BORJA, Melanie Bernadette S.
BEED-SPED2C
I. Child's History
Background Information:
Name:
Nick-name:
Date of birth:
Age
Gender
Address:
Name of parents
Contact details:
Referred by: Ms. Lesly Rodas
Source/Respondent
Relation to the child:
Date of assessment: October 2010
Working impression: Based on Dr. Doroja's diagnose, Am-am has an Autism SPECTRUM disorder with moderate to Severe Mental Retardation.
HEALTH HISTORY
The Mother of A****l was sick during her first 3 months of pregnancy. She take a medicine to cure. A****l was born inside their house. The labor lasted for 14 hours from 2pm to 4am. When he was delivered his condition was also okay. After 1 year, his parents noticed that he doesn't had an eye contact. He doesn't have a hereditary illness and allergies. When am-am was 4 years of age he loved to cut papers. His mother was worried because of his situation so she consulted to Dr. Doroja and was assessed that am-am has an Autism SPECTRUM Disorder with moderate to Severe Mental Retardation.
Am-am sleep's in his own bed but not totally separated from his parents and his younger brother's bed. His eating patterns is normal but he is not allowed to eat sweet foods or any kind as long as its sweet because it can make him hyper. He loves to watch cartoons. He usually sleeps in the afternoon. He has also a normal toileting pattern, and he is particular of his grooving and hygiene. He can take a bath by himself, dress independently, brushes his teeth, formally and he hates to see things that are not arranged.
EDUCATIONAL HISTORY
A****l was enrolled at City Central School SPED center for only 2 months. His parents decided to stop studying because he was bitten by his classmate. He become afraid and not comfortable in his environment, he hates to hold a pencil. He does not like to be forced to write. He loves beads and clays. In their classroom, am-am and the rest of his classmates sits all the time on their assigned chairs always because they were locked by their teacher. So am-am become wild as what the mother observed. From the assessment of Dr. Doroja she suggested that its better for the child to stay at home and teach him about household chores (e.g washing plates/clothes & etc.).
HOME ENVIRONMENT
Am-am was the eldest son in their family. He has one young brother who is very close to him. They are 9 members in the family including his mother and father. His mother is the one who gives the tender loving care to him. According to his mother “hindi siya pabigat sa amin.” as well as to his father's reaction. And also to his one and only brother loves him. He understand his brothers' situation and he always give a chance like foods and playing and he also assist his brother. He and his mother are very close because both of them are always at home while his father is is on duty. Am-am was known to be a trouble maker because if he don't like his playmates he pushed them away. His mother give examples of his training. Am-am is helpful because he can laundry, wash the dishes, and he sweeps the floor. He arranged the clothes and observes cleanliness.
II. DEVELOPMENTAL HISTORY
◙ Work Behavior
learns to: needs to learn:
• response to name calling • anxiety towards stranger
• neatness of work and work area • imitation skills
• off-task behavior • compliance to oral instruction
• punctuality • safety: avoidance of common dangers
• frustration of tolerance • to behave during activities
• social eye contact
◙ Fine Motor
Transfer objects from one place to another.
Tear wrappers of his snack
Push and pull the door.
Fold his clothes.
Hold objects tightly.
* Basic play skills
learns to: needs to learn:
• Carrying toys from place to place. • Naming toys and objects used.
• To behave during activity time.
• To avoid hurting his playmates.
* Skills for playing alone
Learns to: needs to learn:
• Scooping water/beads • completing puzzles
• Cutting/pasting/scribbling/coloring • coloring
• pictures
• playing computer games
• etc.
◙ Gross Motor
Learns to:
To sit properly.
Coordinate and balance forgoing up and the down the stairs.
To walk, run, and jump.
Needs to learn:
1. To climb the stairs
◙ Cognitive Skills
Learns to:
Match few shape blocks to shape toy.
Arrange in a series of clays horizontally.
Imitate on how to form clays into circle.
Needs to learn:
1. Match at least all basic shapes to shape toy.
2. To imitate on how to make other shapes aside from circles through clays.
* Self-care and living skills:skills for going to toilet:
• Recognize the urge to go to toilet
• Wait to eliminate.
• Enter the bathroom alone.
* Skills for dressing
Learns to:
• Remove his pants
• Put on his pants
• Put on a clean shirt after getting sweat due to our activity on shape making through clays.
• Put on his socks.
• Put on a shirt.
• Button on a front button of his polo shirt.
• Put on shoes.
• Zip up his zippers.
• Tie his shoes.
• Hang his clothes after he used it.
* Skills for eating
Drink a soft drinks, milk, juices, and water in a cup.
Eat with a spoon and fork during eating period.
* Skills for grooming
dry his hands after washing it.
Wash his hands after our activity on shape forming through clays.
Brush his teeth after eating.
Wash his face.
Dry his body after bath.
Clean his ears.
Wash his hair after shampoo.
Trim his finger and toe nails.
◙ Advance skills for dressing
Sort dirty and clean clothes.
Fold and hang his clothes.
Wear clean and pressed clothes.
Selects his own clothes.
Select on what clothes to wear according to occasion.
* Grooming and Hygiene
use a deodorant.
use a mirror to check his appearance.
use a perfume when he feels sweat.
Use an alcohol after an activity.
Clean of dirt.
* Laundry
• separate clean shirt from dirty shirts.
• Wash his clothes by hands.
• Hang his clothes in a clothes line.
• To iron clothes if needed.
* Food preparation
Learns to: Needs to learn:
prepare a snack when he feels hungry. 1. Prepare for dinner.
Clean off table after eating.
* Health care
Learns to:
Eat a balance diet. He loves to eat vegetables.
Always sleep in the afternoon.
Needs to learn:
To treat his wounds or to care for his wounds for immediate heal.
To treat himself when he got sick. (e.g headache, cold, and nosebleed)
* Home-care skills: Cleaning
Empty the food basket when they go to market.
Sweep the leaves on the ground. He helps his mother on sweeping the leaves on the ground.
IV. SPECIFIC RECOMMENDATION
Work behavior:
A****l 's behavior is a wide range of repetitive behaviors. Can't do by himself the activity like to trace broken horizontal lines. He can't imitate to work on, So he is recommended to trace a broken lines vertically to practice and enhance his skills.
Cognitive:
For mind base or cognitive, he match few block shapes to shape toy. He can imitate on how to form a circles through clays. And he can arrange in a series of clays horizontally. So he is good in terms of forming a circles through clays.
Communication:
A****l was a deaf. He communicate to people through more actions and not by speaking. He speaks this word repetitively “Geh” or “Gah” in times that he is angry, or asking some things or pleasing somebody. He is not noisy or talkative.
Physical/Motor:
A****l has an innocent physical appearance, he is just typically normal ones. A really good looking, with a medium body weight enough. He is taller to his mother and father even he is just 15 years old boy.
Self-help Care:
A****l cares about his self. He don't have any problem about self-help care because he knows how to take a bath by himself, and he is too kind and helpful to others. He is the type of person that prefers to have a clean environment and organized things. He puts alcohol after eating or doing an activity.
In this, he will remember all his activity and he should be monitored and evaluated to measure if he is making a progress.
|
A****l learns to..
• Work Behavior
• Communication
• Paper pencil tasks
• Pre-Math
|
A****l needs to learn...
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IV. RECOMMENDATION
A.) Summative Evaluation
When a***l was 4 years old he was brought his mother to Dra. Doroja and for consultation he was assessed as having Autism SPECTRUM with moderate to severe mental retardation.
A****l did not continue his studies anymore because of his behavior like pushing his classmates away, hate to hold a pencil, and sometimes a trouble maker. According to his doctor, A****l is no longer educable when it comes to his academic skills.
He can focus for only a few minutes, he plays by making circles out of clay, he cant imitate on how to work or he cant follow others instruction except from his mother. He becomes hyper when he meet new faces such as strangers.
A****l needs to improve his his behavior and social skills so that he will learn to love others. He also needs communication to communicate people, more practice on writing, and imitation to work on. In over all observation, am-am can't focus continually; only few times to focus things.
B.) Placement Option
His mother was the one who teaches him after he stopped schooling. The learning environment was okay unlike when he was schooling at City Central SPED center which is the reason why he stopped schooling because they were locked in their chairs by the teachers.
The class size: Teachers and classmates were not okay because one of a****l's teacher is forcing to write while holding a pencil. And also, he is not comfortable because one of his classmates bite him.
A***** has a different educational toys where an educational resource room is available. This room is where he placed all his educational toys and as well as all his activity are extended for him.
VI. TEAMWORK STRATEGY
The SPED teachers, parents and other professionals should call a meeting so that they can discuss the needs of a*******l. We can communicate by or through using cellphones or internet to every member of the team as many as we can. They should always monitor and evaluate progress.
VII. CONCLUSION
I'm hoping that someday am-am can help his self in order to become a better person and for him to function normally because his parents and young brother as his family, is willing and very supportive to him. We know that he can do and able to learn. Potential to learn and become socially fluent, no matter how impaired he may be. Though no breakthroughs appear likely to occur any time soon, there is cause for hope.
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