Fetal alcohol syndrome

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  • The scenario is about three year old twin brothers Ben & Thomas who have Fetal Alcohol Syndrome. A family has just moved to big city Toronto from a smaller place called North Bay. They are in the process of adopting the two boys however are worried about the Fetal Alcohol Syndrome the boys were born with. The family is seeking advise before going down the path of adopting these two boys.
  • Fetal Alcohol Syndrome is a result of consumption of alcohol by parents during pregnancy. Any form of alcohol during pregnancy can harm the baby. It is even recommended to stop consuming alcohol while trying to conceive a baby. The picture clearly states the different impacts consuming alcohol during pregnancy will have on a child. These risks are further discussed in this slide deck. "Be safe: Have an alcohol-free pregnancy." . Nexus Santé. Web. 01 February 2013. <http://www.alcoholfreepregnancy.ca/eng/index.html>.
  • There is only one action that causes FAS, and that is when a mother consumes alcohol during pregnancy she endangers her unborn child. 1% of children in Canada are impacted by this. There are many effects as a result of this action. It varies person to person but they impact a baby in both physical and mental ways. Full list will be provided in future slide to give a better understanding of the possible impact on a child. "Pregnancy & alcohol ." . Health Nexus Alcohol. Web. 01 February 2013. <http://www.beststart.org/resources/alc_reduction/FASD_Brochure_A20A.pdf>.
  • Facial characteristics can easily be identified on the baby’s face however there are other symptoms that are not as noticeable such as the ones outlined on this slide. These kids have to deal with many problems such as being born under weight, developmental delays, poor memory problems and behavioural problems to name a few. All of which determine how well the child develops and integrates into society at different stages of their life. Developmental delays will impact a child’s physical and emotional state. Learning difficulties will have a huge impact on their education and their career paths. Behavioural problems will hinder their ability to integrate and cooperate with others. As you can see there are many drawbacks of being born with FAS. “poor socialization skills, such as difficulty building and maintaining friendships and relating to groups”“learning difficulties, including poor memory, inability to understand concepts such as time and money, poor language comprehension, poor problem-solving skills”“behavioral problems, including hyperactivity, inability to concentrate, social withdrawal, stubbornness, impulsiveness, and anxiety”"Fetal Alcohol Syndrome ." Kids Health from Nemours. The Nemours Foundation, n.d. Web. 01 February 2013. <http://kidshealth.org/parent/medical/brain/fas.html>.
  • For a child that has Fetal Alcohol Syndrome they can have physical development problems that are brain damage this happens with the child is born. Other physical development that a child can have is their hearing and vision to see they can have this problem due to the Fetal Alcohol Syndrome. While the effects vary from person to person, they are always impacted in a negative way. The most serious risk brain damage which impacts the child in many ways, and prevents the child from having a normal life. “Facial anomalies such assmall eye openings, a smooth philtrum (groove under thenose), and a thin upper lip. When a person has all threefeatures, together they are a sign of FAS.”All of these drawbacks on the physical well being of a child plays a key role in a child’s life as they grow up. "The Physical Effects of Fetal Alcohol Spectrum Disorders." . SAMHSA Fetal Alcohol Spectrum Disorders Center for Excellence. Web. 01 February 2013. <http://fasdcenter.samhsa.gov/documents/WYNK_Physical_Effects.pdf>.
  • Consumption of alcohol during pregnancy has risk of impacting the child's face in many ways. Some noticeable impacts to the face are:Low nasal bridge Minor ear abnormalitiesIndistinct philtrum Micrognathia Epicanthal folds Short palpebral fissures Flat mid-face and short noseThin upper lip All these features are identified on the picture. http://syndromespedia.com/wp-content/uploads/2011/11/fetal-alcohol-syndrome-symptoms-pictures.jpg
  • I would have to adapt the environment for children with cognitive delay. I would have to change the classroom environment by providing extra help for the child versus kids without cognitive delay. I would use signs, pictures and words to label to make sure the child understands. Take the necessary steps to have the right toys for specific age groups to play with. By providing these children with one on one support I will be able to provide the extra care and support these children will require. I would make sure there is circle time for the child to interact with other child and develop socially. If child requires speech therapy I would arrange for success lessons to help the child develop language skills, and reading/writing. I would label many things in the classroom with pictures and signs to help the child know about the items and where they belong.Safe, Adaptive Environment workshop notes "Connect Ability." . Community Living Toronto. Web. 01 February 2013. <http://connectability.ca/2010/09/24/adapted-play-materials/>. "Connect Ability." . Community Living Toronto. Web. 01 February 2013. <http://connectability.ca/2010/09/25/safe-adapted-environments/>.
  • "Special Education." Teaching Students with Fetal Alcohol Syndrome. N.p.. Web. 01 February 2013. <http://www.bced.gov.bc.ca/specialed/fas/charstu.htm>. "Special Education." Teaching Students with Fetal Alcohol Syndrome. N.p.. Web. 01 February 2013. <http://www.bced.gov.bc.ca/specialed/fas/under.htm>. Class notes
  • “An early diagnosis, appropriate services, and a stable homecan greatly improve the health outcomes of individuals withan FASD. It is best to involve a multiple service provider teamto develop a treatment plan. The treatment plan must reflectthe individual’s specific symptoms and problems. Becausepersons with an FASD tend to have problems following multipledirections, providers should explain their treatment plan insteps or in a format that is easy to follow.”“It is important that providers share information with a familymember or a caregiver who can assist in the person’s treatment.When a team of providers is involved, it is important that eachof them receive all current and appropriate information aboutthe person.” "Pregnancy & alcohol ." . Health Nexus Alcohol. Web. 01 February 2013. <http://www.beststart.org/resources/alc_reduction/FASD_Brochure_A20A.pdf>.
  • One of the agency I found was a Speech Therapy Centres of Canada that provides speech therapy for adults and children. This agency has four different locations in Toronto. They offer therapy with Speech Pathologists and Communication Disorders Assistants and has no wait times for assessments for the children. The speech therapy can be offeredone on one service or with a pair with another person that has the different but has the same problem/treatment as the other person. This agency also provides different service that Speech Delay, Language Delay, Acquired Brian Inquiry (ABI), Children’s Literacy. Their is a Speech Therapy program that is only parents who have a corporate insurance plan but if the parents don’t have insurance they have a Financial Service available for the parent’s that met need support. The Speech Therapy Centre of Canada has a payment plan that works for their budgets and the needs. They work really closely with Medicard that offer patient financing. Medicard makes applying for financing options easy with a fixed monthly payment schedule, ranging from six months to five years.With Medicard, client financing is simple, fast and convenient. Someprograms arefocusingon teaching the children and how to start a conversation and be taking turns speaking. They offer a program that has free workshops for the parents. This free workshop for the parents teaches parents about speech disorder. Also, helps give them strategies and activities to do with their children to help with their speech. "Speech Therapy Centres of Canada." . N.p., n.d. Web. 27 Mar 2013. <http://www.speechtherapycentres.com/>. Toronto 1896 Avenue Rd., Suite 201Toronto, ONM6M 2K9Tel: 905.886.5941Fax: 905.886.2362NOW OPEN SATURDAYS AND EVENINGSinfo@speechtherapycentres.com
  • Motherisk is dedicated to providing information and guidance to pregnant or lactating patients and their health care providers regarding the fetal risks associated with drugs, chemical infection, disease and radiation exposure(s) during pregnancy. This will help the parents obtain more information on alcohol related issues and risks. "Sick Children ." The Hospital for Sick Children-Motherisk Treating The Mother-Protecting The Unborn. The Hospital for Sick Children (Sick Kids), n.d. Web. 01 February 2013. <http://www.motherisk.org/women/index.jsp>.
  • Breaking the Cycle is a unique early identification and prevention program for pregnant and/or parenting women who are using substances, and for their young children. The program was created with a holistic approach in mind, to serve women and children living in high-risk circumstances that, in addition to substance use, include homelessness, violence, poverty, poor health and nutrition, and chaotic and unstable environments."Fetal Alcohol Spectrum Disorder (FASD)." Public Health Agency of Canada. N.p.. Web. 01 February 2013. <http://www.phac-aspc.gc.ca/hp-ps/dca-dea/prog-ini/fasd-etcaf/index-eng.php>.
  • "Fetal Alcohol Spectrum Disorder (FASD)." Public Health Agency of Canada. N.p.. Web. 01 February 2013. <http://www.phac-aspc.gc.ca/hp-ps/dca-dea/prog-ini/fasd-etcaf/index-eng.php>.
  • I have learned a lot from completing this assignment. I have learned a lot to help me in my career with the information I have gained. I learned a lot about Fetal Alcohol Syndrome and what happens when a mother drinks alcohol during her pregnancy. I also learned a lot about the information when the child is born that there are different characteristics effects on each child. For example the child would have low birth weight, poor coordination/fine motor skills, learning difficulties, behavioural problem and others. All of this knowledge would help me identify and respond to similar situations in the future. What went well was easily being able to obtain a lot of information through the web, there is a lot of information to help mothers and educators address these issues. Finding the right agency was a little challenging for me, but overcame those challenges by working extra hard and spending a lot of time on research. In the future I might read more scholar articles to obtain greater insights to this issues and how to better address it in more detail, which I feel would be beneficial to my career and helping others. 
  • "Be safe: Have an alcohol-free pregnancy." . Nexus Santé. Web. 01 February 2013. <http://www.alcoholfreepregnancy.ca/eng/index.html>. http://syndromespedia.com/wp-content/uploads/2011/11/fetal-alcohol-syndrome-symptoms-pictures.jpg "Fetal Alcohol Syndrome ." Kids Health from Nemours. The Nemours Foundation, n.d. Web. 01 February 2013. <http://kidshealth.org/parent/medical/brain/fas.html>. "The Physical Effects of Fetal Alcohol Spectrum Disorders." . SAMHSA Fetal Alcohol Spectrum Disorders Center for Excellence. Web. 01 February 2013. <http://fasdcenter.samhsa.gov/documents/WYNK_Physical_Effects.pdf>. "Pregnancy & alcohol ." . Health Nexus Alcohol. Web. 01 February 2013. <http://www.beststart.org/resources/alc_reduction/FASD_Brochure_A20A.pdf>. Safe, Adaptive Environment workshop notes "Connect Ability." . Community Living Toronto. Web. 01 February 2013. <http://connectability.ca/2010/09/24/adapted-play-materials/>. "Connect Ability." . Community Living Toronto. Web. 01 February 2013. <http://connectability.ca/2010/09/25/safe-adapted-environments/>. "Special Education." Teaching Students with Fetal Alcohol Syndrome. N.p.. Web. 01 February 2013. <http://www.bced.gov.bc.ca/specialed/fas/charstu.htm>. "Special Education." Teaching Students with Fetal Alcohol Syndrome. N.p.. Web. 01 February 2013. <http://www.bced.gov.bc.ca/specialed/fas/under.htm>. Class notes "Speech Therapy Centres of Canada." . N.p., n.d. Web. 27 Mar 2013. <http://www.speechtherapycentres.com/>. "Sick Children ." The Hospital for Sick Children-Motherisk Treating The Mother-Protecting The Unborn. The Hospital for Sick Children (Sick Kids), n.d. Web. 01 February 2013. <http://www.motherisk.org/women/index.jsp>. "Fetal Alcohol Spectrum Disorder (FASD)." Public Health Agency of Canada. N.p.. Web. 01 February 2013. <http://www.phac-aspc.gc.ca/hp-ps/dca-dea/prog-ini/fasd-etcaf/index-eng.php>. "Fetal Alcohol Spectrum Disorder (FASD)." Public Health Agency of Canada. N.p.. Web. 01 February 2013. <http://www.phac-aspc.gc.ca/hp-ps/dca-dea/prog-ini/fasd-etcaf/index-eng.php>.
  • Fetal alcohol syndrome

    1. 1. By: Kajani KarunaharanDate: March 22, 2013ECEP233-001Chris Cadieux
    2. 2. Introduction to the child and familyAbout Ben and Thomas Three year old twins with fetal alcohol syndrome Cognitive delay Difficulty with impulse controlAbout Ben’s Family Foster parents in the process of adopting the twins Dealing with a recent moved to big city (Toronto) Family needs an agencies to help them with their situation
    3. 3. What is Fetal Alcohol Syndrome “Fetal Alcohol Spectrum Disorder is a term used to describe the range ofpermanent disabilities caused by prenatal exposure to alcohol.”(Supposed Inclusion Fact Sheet)
    4. 4. Cause/Effect of Fetal Alcohol Syndrome The cause of fetal alcohol syndrome is when a motherdrinks alcohol during her pregnancy. “Children are born with fetal alcohol syndrome is 1% ofpeople living in Canada” (Supposed Inclusion Fact Sheet) The effects are both physical and developmental riskswhich will be outlined in future slides.
    5. 5. Characteristics of FAS Low birth weight Small head circumference Developmental delay Poor coordination/fine motor skills Poor socialization skills Learning difficulties Poor memory problem Behavioural problem
    6. 6. Physical Development Brain damage •Facial anomalies •Growth deficiencies •Defects of the heart, kidneys, and liver •Vision and hearing problems •Skeletal defects •Dental abnormalities
    7. 7. Possible Facial Characteristics
    8. 8. Adapting EnvironmentCognitive Delay Using pictures, signs and words to label Display toys and materials that are age appropriate Allow enough time to adjust situations Circle and group time Provide one on one support for the child Using photographs, pictures and other methods to signal transition
    9. 9. Teaching Strategies Providing a quiet spot and time alone Communicating with the ECE staff and the family tohelp Ben and Thomas Regular meeting with the family so the ECE is up todate with their observation/activities the child did
    10. 10. How Can The Health Effects of FASD Be Addressed Early diagnosis Appropriate services Stable home Individual treatment plans
    11. 11. Conclusion for FAS Damage is permanent Health effects cannot be reversed but can be treated withappropriate combination of interventions and support Only way to prevent FASD is by being alcohol free duringpregnancy It is up to a future mother to make the sacrificesfor her Childs future
    12. 12. Support Agencies in TorontoArea for Ben and Thomas
    13. 13. Agency: Speech Therapy Centre of Centre Four locations one in Toronto One-on-One session when the children Free parent workshop Speech delay and brain injury Financing available http://www.speechtherapycentres.com/
    14. 14. Motherisk: The Hospital for Sick Children Dedicated to providing information and guidance topregnancy or lactating patients Their health care providers regarding the fetal risksassociated with drugs www.motherrisk.org
    15. 15. Breaking The Cycle Unique early identification and prevention program Created with holistic approach in mind Serves women and children living in high-riskcircumstances www.Breakingthecycle.ca
    16. 16. Public Health Agency of Canada Public Health Agency of Canada offers a variety ofresources including an information booklet, nationalreports, and studies on FASD. www.phac-aspc.gc.ca/fasd-etcaf/publications_e.html
    17. 17. Reflection I have learned a lot from completing this assignment. I have learned alot to help me in my career with the information I have gained. Ilearned a lot about Fetal Alcohol Syndrome and what happens when amother drinks alcohol during her pregnancy. I also learned a lot aboutthe information when the child is born that there are differentcharacteristics effects on each child. For example the child would havelow birth weight, poor coordination/fine motor skills, learningdifficulties, behavioural problem and others. All of this knowledgewould help me identify and respond to similar situations in the future. What went well was easily being able to obtain a lot of informationthrough the web, there is a lot of information to help mothers andeducators address these issues. Finding the right agency was a littlechallenging for me, but overcame those challenges by working extrahard and spending a lot of time on research. In the future I might readmore scholar articles to obtain greater insights to this issues and how tobetter address it in more detail, which I feel would be beneficial to mycareer and helping others.
    18. 18. Bibliography See notes page below

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