Case in Progress
Cameron at 9 months
Cameron is now 9 months old, and it has been 3 months since her surgery. She has made remarkable progress, both medically and developmentally.
Her mother says she has a hard time believing that she even had the surgery. If it were not for the scar on her chest I wouldnt even think about it.
At the beginning of August, Cameron was assessments Using the Gesell Developmental Schedule Revised and the Michigan Schafer Early Intervention Developmental Profile. At this time she was 36 weeks of age.
The following report was submitted:
Gross Motor:24 weeks with emerging skills at 28 weeks.
Perceptual/Fine Motor:28 weeks She displays a hand preference on the right which is more prominent now. She has a palmar grasp on the cube, and rakes the pellet unsuccessfully.
Cognition Development: 28 weeks, with 25% of skills at 32 weeks
Communication Development 28 weeks with emerging skills at 32 weeks
Social/Emotional Development 32 weeks
Adaptive/Self Help 20-24 weeks
Health: Aside from the healing time after her heart surgery she has continued to be healthy. Her weight gain appears within normal range and she now weighs 15 pounds. Cameron is continuing to participate in a supplemental nutrition program and the family is continuing to educate themselves about alternative options. Cameron had her vision examined and was found to have an astigmatism. She will be re-examined when she is 2 years old and may require glasses at that time.
Tone: Tone continues to be slightly low. She demonstrates some fixing postures to compensate, such as locking her knees into extension to help in sitting.
Summary: Cameron met 78% of her previously set goals and objectives, which is excellent progress considering that she underwent open heart surgery just a few months ago. At this time, she does presents with global developmental delays, but is making consistent and steady progress in all areas. At 36 weeks her skills range from 22 to 32 weeks. Her areas of strength are social emotional skills and fine motor skills. Communication and cognitive skills are continuing to progress while acquiring gross motor skills is becoming more difficult. She is experiencing some difficulty with progressing to solids from the bottle. She has made some significant progress in oral exploration in the last month. Her family is interested in learning more about this area and trying different things. Her mother will begin to work on more independent feeding with the bottle, and then introduce a cup to Cameron. Spoon feeding will be addressed during intervention as it is a priority for the parents. She will be re-evaluated in November at the time of her first birthday.
Since last month when this evaluation was written, Cameron has made excellent gains. Her mother that she has just excelled in acceptance of solids and taking a cup with help. She can now sit independently for up to 30 minutes and is accepting being on her hands and knees briefly.
Now that Camerons heart has been repaired her prognosis is excellent to continue on the fast track in acquiring the expected developmental milestones. The plan is to continue with physical therapy one time per week and child development / parent education one time per week.
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