Cross Culture Special Ed Case: Referral to SST or IEP

Cross Culture Special Ed Case Study
Name
Institution
Date
Referral to SST or IEP
Z.H was referred to the SSP/IEP as she suffered multiple disabilities since her birth, and previous scans had shown she had delayed brain development. Complications related to premature birth affected the child’s function, and she uses a wheel chair and is increasingly using a walker to aid in her mobility. The child had delayed speech development, as she can understand few commands compared to children her age. At the moment, she receives speech therapy to improve her language skills to improve her communication and improve her social functioning.
Findings based on observations/interviews
Z.H. was found to have delayed development as evidenced by speech and language use, and this affected her ability to communicate. There was also visual impairment, and this required use of glasses. The cognition impairment was related to cerebral palsy as the child was born prematurely. Since the child required G-tube feedings this may affect nutritional status and was likely to affect her overall health and wellbeing (Blumenstein, Shastri, & Stein, 2014). Additionally, there is a need to offer more mobility support, as she has lagged behind her peers even as it is necessary to improve physical and cognitive development.
Observations/information during home visit
The mother took care of the child to provide proper nutrition and encouraging the child to talk. The parents talked in English at home, with the mother working in the hospitality industry, while the father worked in the construction industry. However, there was concern that the child could not cope outside the home environment when there were no sensory toys or appropriate equipment. The mother further stated that the child could not perform basic toilet functions, but she was able to signal each time her diapers were wet. Even as there was delayed development the child did verbalize with the mother, but was also deeply absorbed when playing that there was no interruption from the mother. Even as there was no labored hearing there was a need for specialized medical care to meet the child’s health needs. Despite having multiple disabilities Z.H. has improved her mobility as she could roll over, and trough verbalization it was possible to understanding how she communicated.
Findings of other health professionals and school site team members
The occupational and physical therapy assessments are incomplete, but they have both been contacted and briefed about the child’s health history. Since Z.H cannot sit without support and has limited mobility efforts have been made to ensure that she can use the walker in therapy to improve mobility and promote physical function. On the other hand, efforts are still being made to plan care needs intervention with the speech therapist, but initial assessment show that the child cries, whines or grabs objects when attempting to communicate. The child also can mention few words, and can manage 2-3 commands at a time.
Health assessment/Nursing Process
The health assessment highlighted the need for more in depth analysis of the child’s healthy status. It was noted that the G-tube feedings were to be evaluated...