
8 7/2005
21 2017
Special EducationProgram
Educational program forstudents with hearingimpairment.
$0 - $0
$0 - $0Per Year
Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)
Ending
No cost associated with specialeducation services.
Beginning Per Unit
NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.
Regular schoolyear.
15
8 7/2005
21 2017
Tutor Provide one-on-onetutoring of class work witha specialist trained towork with CochlearImplants.
$25 - $35
$1800 - $2520Per Year
Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)
Ending
Beginning Per Unit2 hours / week(36 weeks withinthe school year).
16
8 7/2005
21 2017
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 7
Casey JonesWheelchair Needs
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Manual Wheelchair Mobility for longerexcursions due tobalance deficits andhemiparesis.
$1200 - $1400
Per Year
Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending
Unit cost reflects basic transport chairand not customized wheelchair.
Beginning Per Unit1 X / 5-7 Years
17
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 8
Casey JonesWheelchair Accessories and Maintenance
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
MAINTENANCE:Manual Wheelchair
Maintain equipment$120 - $140
Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Maintenance to begin 2-3 years afterpurchase of new equipment.
Beginning Per Unit1 X / 2-3 Years
18
10 7/2007
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 9
Casey JonesOrthotics/Prosthetics
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Right Ankle Foot Orthosis Foot positioning due toright hemiparesis. $500
Per Year
Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending
Beginning Per Unit1 X / 1-2 Years toage 18; then 1 X /3-4 yearsthereafter.
19
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 10
Casey JonesAids for Independent Function
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Prescription Eye Glasses Improve vision.$125 - $175
Per Year
Dr. Davis,Ophthalmologist(4/19/04)
Ending
Beginning Per Unit1 X / Year to age16; then 1 X / 2-3years thereafter.
20
8 7/2005
Life Exp.
Personal FM System Personal hearing systemthat offers FMamplification.
$560 - $671
Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
This system supplements theperformance of Cochlear implants.
Beginning Per Unit1 X / 4-6 Years
21
8 7/2005
Life Exp.
Computer Aid in school andavocational pursuits, andmaximize development inthese areas.
$900 - $1000
Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Although helpful to any student it is acritical part of this plan for education,reinforcing task focus and improvingskills with visual cueing.
Beginning Per Unit1 X / 4-6 Years
22
8 7/2005
65 2061
Computer Maintenanceand Software Update
Maintain equipment andupdate computerprogram.
$100 - $150Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit1 X / Year
23
9 7/2006
70 2066
Good Vibrations DeluxeReceiver Kit by Silent CallCommunications
Alert system whichreceives signals from thetransmitters in thehousehold environment.
$586
Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Kit comes with receiver, telephonetransmitter, doorbell transmitter, soundmonitor transmitter, smoke detectorwith transmitter, sleep alert charger andbed vibrator.
Beginning Per Unit1 X / 4-6 Years
24
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 11
Casey JonesAids for Independent Function
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
TDD/TYY Telephone Telephonecommunication system. $339
Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit
NOTE: Many states offer a telecommunication relay system, free of charge, which provides a Communications Assistant to act as a link between people who usestandard telephone equipment and those who use TDD/TYY.
1 X / 4-6 Years
25
8 7/2005
Life Exp.
Compact PortableTTY/TDD
Portable telephonecommunication system. $229 - $329
Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit1 X / 4-6 Years
26
8 7/2005
Life Exp.
Environmental SignalingDevices
Accessibility and safety.$401 - $500
Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit
These are examples of additional equipment available to assist the person with hearing impairment: Knock Sensor - $35; Portable smoke detector - $175; Sonic Boom travel clock- $35; Battery backup - $125; Battery Charger - $16; Rechargeable 9V battery - $15 / each; etc.
Allowance foradditionalequipment andnew technology 1X / 4-6 Years
27
8 7/2005
Life Exp.
Cochlear ImplantProcessor
Process speech.$6000
Per Year
Rita Yonit, MS,CCC-SLP (4/12/04)
Ending
Beginning Per Unit2 over lifeexpectancy
28
18 2014
38 2034
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 12
Casey JonesAids for Independent Function
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Cochlear ImplantProcessor Repair
Maintain equipment
$700Per Year
Rita Yonit, MS,CCC-SLP (4/12/04)
Ending
Beginning Per Unit1 X / Year
29
8 7/2005
Life Exp.
Cochlear ImplantProcessor Insurance
Replace processor if lostor stolen.
$380Per Year
Rita Yonit, MS,CCC-SLP (4/12/04)
Ending
Beginning Per UnitAnnual cost
30
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 13
Casey JonesSupplies
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Cochlear ImplantSupplies
Maintain and operateimplant.
$1710Per Year
Rita Yonit, MS,CCC-SLP (4/12/04)
Ending
Beginning Per Unit
The supplies used with the implant device consists of AA batteries ($540 / year), Cables ($480 / year); Headpiece ($250 / year); Miscellaneous supplies i.e. ear hooks, testers($100 / year); Battery pack ($340 / year).
Annual allowance
31
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 14
Casey JonesMedications
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Prescription Medications Anti-seizure medicationsand occasionalrespiratory problems.
$7801Per Year
As prescribed bytreating physicians.
Ending
Trileptal - $96.02 / month; Lamictal -$550.86 / month; Albuterol - $18.99 (2 X/ year)
Beginning Per UnitAnnual allowance
32
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 15
Casey JonesHome Care / Facility Care
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
PRE-AGE 21:Respite Care - PrivateHire
Prevent parental burnout.$11.28
$6723Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Hiring an attendant through an agencywould cost $15.75 to $24 per hour or$9,387 - $14,304 / year.
Beginning Per Unit
HHAs in Casey’s geographical area earn a mean hourly wage of $9.03 (Source: U.S. Department of Labor, Bureau of Labor Statistics, Occupational Employment Statistics, May2004, State Occupational Employment and Wage Estimates, Florida. www.bls.gov.) We must also add in an additional 25% factor to that hourly rate to cover matching socialsecurity, quarterly unemployment compensation, worker’s compensation and appropriate accounting/administrative costs. Therefore, the total hourly rate would be $11.28 perhour.
1 night / week for 4hours 50 weeks /year (200 hours /year) and 1 weekend/ month 11 months /year for 36 hours(396 hours / year)596 total / year
33
8 7/2005
21 2017
Case Management Offer support and assistin coordination of care. $79 - $125
$3672 - $4896Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit3 - 4 hours permonth (36 - 48hours / year)
34
8 7/2005
21 2017
POST AGE 21Option #1Attendant Care - PrivateHire
Home Care. Casey willnot need awake careduring the night, but hewill require someone to bein the home and availablein case of need.
$11.28
Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
From age 22 to age 65 annual hourswould be 7,200 per year to avoidoverlap with work program at an annualcost of $81,216. From age 65 throughlife expectancy the annual hours wouldbe 8,760 at a cost of $98,813 / year.
Beginning Per Unit
An option to privately hiring an attendant would be to hire a live-in through an agency, provided one would be available. A live-in will provide 10 hours of direct patient care and willsleep in the home eight hours at night for emergencies. The remaining six hours per day would have to be covered by a work program and supplemental attendant care. A Live-Inwill cost $188 to $230 per day or a total of $68,620 to $83,950 per year. Supplemental attendant care hired through an agency would cost $9,923 to $15,120 per year to age 65,based on 105 days per year at $15.75 to $24 / hour. After age 65 when he is no longer in the work program he would require an additional 2,190 hours of attendant care at anannual cost of $34,493 to $52,560, based on $15.75 to $24 per hour. This would be a total of $78,543 to $99,070 / year to age 65; then $103,113 to $136,510 / year thereafter.
24 hoursupervision. Seecomments.
35
22 2018
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 16
Casey JonesHome Care / Facility Care
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Skilled Nursing Visits -Private Hire
Medication setup andpatient monitoring. $20.7
$2153Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
$55 to $90 per visit through an agency,or $2,860 to $4,680 / year.
Beginning Per Unit1 X / Week(Estimate 2 hourseach visit, 104hours / year.)
36
22 2018
Life Exp.
Sheltered Work Program Avocational pursuit$45
$11700Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit260 days per year(6 hours / day) toage 65.
37
22 2018
65 2061
Interior/Exterior HomeMaintenance
To include house cleaning(assumes own home). $65 - $85
$3380 - $4420Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per UnitRegular weeklyservice.
38
22 2018
Life Exp.
Case Management Assist with coordinatingservices and offersupport.
$79 - $125
$9792 - $12240Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit8-10 hours /month (96 - 120hours / year)
39
22 2018
Life Exp.
POST AGE 21Option #2ICF/MR or Group Home
Residential care$271
$98915Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
This includes room, board, andattendant care. An economist wouldneed to calculate an offset for theseitems which would normally come out ofwages.
Beginning Per Unit24 hourresidential care.
40
22 2018
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 17
Casey JonesHome Care / Facility Care
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Case Management Coordinate and overseecare. $79 - $125
$2448 - $4896Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit2-4 hours / month(24 - 48 Hours /year)
41
22 2018
Life Exp.
Sheltered Work Program Avocational pursuit$45
$11700Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit260 days per year(6 hours / day)
42
22 2018
65 2061
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 18
Casey JonesFuture Medical Care Routine
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Neurologist Monitor neurologicalcondition. $68 - $143
$211 - $422Per Year
Dr. Gi, Neurologist(5/4/05), Dr. Kallan,Neurologist (7/7/04) andAndrea Zotovas, M.D.Ending
Beginning Per Unit
The Pediatric Health Encyclopedia indicated that oral anticonvulsants prevent or minimize the number of future seizures. Response is individual, and the medications used anddosage may have to be adjusted repeatedly. Follow-up for re-evaluation should occur at least yearly. Monitoring of plasma drug levels is important for the continued control ofseizures and the reduction of side effects. Seizure disorder (epilepsy) is a chronic, usually lifelong condition. Source: Epilepsy; Pediatric Health Encyclopedia;http://www.healthcental.com/peds/top/000694.
1 X / 3-6 months
43
8 7/2005
Life Exp.
Neurosurgeon Monitor shunt function.$67 - $171
$134 - $342Per Year
Dr. Kallan, Neurologist(7/7/04), Brody Court,M.D., Neurologist(8/3/04) and AndreaZotovas, M.D.
Ending
Beginning Per Unit
In the pediatric age group, the diagnosis of hydrocephalus is based on head circumference and CT scanning which shows ventriculomegaly with enlarging head, or in patients withclosed sutures, symptomatic ventricular enlargement. The initial management of this is placement of a shunt diversion system (generally from the ventricles to the abdominalcavity). Alternatively, the shunt can be placed into the atrium of the heart or the pleural cavity, but these are much less common. Once a shunt is in place, yearly follow-up andexamination by the PCP is recommended. These patients should also be examined by a neurosurgeon every 2 years primarily to make sure the child is not outgrowing the lengthof the shunt tubing. The primary objective in a patient with a VP shunt is to ensure, on a regular basis, that the shunt continues to function. In general, this is a clinical diagnosisbased on the patient's complaints and shunt dynamics at the time of testing the shunt. In some severely impaired patients, the diagnosis of continued shunt functioning must becorrelated with CT scan. Source; Madigan Army Medical Center. Ventriculoperitoneal Shunts Referral Guideline. Developmental Pediatrics, Neurosurgery.www.mamc.amedd.army.mil/referral/guidelines/dev_ped_ventricul.htm.
Shunting is one of the basic neurosurgical procedures, and also has the highest failure rate. It has a relatively high complication rate and is probably the most common operation,which has to be redone for either malfunction or infection. These children will require close follow-up to recognize at an early stage some of the complications of shunting, and topick up on subtle signs of shunt dysfunction. A close working relationship needs to exist between the pediatric neurosurgeon and the families, as well as the child's pediatrician,to provide the best comprehensive evaluation of a shunt problem and recognize at an early stage. Source: Fried, Arno H., M.D., Epstein, Mel H., M.D. Childhood Hydrocephalus:Clinical Features, Treatment, and the Slit-Ventricle Syndrome. Treatment of Hydrocephalus: Shunts. http://virtualtrials.com/shunts.cfm.
2 X / Year
44
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 19
Casey JonesFuture Medical Care Routine
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Otolaryngologist Monitor Cochlear Implantand hearing impairment. $99 - $100
$99 - $100Per Year
Brody Court, M.D.,Neurologist (8/3/04);Kara Natane,Audiologist (6/2/04),Rita Yonit, MS,CCC-SLP (4/12/04) and
Ending
Beginning Per Unit
NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receives the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.
1 X / Year
45
8 7/2005
Life Exp.
Ophthalmologist Assess and monitorstrabismus and vision. $65 - $140
$65 - $140Per Year
Dr. Davis,Ophthalmologist(4/19/04) andAndrea Zotovas,M.D.
Ending
Beginning Per Unit1 X / Year
46
8 7/2005
Life Exp.
Orthopedist Monitor bonedevelopment. $70 - $300
$70 - $300Per Year
Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending
Beginning Per Unit1 X / Year
47
8 7/2005
Life Exp.
Physiatrist Monitor rehabilitationneeds. $60 - $155
$60 - $155Per Year
Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending
Beginning Per Unit1 X / Year
48
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 20
Casey JonesFuture Medical Care Routine
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Dentist Provide additional oralhygiene care andmonitoring of teeth due tomedications.
$74 - $87
$148 - $174Per Year
Paul M. Deutsch,Ph.D.,C.R.C. CCM. CLCP,FIALCP & AndreaZotovas, M.D. based onpractice guidelines.
Ending
Beginning Per Unit
Practice Guidelines for Dental Care: Medications used for the treatment of systemic diseases can also influence risk for oral problems due to various side effects. Somemedications can cause adverse oral effects such as salivary gland hypofunction (SGH), xerostomia, gingival overgrowth, lichenoid reactions, tardive dyskinesia (oralmusculature movents) and problems with speech, swallowing and taste. Medications such as antipsychotics, antidepressants, tranquilizers, sedatives, diuretics,antihypertensives, anti-Parkinsonian agents, narcotic analgesics, anticonvulsants, antihistamines and antiemetics have the most severe dry mouth and SGH side effects. Lowlevels of saliva result in the oral environment becoming more acidic and together with decreased buffering capacity, result in dental caries.Source: Oral hygiene care for functionally dependent and cognitively impaired older adults. Research Dissemination Core. Oral hygiene care for functionally dependent andcognitively impaired older adults. Iowa City (IA): University of Iowa Gerontological Nursing Interventions Research Center; 2002 Nov. 48 p. www.guidelines.gov
2 X / year inaddition to 2times everyoneshould be seen.
49
8 7/2005
Life Exp.
Podiatrist Monitor and treat chronicingrown toenail. $35 - $70
$70 - $140Per Year
Andrea Zotovas,M.D.
Ending
This recommendation is based on themother’s report of chronic ingrowntoenail.
Beginning Per Unit2 X / Year
50
8 7/2005
Life Exp.
Audiogram Monitor implant$135 - $204
$270 - $408Per Year
Kara Natane,Audiologist (6/2/04)and AndreaZotovas, M.D.Ending
Beginning Per Unit
NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.
2 X / Year
51
8 7/2005
Life Exp.
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 21
Casey JonesFuture Medical Care Routine
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Pathology LaboratoryWork
Monitor medication levelsand side effects. $176
$352Per Year
Brody Cort, M.D.,Neurologist(8/3/04), Dr. Gi,Neurology (6/18/04)and AndreaZotovas, M.D.
Ending
CBC with Diff - $33; Comp MetabolicPanel - $50; Trileptal and Lamictallevels - $78 and Draw Fee - $15
Beginning Per Unit2 X / Year
52
8 7/2005
Life Exp.
Electroencephalogram Evaluate and monitorseizure disorder. $918 - $1150
Per Year
Brody Cort, M.D.,Neurologist(8/3/04), Dr. Gi,Neurology (6/18/04)and AndreaZotovas, M.D.
Ending
Beginning Per Unit1 X / every otheryear
53
8 7/2005
Life Exp.
Spinal X-Rays Monitor for scoliosis.$258 - $363
Per Year
Brody Cort, M.D.,Neurologist (8/3/04)and AndreaZotovas, M.D.Ending
Beginning Per Unit1 X / 2-3 Years
54
8 7/2005
18 2014
Scanogram Check for leg lengthdiscrepancy. $135 - $201
Per Year
Brody Cort, M.D.,Neurologist (8/3/04)and AndreaZotovas, M.D.Ending
Beginning Per Unit1 X Only
55
8 7/2005
8 7/2005
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 22
Casey JonesFuture Medical Care Aggressive Treatment
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Repeat StrabismusSurgery
Repeat surgery to realigneyes. $7580 - $9297
Per Year
To be determined bytreating physician.Recommendationadded based onreport by Mrs.Jones.
Ending
Beginning Per Unit
When strabismus surgery is recommended, the earlier in life it is done the better the chance of your child achieving normal binocular vision. Despite having the appropriatesurgery, some patients may require further eye muscle surgery in the months or years following their initial operation to further refine their ocular alignment. Source: StrabismusSurgery. Copyright 1992-1999 Pediatric Ophthalmic Consultants. http://www.pedseye.com/StrabSurg.htm.
1 X Only
56
8 7/2005
8 7/2005
Repeat Right Heel CordLengthening
Prevent contracture offoot and facilitateambulation.
$11038 - $11387
Per Year
To be determined bytreating physician.Recommendationadded based onreport by Mrs.Jones.
Ending
Beginning Per Unit1 X Only
57
8 7/2005
8 7/2005
Shunt Diagnostics Monitor shunt$876 - $1076
Per Year
Dr. Kallan,Neurologist (7/7/04)
Ending
CT of head ($700 - $900) and shuntseries x-rays ($176).
Beginning Per Unit
In most cases of shunt malfunction, the diagnosis is obvious because of the overt signs of elevated intracranial pressure, including headaches, vomiting and lethargy. This modeof presentation occurs in approximately 70% of shunted children. The other 30%, however, may present with more subtle signs of deterioration, with neuropsychologic, cognitiveand behavioral symptoms heralding their shunt dysfunction. When a shunt malfunction is suspected, the first step is to determine the site of the malfunction. Workup shouldbegin with a CT scan or MRI scan to compare the ventricular size and show the most definitive signs of a malfunction: interval enlargement of the ventricles. A shunt series shouldalso be done to look for continuity of the shunt, optimal placement of the shunt catheter or a distal shunt problem such as a short distal shunt. Source: Fried, Arno H., M.D.,Epstein, Mel H., M.D. Childhood Hydrocephalus: Clinical Features, Treatment, and the Slit-Ventricle Syndrome. Treatment of Hydrocephalus: Shunts.http://virtualtrials.com/shunts.cfm.
2 X over courseof life with failureof shunt.
58
18 2014
38 2034
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 23
Casey JonesFuture Medical Care Aggressive Treatment
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Shunt Revisions Replace or revise VPshunts. $19355 - $30404
Per Year
Dr. Kallan, Neurologist(7/7/04), Brody Cort,M.D., Neurologist(8/3/04) and AndreaZotovas, M.D.
Ending
Beginning Per Unit
Shunting is one of the basic neurosurgical procedures, and also has the highest failure rate. It has a relatively high complication rate and is probably the most common operation,which has to be redone for either malfunction or infection. These children will require close follow-up to recognize at an early stage some of the complications of shunting, and topick up on subtle signs of shunt dysfunction. A close working relationship needs to exist between the pediatric neurosurgeon and the families, as well as the child's pediatrician,to provide the best comprehensive evaluation of a shunt problem and recognize at an early stage. Source: Fried, Arno H., M.D., Epstein, Mel H., M.D. Childhood Hydrocephalus:Clinical Features, Treatment, and the Slit-Ventricle Syndrome. Treatment of Hydrocephalus: Shunts. http://virtualtrials.com/shunts.cfm.
2 X over courseof lifeexpectancy.
59
18 2014
38 2034
Replace Cochlear Implant Hearing implant$45000 - $55000
Per Year
Kara Natane,Audiologist (6/2/04) andRita Yonit, MS,CCC-SLP (4/12/04) andAndrea Zotovas, M.D.
Ending
Beginning Per Unit
NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.
2 X over courseof lifeexpectancy.
60
18 2014
38 2034
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 24
Casey JonesLeisure Time/Recreational
Life Care Plan
Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/
Replacement
DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment
D/A:
Primary Disability:Date Prepared:
Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311
Summer Camp for SpecialNeeds Children
Summer camp for childrenwith multiple handicaps. $500 - $1050
Per Year
Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview
Ending
Beginning Per Unit2 weeks, onceper year.
61
8 7/2005
21 2017
Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 25