The first client information you are reviewing pertains to Maddie. Maddie has a diagnosis of Down syndrome (2pts). Based on your resources, this diagnosis is due to an extra chromosome on the 21st chromosome (short answer response here – 5 pts) which would be considered a pediatric genetic condition (2pts) disorder. This disorder is characterized by characteristic facial features such as slanted eyes, skinfold over nasal corners of eyes, flat nasal bridge, small mouth, protruding tongue, low muscle tone throughout, intellectual disabilities, and simian creases in hands. (short answer response – 10pts). One serious precaution that you must consider with Maddie is Atlanto-axial instability (5pts). You recall your FWE mentioning that Maddie
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FEEDING she is able to feed herself finger foods but can’t scoop or feed herself with a spoon. She can drink from a cup with a lid and straw and can hold the cup if it is small. DRESSING she can remove her socks and shoes independently, she is able to extend her arms and legs to assist in dressing. She is also able to hold her foot up for her sock to be put on. TOILETING she is still in diapers (short answer 10pts). According to the OTPF and the PEO model, what Client factors, performance skills and performance patterns (Person Subsystem) are INHIBITING occupational performance? Cognitive because she wasn’t able to follow one step commands. Sensory because she was not visually able to track the objects (pompoms) that Joy was holding up in front of her. (short answer – 15pts). According to the OTPF and PEO model, what Contexts and Environments (Environment subsystem) are SUPPORTING occupational performance? Family-her mom is a special education teacher and is preparing for Maddie’s future by enrolling her into services for when she is older. One program she has her enrolled in is ECI which is Early Childhood Intervention services that supports families in helping their child reach their potential. Receiving services from
FEEDING she is able to feed herself finger foods but can’t scoop or feed herself with a spoon. She can drink from a cup with a lid and straw and can hold the cup if it is small. DRESSING she can remove her socks and shoes independently, she is able to extend her arms and legs to assist in dressing. She is also able to hold her foot up for her sock to be put on. TOILETING she is still in diapers (short answer 10pts). According to the OTPF and the PEO model, what Client factors, performance skills and performance patterns (Person Subsystem) are INHIBITING occupational performance? Cognitive because she wasn’t able to follow one step commands. Sensory because she was not visually able to track the objects (pompoms) that Joy was holding up in front of her. (short answer – 15pts). According to the OTPF and PEO model, what Contexts and Environments (Environment subsystem) are SUPPORTING occupational performance? Family-her mom is a special education teacher and is preparing for Maddie’s future by enrolling her into services for when she is older. One program she has her enrolled in is ECI which is Early Childhood Intervention services that supports families in helping their child reach their potential. Receiving services from