Risk factors for placenta accreta are prior c-section and any other uterine surgeries. A presentation of placenta previa plus previous h/o other uterine surgery carries a 4% incidence of placenta accreta. In addition, a history of c-section plus a presentation of placenta previa in current pregnancy is associated with a 10-35% incidence of placenta accreta.(Uptodate) Management of placenta accreta depends on whether uterine preservation is an option or strongly desired. Two thirds of patient with a placenta accreta will require cesarean hysterectomy. Other interventions to achieve hemostasis that are packing lower segment with subsequent vaginal removal of packs in 24 hours and interrupted circular suture of lower uterine segmentation on serosal surface of uterus. If complete placenta accreta is suspected, management includes having at least 4 units of matched blood on hand, an anesthesiologist present in room, and surgical instruments sterile and ready for delivery. Hysterectomy is associated with the highest survival and lowest morbidity rate of the treatments available for placenta accreta. There are three other options that can preserve the uterus. The first option is oversewing defects after placental removal in conjunction with oxytocin and antibiotics. The second option involves localized resection of uterus and repair. The third option entails curettage of the uterine cavity. Alternative management without intervention is to leave the placenta in situ and remove at a later date, around two…
Kate needs to find a suitable care for her daughter Olivia. Kate’s day care centre does not operate extended hours. An alternative arrangement for Olivia would be to hire a Nanny. A Nanny can be employed by the family and can work on either a live-in or live-out basis to take care of Olivia. The advantages of hiring a Nanny are that the child will be getting a one-on one care and the care will be focused on her rather than a large amount of children. Another advantage of having a Nanny is that the child will stay in their home and that will be a familiar environment for the child which enables a sense of security for the child. A nanny would normally be a professional child carer and have the relevant qualifications. This is not for all situations though. An estimated fee for a Nanny would be between $14 - $35 per hour.…
Question #1: As noted in the reading, Marcovitch et al. (1997) found relatively low rates of secure attachment among children adopted from Romanian orphanages and their adoptive mothers. Specifically, they found that 30% of the adopted children were securely attached, compared to 42% of a comparison sample of biologically related (raised at home) mother−child pairs. [Full reference: Marcovitch, S. G., Gold, A., Washington, J., Wasson, C., Krekewich, K., & Handley-Derry, M. (1997). Determinants of behavioral problems in Romanian children adopted in Ontario. International Journal of Behavioral Development, 20(1), 17–31.] Note, however, that the authors do not provide a comparison sample of children adopted at birth (i.e., noninstitutionalized). Does this finding reflect something about adoption in general, or does it reflect something about institutionalization of infants?…
• Children ages 3 to 6 years with language delay, confirmed by speech -language evaluation;…
| Reflexes, turns head, hands tightly closed, reacts to sounds, turn from side to back, arm and leg movements jerky, gaze attentively at carer, plays with his/her own fingers, everything starts to be taken to mouth, rolls from back to side, reach for objects.…
Emotional - the development of a child’s identity, self-image, and feelings about him or herself.…
In the Black Mirror season 3 episode 1, the world is ruled by social status and social acceptance, everything from entering a building to flying on a plane is based on your social status which ranges from 0 to 5 stars. The theme of Racial profiling leading to demonization is present strongly in this episode. Black people and people of color are mostly seeing working in cafes and low-end jobs where their white counterparts have jobs in buildings where they seem to build their social status instead of working. Furthermore, the scene where Lacie was locked up in a prison the only other prisoner was a black male in a suit, representing that he was a worker but was racial profiled and locked up. Lacie then proceeds to insult the black male, calling…
4.1 Analyse the importance of early identification of speech, language and communication delays and disorders and potential risks of late recognition.…
As you can see from the answers above children at 12 can do a lot more things than a 7 year old but again every child develops at different rates some may develop slower than others.…
A child who has speech and language issues can also later develop than other children…
Discuss reasons children may not meet milestones and how each one impacts upon development and describe how different types of intervention can support children to develop…
Children with speech and language problems will have a speech and language therapist, they will not be based at the school they may be based at either a health centre or a hospital; they will come to school to work with children, parents and children.…
The day I observed the child was the day he had speech therapy in a group session. Due to the confidentiality of the other children, the speech therapist was uncomfortable with me attending the speech session with Child N. As per the teachers the child was said to demonstrate consistent errors in speech sound production. One or more of the child’s phonological patterns of sound are at least 40% disordered which makes the conversational intelligibility significantly affected. Some of these errors include distortions, substitutions and omissions. As noted in chapter 8 in the textbook, speech sounds errors are defined as articulation problems. (Heward p.306) At times he becomes over excited and can be perseverative, when he perceives a language task, such as word retrieval. He would become silly by laughing then trying to change the subject. These behaviors occur to some extent as an avoidant mechanism. Child N did attend to and perform better to nonverbal tasks which he has strength in. Task that include piling one block on top of one another or writing the letters of the alphabet. He also demonstrates strength in picture naming. He is able to identify and verbally communicate what a picture is. He didn’t show interest in expressing his thoughts and ideas after story time when a teacher asked what he thought was his favorite part of the…
Speech, language and communication delays can be caused by many factors, including disorders. It is paramount that any delays are identified early and can be monitored and supported immediately in order to give children every help in meeting their full potential.Late recognition includes an array of risks to both communication development as well as social and emotional development perhaps due to feeling isolated causing low self esteem and confidence issues.…
There are several topics being discussed and mentioned within the book. The topics are in regard to the speech sounds disorders children may have been diagnosed with, as well as treatments that could be used for treatment of the diagnoses. The author includes and discusses several types of therapies that are considered to be ideally ungrounded and are also unsupported by some. Bowen includes reasons as to why these therapies are unsupported and/or considered to be unhelpful and/or useful to children with speech sound disorders. Bowen makes sure to include the potential goals needed for each treatment in order for it to be successful and to make sure the child meets these goals to their full potential. The author included a study that was conducted…