Exceptional Case Studies

Did you know that close to 6,000 babies are born with Down syndrome every year in the United States? The most common type of chromosomal condition is Down syndrome and there are a few different types of this condition, along with, several different traits that are displayed with this condition. I have always been interested in the topic of Down syndrome and thought it was a great idea to study more about it for my speech. First, I will tell you about what Down syndrome is and who discovered it. Second, I will talk to you about some symptoms and characteristics of this chromosome disorder. Third, I will discuss the 3 different types of this condition, and lastly, how they diagnose Down syndrome prenatally.

As the Workgroup on Principles and Practices in Natural Environments (2008b) supported, “a flexible, family-centered, individualized, and evidence-based early intervention process” is essential for the support of parents and caregivers to enhance their children’s development (Raver & Childress, 2015, p.10). In this paper, taking into consideration these principles, I will analyze two case studies; Alice, a 19 month old girl with a diagnosis of Down Syndrome and Shawn, a 30 month old boy who has difficulties in communication, sleep and feeding routines as well as social interactions.

“Down’s syndrome or learning difficulties are at a lower risk of 4 in 10 infants per 1000 live infants born”.

Children’s development is influenced by a variety of different personal factors. Such factors can include Cerebral palsy, downs syndrome, dyslexia, and many more.

Down syndrome occurs in people who were born with three, rather than two, copies of the 21st chromosome. This extra genetic material is what brings about the effects of Down’s syndrome. It is often characterized by an impairment of cognitive (process of thought) ability. Most people with Down syndrome have lower than average, mild to moderate, cognitive ability and this cannot be predicted at birth. A smaller number fall into the severe impairment range. Physically, people with Down’s syndrome are smaller in stature, have less muscle tone, and have noticeably different facial features. The number of these births occurs approximately in one out of every one thousand (ndss.org). As of 2007, the number of people in the United States with Down syndrome stood at about 350,000. These numbers will shrink because now (most) potential parents can know the condition of the fetus early. This information is included to let the reader relate to the struggles that some with Down syndrome goes through.

That's when she faced a difficult ethical decision: She could order the shirts from a low-cost company in China or she could order them from a fair-trade company in San Francisco, which provided safe conditions and higher wages for the workers who made the clothing. The fair trade shirts were $28.65,making the grand total for her project $8,595. In contrast, the Chinese T-shirts were $5.50 each, and the company's Web site promised fast and free delivery for a grand total of $1,100.

In this assignment, I hope to receive a deeper understanding about Down syndrome and to understand that people with Down syndrome are people with abilities, strengths and weaknesses like everyone else. Firstly I will gather information from texts, internet, voluntary and statutory organisation involved in providing care for this client group. Throughout this assignment, I aim to examine a range of specific client groups to include children, adolescents, adults and older people and those with special needs. I will discuss the care in the community, the needs of the individuals with Down syndrome to include their physical, emotional, social and intellectual needs and identify how those needs are provided. I will also summarise the role of care

Tina Robbins has always said she would like another child. She wants a child with down syndrome. The reason is because down syndrome kids are usually very nice and their brain tells them to be nice. Tina has worked at head start for 8 years. While she worked there she was an assistant teacher, who dealt with the kids who had down syndrome. It has given her a special bond. She says, “If any of my kids have a child with down syndrome, the minute they have it at the hospital I will take it. The only time they can see it is if they visit, because I have always wanted a child with down syndrome of my own.” This is information found about down syndrome. Down syndrome symptoms, different kinds, and ways to overcome it.

Do you have a family member with Down syndrome? Neither did Esther Gomez-Nieto, until 15 years ago when her grandson Alexander was born. In fact, she knew very little about Down syndrome at all. Years ago when Esther emigrated from Cuba, she had no idea the eventual path her life would take. She got married, had kids, then returned to school later in life, and became an educator and a grandmother. However, her most significant contribution to the world began when she founded Alexander’s Angels, Inc. in 2007, an organization for Down syndrome advocacy, service, and research.

The acquisition of language is essential to the development of a child. Though some children are born genetically mutated, specifically children with Down’s syndrome, the capabilities of acquiring language during developmental markers is far less than a child with just 21 chromosomes. Parents and/or guardians of infants and toddlers with Down’s syndrome believe that their child will one day be able to verbally communicate with them. They presume the possibility, but does research support their beliefs? For the purpose of this paper, the child from infancy through three-years old will be discussed in regards to the developmental domain that are affected by Down’s syndrome. The undeniable assumption is if an institution provides early intervention for an infant or toddler with Down’s syndrome, then that child’s social-emotional and language will be affected.

In 2010, I began working as the infant room teacher at Kids Depot. I had heard people refer to Kids Depot as a “special needs daycare” because of their affiliation with Tennessee Early Intervention System (TEIS). With only two years of experience as a childcare provider, I questioned my own qualifications to care for children with special needs. I walked into my new classroom and met the sweetest boy, who changed the course of my future. Gabriel was a happy, charismatic ten-month old baby with Down syndrome. In order to provide Gabriel with the best possible care, I worked closely with his parents and early interventionist (EI). Gabriel’s EI taught me how to feed him properly, help him move from the sitting to crawling position, and use simple sign language. She also showed me how to encourage him to interact with the other infants in the class. I loved every aspect of early intervention, so I decided to pursue a degree that would allow me to follow that path.

Sebastian Luczywo, a five-year photographer, admits learning from his young daughter who has down syndrome. Just recently, the two had a "photographic duel."

I have a relative that is consider a non-skilled worker and is the only human contact and support systems this elder woman have throughout the day. One day, the daughter of this elder individual, requesting that my relative assist and/or give insulin shot, approached my relative. My relative refused because even though she has a CNA license, she is not licensed to assist. Moreover, to assist would be practicing outside their scope, performing medical duties without the appropriate competency training and licensure (Lubbe & Roets, 2014, p. 58). Even though, the daughter did not like the refusal, she respected it my relative’s right to protect herself from liable suit and the health of her mother. Thus, in this case, a reputation of quality

Down syndrome was named after John Langdon Down, who was the first person to discover Down syndrome. In the earlier years it was called Mongolism, which is no longer used because it is offensive to the Mongolians. James N. Parker and Philip M. Parker state “Down syndrome is a chromosomal disorder caused by an error in cell division that results in the presence of an additional third chromosome 21 or ‘trisomy 21’” (10). There are different types of Down Syndrome according to the National Down Syndrome Society (NDSS), there is Trisomy 21, Mosaicism, and Translocation (What is Down syndrome?). There is no way to prevent having a baby with Down syndrome although chances increase as the woman gets older. The NDSS says, “A 35-year-old woman has about a 1 in 350 chance of conceiving a child with Down syndrome, and this chance increases gradually to 1 in 100 by age 40” (What is Down syndrome?). Although the risk is greater for older women, it is still possible to have a child with Down syndrome at a younger age.

Tale servizio, offerto da Tyring, prevede la sostituzione del battistrada consumato con del materiale nuovo,