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Meeting the needs of children and families sickle and depression.


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Meeting the needs of children and families sickle and depression.

  1. 1. ECEP 233- 063 Sophia Adamaley 300781290 Inclusion Lisa McCaie March 18th 2015.
  2. 2. Case Study Eight year old Brandon really enjoys sports. However, having Sickle Cell Disorder makes playing sports difficult. He misses a lot of time from school and misses his friends a lot. Brandon is very angry that he has Sickle Cell and becomes frustrated with himself. His mother is very worried that Brandon may be developing Depression as well. Brandon pet dong named Boo-Boo has recently dies after 10 years. Brandon and Boo- Boo were very close and often comforted each other during difficult days.
  3. 3. Needs of the child  Brandon has Sickle Cell Disorder  He misses time at school and misses his friends a lot.  Brandon is very angry that he has Sickle Cells and also becomes frustrated with himself.  His Mother also worries that he might be developing Depression as well because he lost his dog Boo-Boo who was always comforting him during difficult days.
  4. 4. What is Sickle Cell •Sickle Cell is an inherited blood Disorder that affects Blood Cells. •They have red blood cells that contain hemoglobin. •Sometimes the red blood cells have difficulty passing through small blood cells •Under stress cells , cells assume inverted C (Sickle ), rigid shape • Blockage causes Excruciating pain.
  5. 5. What is Hemoglobin?  Hemoglobin is the main substance of the red blood cells.  It also helps the red blood cell carry oxygen from the air in our lungs to all parts of the body.  Normal blood cells contain Hemoglobin A.  They are normally round and could squeeze through tiny blood tubes vessels.  Hemoglobin S and Hemoglobin C are the abnormal types of Hemoglobin. management/pain-management-sickle- cell-disease?page=3
  6. 6. Understanding Sickle- Cell  Video
  7. 7. Symptoms of Sickle- Cell  Shortness of breath  Dizziness  Headaches  Coldness in the hands and feet  Paler than normal skin or mucous membranes (the tissue that lines your nose, mouth, and other organs and body cavities)  Jaundice (a yellowish color of the skin or whites of the eyes) (
  8. 8. Factors that Causes Sickle- Cell  Cold Weather  Pregnancy  Alcohol  Extreme Physical exercise  Acidosis  Infection  Dehydration  Low oxygen tension  Extreme Physical exercise  Concomitant medical Condition (Diabetes mellitus, herpes etc) Firth PG, Head CA: Sickle Cell Disease and anesthesia. Anesthesiology 2004;
  9. 9. Complications of Sickle Cells  When blocking of blood flow occur people suffering from sickle cells develop some early breaking apart that includes strokes, the eyes turns yellow, delayed growth, bone damage, early gallstones, pain in the body so on and so forth. rch-and-testing/screening- counselling/
  10. 10. Prevent this Complications Taking Folic Acids daily https://sciencebasedpharmacy.files. acid.jpg
  11. 11. Prevent this Complications Staying hydrated by drinking at least eight glass of water a day….. content/uploads/2014/04/kid-drinking- water.jpg
  12. 12. Prevent this Complications Family Doctor: Going for regular check up. baby-620x349.jpg
  13. 13. Preventing Complications Sleep, sleep, sleep. Getting plenty of rest. content/uploads/2009/07/sleep- 1.bmp
  14. 14. Preventing Complications. Avoid being stress. content/uploads/2014/07/stress3.jpg
  15. 15. Professional that work with children with Sickle Cells. Hematologist Nurses Social Service Workers Special Doctor
  16. 16. Agencies and Resources  Sickle Cell Association of Ontario 202-3199 Bathurst St. Toronto, ON M6A 2B2 416-789-2855   diseases.aspx
  17. 17. Agencies and resources  The Scarborough Hospital — General campus 3050 Lawrence Ave. E. Scarborough, ON M1P 2V5 416-438-2911  TAIBU Community Education Program 27, Tap scott Road, Unit 1 Scarborough ON, M1B 4Y7. 416 644 0364
  18. 18. Meeting the needs in a childcare centre. Early Childhood Educator could organize simple sports that Brayon could participate in during sports time such as : LIME AND SPOON
  19. 19. Meeting the needs in a childcare centre •Ensure adequate access to water and hydration. During sports time the Early childhood Educator could have bottles of water at the playground for the children. She should also make sure Brayon is staying hydrated by drinking lots of water during sports or play time.
  20. 20. Meeting the needs in a childcare centre. Allowing frequent Bathroom breaks. This will allow the Baryon to rest in between during sports in order for him now to get tired. 245/kids-resting-after-playing-baseball-in- cuba.jpg?w=600
  21. 21. Meeting the needs in a child care centre. Allow accommodation during Extreme temperatures and conditions.
  22. 22. Meeting the needs in a child care centre. Early childhood educators should beware of emotional Behaviors .
  23. 23. Meeting the needs in a child care centre. Maintain Open Communication with parents. http://www.parentscountdownt content/uploads/2013/10/Parent- Conference-Pic.jpg
  24. 24. Meeting the needs in a child care centre.  Ece’s will make the parents sign a parental consult form. This form will have the amount of dose the child needs when taking their medication such as folic Acid, iron meals. teacher-conf-image.jpg
  25. 25. Meeting the needs in a childcare centre.  The Early Childhood Educators should also make sure it is the right medication for the children.  The medication is not expired  Note from the doctor content/uploads/2011/09/Doctor-writing-prescription-9- 15-11-21.jpg
  26. 26. Second issue about Brandon.  His mother is very worried that Brandon may be developing Depression as well. Brandon pet dong named Boo-Boo has recently dies after 10 years. Brandon and Boo- Boo were very close and often comforted each other during difficult days.
  27. 27. Depression  Sadness or downswings in mood are normal reactions to life’s struggles, setbacks, and disappointments. Many people use the word “depression” to explain these kinds of feelings, but depression is much more than just sadness.  However, some depressed people don't feel sad at all— they may feel lifeless, empty, and apathetic, or men in particular may even feel angry, aggressive, and restless.
  28. 28. Signs and Symptoms of Depression in children.  Irritability or anger  Continuous feelings of sadness and hopelessness  Social withdrawal  Difficulty concentrating  Fatigue and low energy  Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests
  29. 29. Symptoms of depression ctd…  Some children’s symptoms of depression comes in different ways. Some children’s symptoms show in social activities.  They loss interest in school  They performance in school start to change  Some children over twelve start to use alcohol and drugs.
  30. 30. Symptoms of Depression.  Depression is common in boys under ten.  Girls usually have greater incidence of depression at the age of sixteen.
  31. 31. What courses depression in Children?  As in adults, depression in children can be caused by any combination of factors that relate to physical health, life events, family history, environment, genetic vulnerability and biochemical disturbance. Depression is not a passing mood, nor is it a condition that will go away without proper treatment.
  32. 32. Can depression in children be prevented?  Children with a family history of depression are at greater risk of experiencing depression themselves. Children who have parents that suffer from depression tend to develop their first episode of depression earlier than children whose parents do not. Children from chaotic or conflicted families, or children and teens who abuse substances like alcohol and drugs, are also at greater risk of depression.
  33. 33. How is depression diagnosed in a child?  If the symptoms of depression had lasted for two week on your child you should book an appointment to see the family doctor.  Mental health professional who specialize in children is also recommended. (this includes interview with the child parents and the primary caregiver and the child.  Information's from teachers, friends and classmates are also important.  Questionnaires from parents and child can be very useful in helping diagnosing in children.
  34. 34. How is depression diagnosed in a child.  Sometimes the therapy sessions and questionaire help uncover other concerns that contribute to depression such as  ADHA  CONDUCT DISORDER  OCD
  35. 35. Treatment options  The best studies to date indicate that a combination of psychotherapy and medication is most effective at treating depression.  Studies show that the antidepressant Prozac is effective in treating depression in children and teens. The drug is officially recognized by the FDA for treatment of children ages 8 to 18 with depression. Other medication may be chosen if there are other coexisting illnesses contributing to the depression.
  36. 36. Depression in Children: Warning Signs  Many depressive symptoms (changes in eating, sleeping, activities)  Social isolation, including isolation from the family  Talk of suicide, hopelessness, or helplessness  Increased acting-out of undesirable behaviors (sexual/behavioral)  Increased risk-taking behaviors  Frequent accidents  Substance abuse  Focus on morbid and negative themes  Talk about death and dying  Increased crying or reduced emotional expression  Giving away possessions
  37. 37. Video on Depression  Depression-Treated-in-Children-Child-Psychology
  38. 38. Professionals that work with children with depression.  Family members •  Primary Care Physician  Psychiatrist / Pediatrician  Social Service and Health Professionals – Psychologists  Social Workers  Occupational Therapists  Speech Therapists  Physiotherapists,  Teachers • Professionals with particular expertise in areas that may be related to the child’s difficulties, such as neurologists, specialists in hearing or sleep disorders,
  39. 39. Agencies that support depression for children.  Centre for Addiction and Mental Health The Centre for Addiction and Mental Health (CAMH) is Canada's largest mental health and addiction teaching hospital, as well as one of the world's leading research centre's in the area of addiction and mental health.  1001 Queen Street West  Toronto, ON, M6J 1H4  Phone416-535-8501 Toll Free1-800-463-6273  All ages Languages English, French Fees None
  40. 40. Agencies and Resources.  Emotions Anonymous Emotions Anonymous is a 12-step self-help group for anyone with emotional problems such as fear, anxiety, and depression. Address 75 Alford Crescent, Toronto, ON, M1B 4E4 Phone 416 281 9364 Website :Serves All ages Languages EnglishFeesNone
  41. 41. Agencies and Resources  Griffin Centre Mental Health Services Serves vulnerable youth and adults with mental health challenges and/or developmental disabilities and their families. 24 Silver view Drive Toronto (north York) ON, M2M 2B3 Phone416-222-1153 Fax416-222-1321 Email contact@
  42. 42. Agencies and Resources  Gail Appel Institute The Hincks-Dell crest Centre - Gail Appel Institute was established to respond to the challenge of improved mental health care for children, by providing advanced training, research and community consultation in the area of children's mental health. Hincks-Dell crest Treatment Centre Address114 Maitland St., Toronto, ON, M4Y1E1 Phone416-972-1935 Website Serves
  43. 43. Agencies and Resources  Scarborough Hospital Scarborough Hospital provides various mental health services to all ages. Various campuses, including 1) Main Campus. ON,CA Map Phone416-438-2911TTY Phone416-438- 5802Website Serves All ages Languages EnglishFeesNone
  44. 44. Agencies and Resources  St Joseph's Health Centre 30 The Queensway Toronto, ON, M6R 1B5 Map Phone416-530-6000 TTY Phone416-5306820 Website Serves All ages Languages EnglishFeesNone
  45. 45. Agencies and Resources  Toronto General Hospital 200 Elizabeth Street Toronto, ON, M5G 2C4 Phone416-340-3111 Website Serves All ages Languages English, French Fees None
  46. 46. Agencies and Resources  Children's Mental Health Ontario 40 St. Clair Avenue East Toronto, ON, M4T 1M9 Phone416-921-2109 Toll Free1-888-234-7054 Emailinfo@cmho.orgWebsite Serves All ages Languages EnglishFeesNone
  47. 47. Agencies and Resources  Canadian Mental Health Association, National Office National, charitable organization that promotes the mental health of all and supports the resilience and recovery of people experiencing mental illness. Address151 Slater Street, Ottawa, ON, K1P 5H3 Phone613-745-7750WebsiteServesAll agesLanguagesEnglish, FrenchFeesNone
  48. 48. Meeting the needs in a childcare certain.  Stages of grief Early Childhood Educator could bring in books about meets and books and grieving. Children and Early childhood could talk about death with the children during circle time. /images/enjoy%20pics/group% 20circle%20time.JPG
  49. 49. Meeting the needs in a childcare centre.  Ask parents to have a memory book. Ask parents to make a memory book with Brayon. This this could involve picture of boo-boo and even pictures of both of them together. https://s-media-cache- 4636992eb28ee88db0d78.jpg
  50. 50. Meeting the needs in childcare centre.  Funeral for the dog Early Childhood educators could use friendly words to explain how pets die. Everyone will go to heaven one day Brandon. Its was Boo-Boo turn to go to heaven. (lynn class notes, thrid semester). https://encrypted- PALgf7oMS8TzmfYHeDtCHOXaM- mVNoOvATds1FTlFt6Idtsn
  51. 51. Meeting the needs in childcare Centre.  Help child write journals Early Childhood Educator could help Brayon write journals about his time with his pet Boo- boo. hoto%20jour.JPG
  52. 52. Meeting the needs in childcare centre.  The Early Childhood educator could ask Brayon mother to bring his favorite blanket or favorite book to the childcare centre. _E/maxresdefault.jpg
  53. 53. Meeting the needs in childcare centre.  Early childhood educator should have a one on one activity with the child. This will make the child feel safe and welcomed in the classroom. oh/images/2171.jpg
  54. 54. Meeting the needs in the childcare centre.  The early childhood educator could also bring in a music therapist to childcare to help cheer up Brayon. /assets/1/17/SlideShowDimen sionMain/ g
  55. 55. References.   topics/topics/sca/signs  testing/screening-counselling/  11/03/folic-acid.jpg
  56. 56. References  drinking-water.jpg  620x349.jpg    content/uploads/2014/07/stress3.jpg  content/uploads/2013/10/Parent-Conference-Pic.jpg  content/uploads/2014/01/parent-teacher-conf-image.jpg  writing-prescription-9-15-11-21.jpg
  57. 57. References  Depression-Treated-in-Children-Child-Psychology  g_Depression_Handbook.pdf  up%20circle%20time.JPG  https://s-media-cache- e88db0d78.jpg   sionMain/group_handperc.jpg 
  58. 58. References  https://encrypted- S8TzmfYHeDtCHO  c/Sickle_cell_01.jpg  Sickle Cell : management/pain-management-sickle-cell- disease?page=3