The best course of action for this appointment is to get signed consent to obtain the patient's medical records from the other providers where she used to live. Obtaining the records will help the current provider have an overall picture of what all has already been diagnosed for the patient and the treatments that she has received in the past. The next step would be to complete as thorough as a history as possible to gain as much information on the patient and her history since birth. The history should also include the patient's social, gross motor, fine motor, and language development. After a verbal history is obtained, then the provider will need to perform a complete physical exam on the patient. A physical exam is a vital aspect
…show more content…
Developmental delays occur in up to 15% of children under the age of 5, which can include delays in speech and language development, motor development, social-emotional development and cognitive development so having assessment tools are vital for the patient's future health, growth, and development (Tidy, 2014). Developmental assessment tests can help detect neurological problems, reassure parents or detect problems in infancy, and for older children, detect academic and social problems early enough to possibly minimize negative consequences. The Denver II Developmental Tool will help to assess all 4 important parts of development mentioned earlier, and the tool consists of 125 items that can be completed by the parent. The ASQ also assesses the child's skills in language, personal-social, fine and gross motor, and problem solving. The tool will help the provider see if the child is developing normally, or if any developmental delays are present. Once a delay is noted, the proper treatment or referral should be implemented in a timely …show more content…
These disabilities can be anything from cerebral palsy and mental retardation, to sensory impairments, and more subtle disorders of CNS function, which includes language disorders, learning disabilities, ADHA, coordination disabilities, behavioral problems, and social-emotional difficulties (Behrman & Butler, 2007). There is no specific timeframe that Chole should "catch up" because each child is different with their development delays. As providers, it will be high importance to get the patient into therapy and make referrals to specialists as soon as developmental delays are noted so early intervention can begin to help the child progress towards meeting age appropriate milestones. Given Chole's history of being premature, her medical history in the NICU, and not meeting developmental milestones, she has a high chance of struggling with developmental delays throughout her life. With this being said, with proper therapy, close follow-up, and appropriate interventions, Chole's long term developmental prognosis can be promising depending on the support that she gets not only from the medical profession, but also at home and in the environment that she
Developmental delays occur in up to 15% of children under the age of 5, which can include delays in speech and language development, motor development, social-emotional development and cognitive development so having assessment tools are vital for the patient's future health, growth, and development (Tidy, 2014). Developmental assessment tests can help detect neurological problems, reassure parents or detect problems in infancy, and for older children, detect academic and social problems early enough to possibly minimize negative consequences. The Denver II Developmental Tool will help to assess all 4 important parts of development mentioned earlier, and the tool consists of 125 items that can be completed by the parent. The ASQ also assesses the child's skills in language, personal-social, fine and gross motor, and problem solving. The tool will help the provider see if the child is developing normally, or if any developmental delays are present. Once a delay is noted, the proper treatment or referral should be implemented in a timely …show more content…
These disabilities can be anything from cerebral palsy and mental retardation, to sensory impairments, and more subtle disorders of CNS function, which includes language disorders, learning disabilities, ADHA, coordination disabilities, behavioral problems, and social-emotional difficulties (Behrman & Butler, 2007). There is no specific timeframe that Chole should "catch up" because each child is different with their development delays. As providers, it will be high importance to get the patient into therapy and make referrals to specialists as soon as developmental delays are noted so early intervention can begin to help the child progress towards meeting age appropriate milestones. Given Chole's history of being premature, her medical history in the NICU, and not meeting developmental milestones, she has a high chance of struggling with developmental delays throughout her life. With this being said, with proper therapy, close follow-up, and appropriate interventions, Chole's long term developmental prognosis can be promising depending on the support that she gets not only from the medical profession, but also at home and in the environment that she