Kindergarten (Section 619) Child

Case Case Study:

" Kim” in 35 Weeks of Age

updated May 2014

The Early The child years Technical Assistance Center

Improving Systems, Procedures and Results

This file is available online at:

http://ectacenter.org/~pdfs/knowledgepath/ifspoutcomes-iepgoals/KimCaseStudy-35mos.pdf It also appears as a part of the ECTA Center's Developing Premium quality, Functional IFSP Outcomes and IEP Goals Training Package deal at:

http://ectacenter.org/knowledgepath/ifspoutcomes-iepgoals/ifspoutcomes-iepgoals.asp

A. As well as Developmental Backdrop:

Kim Doe, who is presently 35 weeks of age, was referred to the 619 software from Early intervention. She had been reported Early Intervention at seventeen months, simply by her doctor, Dr . Manley, due to inability to flourish associated with cardiac anomalies, encephalitis, spasticity (most likely cerebral palsy) and seizures. Doctor Johnson's current health report for Kim provides a associated with cerebral palsy, with significant spasticity. The history of seizure activity features resolved and Kim no more takes medicine. Her heart function has stabilized. Betty is still accompanied by neurology, in addition to her doctor, Dr . Johnson.

Kim had been hospitalized off and on in Denver, Colorado for the majority of her first 14 months of life as a result of seizures, quite a few viral attacks and significant nutritional problems. Kim had an NG tube from 6 months of age until she was successfully weaned from it by twenty months. Since that time she has had the opportunity to maintain stable, typical extra weight. She has managed height and weight inside the 25- thirtieth percentile on her age. Yet , she continues to be a very particular eater, who will be orally oversensitive with recurrent choking or perhaps gagging when ever trying new foods.

Mrs. Doe thinks that early intervention features helped Ellie make significant gains and supported the families' ability to care for her. Mrs. Doe is really enthusiastic about getting special education and related services started straight away. Now that Betty is more clinically stable, Mrs. Doe can be interested in getting back to work, and wants to check out a kindergarten placement exactly where Kim may receive special education solutions.

The most recent record from the early on intervention occupational therapist included home declaration and discussion with Kim's Mom:

" Kim could hold and drink coming from a spouted cup, but arm actions remain spastic and the girl often information and or knocks over the cup when establishing it straight down. She can easily finger feed a variety of small , and soft foods, such as minimize soft breads sandwiches, gentle cooked vegetables, soft fruits, etc . The girl with beginning to use a spoon more effectively. Although the girl can munch effectively, the girl continues to possess choking reactions to hard, hard or chewy smoothness (meats, organic vegetables, fruits, etc) Her mother reviews she continues to feed foods for infants to maintain nutrition, while having Kim practice employing her tea spoon to feed herself in least 1 / 2 the meal. Mrs. Doe has a

Preschool (Section 619) Child Case in point Case Study: " Kim” in 35 Months of Age

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list of foods she is slowly but surely introducing in small hits to increase Kim's ability to accept the foods the family commonly eats.

Kim was able to help with dressing (raise an arm, step into a pants leg when held). But because of significant difficulties in shifting her arms and legs she are unable to yet undress or dress independently. The lady can open and close Velcro navigation bars. Mrs. Doe reports that Kim has strong choices and insists on choosing her clothes each day.

Ellie has functional receptive english language proficiency and consistently follows 2-3 step directions. She is aware of the names of her playthings, colors, and various household objects. Ellie uses two to three word phrases, expresses her wishes and dislikes with both words and gestures. Her pronunciation has not kept plan the language she tries to use. Kim tantrums 1-3 times daily when your woman can not connect her needs, especially with her sister Jana (5 .5 years old), since Ellie is very motivated to play...

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