Introduction
Medical requirements ensure that children are validated for screening when nine, eighteen, twenty-four, and thirty months of age in case there are concerns or not (Martin, 2012). Also, healthcare providers have the legal duty to screen children to search for risk factors, for example, preterm birth, low weight, and exposure to lead. Contrary to the mid screening done by the healthcare workers, developmental testing is more complicated due to the fact it enhances a monitoring mechanism to identify the developmental risk factors (Canadian Task Force on Preventive Health Care, 2016). For example Brain a 30-month child who has had developmental problems. His main problem started with impaired language ability that was directly linked to poor academic performance such as reading and context comprehension. His self-esteem was damaged since he withdrew from social groups because of bullying by other children both at home and school (Canadian Task Force on Preventive Health Care, 2016). It was evident that the child was experiencing early vocabulary delay.
Moreover, the mother as accessed using the developmental screening tool to try and identify the risk factors towards the kid. The epidemiology evidence reflected that Brian's parent's scores for education level were poor, and the mother's birth weight was dismal. Additionally, questions were revolving around prenatal care, marital status, maternal age, and gestation duration.
Protocol Diagnosis, Management, and Follow-Up
Protocol Diagnosis
When performing diagnosis children with developmental disorder needs to be accessed. First, the assessment needs to be done by adults from the familiar environments for example while at home with the parent and while in school the teachers (Martin, 2012). The immediate assessment offered is the motor coordination; thus, the Peabody Developmental Motor Scale can aid in understanding the movement assessment of a 30-month child. Both the parents and teachers need to analyze their daily function, for example, Brian withdrew himself and was always having problems while communicating (Martin, 2012). The day-to-day functioning monitor can help the parents and teachers understand their norms. Goal setting and interventions are ways of understanding child performance and development criteria. (Martin, 2012) For example, Goal attainment scale (GAS) can measure the effectiveness of children.
The primary diagnostic protocol is to enhance better ways of acknowledging and implementing coordinated motor skills for children like Brian. Thus, such diagnostics will improve Brian's opportunity to learn the capabilities provided. Diagnostics criteria need to enhance on motor difficulties that hinder the daily performance of the child in school, home, playing, and vacation activities. Moreover, there needs to be an onset in the early development time. Last, the diagnostics need to analyze difficulty in motor coordination by examining the intellectual delay, visual issues and neurological condition problem concerning his/her development problem.Management
There are various techniques used for child development behavior, and this section will focus on ABC of child behavior especially while at home and school. To understand the child's disorder, the parent and teacher need to enhance and improvise to know its origin, and what will occur when the signs and symptoms get much worse (Martin, 2012). The first approach for management is the antecedents. It is another element that increases or reduces the recurring nature of a disorder (Martin, 2012). Also, the parent and teacher need to understand what triggers the occurrence, for example, Brian's case involves late linguistic ability and oppression from other children.
By acknowledging and anticipating antecedents that parents and teachers can help nurture the child and provide him with appropriate help (Martin, 2012). Secondly, is to determine the behavior and find ways of encouraging and discouraging the child upon his/her actions. The final piece is consequences that naturally align with the child's behavior (Martin, 2012). The recurrence of a development issue will enable the parent to know that it is a negative consequence and the child requires adequate help.
Follow-Up
There are three variables used in following up a development disorder among children, development period, development contexts, and development issues and jobs. Development timeline enhances prenatal duration, birth, preschool duration and transition towards elementary school (Martin, 2012). Also, developmental context follows up involves understanding, prenatal settings, caregiver relationship and communication skills, family and surrounding, peer activities, friendship, and media (Martin, 2012). Last, developmental job and problems that enhance adequate follow-up mechanism involves the child's attachment with the parents, linguistic proficiency, culture, mobility, impulse control and the ability to achieve goals and comply with home, school, and environmental policies.
Culture Impacts
Culture influences child development disorder in many ways. It affects beliefs on the child's health, diseases, causes of illnesses, systems used to promote health, experience in pain and disorders. Also, some patients depend on allied practitioners for advice before expressing issues concerning their children (Ackley & Ladwig, 2014). Moreover, the effect of cultural background enhances on the type of teacher and caregiver to relate with the child; thus, most cases involve racism since parents believe that professionals from the same ethnic and racial group stand a better chance of analyzing and understanding the issue at hand. To some extent, practitioners tend to refer patients to clinicians of the same or shared culture due to lack of communication (Ackley & Ladwig, 2014).
References
Ackley, B., & Ladwig, G. (2014). Nursing Diagnosis Handbook, An Evidence-Based Guide to Planning Care,10: Nursing Diagnosis Handbook. Elsevier Health Sciences.
Canadian Task Force on Preventive Health Care. (2016). Recommendations on screening for developmental delay. CMAJ, 188(8): 579-587.
Martin, J. (2012). Voice, Speech, and Language in the Child: Development and Disorder. Springer Science & Business Media.
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