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MedVET module 2 part 3 EN
- 1. MODULE 2: EARLY CHILD DEVELOPMENT – TYPICAL AND ATYPICAL PART 3 MedVET support Training programme MU, Turkey
- 2. MedVETSUPPORT 2017-1-TR01-KA202-045932 CONTENTS: 2.3 Atypical development 2.3.1 Developmental delay 2.3.1.1 Motor development 2.3.1.2 Speech and language development 2.3.1.3 Social, emotional, cognitive development 2.3.1.4 Sensory Integration 2.3.2 Atypical posture development 2
- 4. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1 DEVELOPMENTAL DELAY Babies grow and develop at different rates. The baby can do some of these developmental steps a little early and some a little late. But if (s)he can't do most of it, then a doctor should be consulted. It may be useful to make an assessment to look at the skills. 4
- 5. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1.1 MOTOR DEVELOPMENT 0-3 Months Seldom moves on both extremities; seems rigid Looks excessively loose or droopy in the limbs Feeding goes slowly or the baby is not sucking the mother normally The baby can’t support her/his head well at month three The baby doesn’t reach for and grasp objects by three to four months The baby doesn’t grasp and hold things at month three 5
- 6. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1.1 MOTOR DEVELOPMENT 4-6 Months The baby doesn't bring objects in the mouth for up to four months There is still tonic neck reflex in four to five months The baby doesn't push the legs down when the feet are placed on a solid surface up to four months The baby has trouble moving a single eye or both eyes in all directions It is normal for the eyes to be cut occasionally in the first months but if the baby crosses the eyes often, there will be a problem 6
- 7. MedVETSUPPORT 2017-1-TR01-KA202-045932 SIGNS OF DEVELOPMENTAL DELAY 7 Months Looks very rigid and strict muscles and very droopy The head will still slide back if the body is pulled into a sitting position Approaches with only one hand Has difficulty getting things into his mouth Can't sit with help up to six months Doesn’t actually approach objects between six-seven months Doesn’t carry some weight on lower extremities up to seven months 7
- 8. MedVETSUPPORT 2017-1-TR01-KA202-045932 SIGNS OF DEVELOPMENTAL DELAY 8-12 Months Cannot stand when supported Hauls one body side while crawling Doesn’t crawl 8
- 9. MedVETSUPPORT 2017-1-TR01-KA202-045932 SIGNS OF DEVELOPMENTAL DELAY 2 Years Old Cannot walk up to 18 months After walking for a few months, the baby can’t accomplish a heel-toe walking pattern A toy with wheels cannot be pu(s)hed up to the age of two 9
- 10. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1.2 SPEECH AND LANGUAGE DEVELOPMENT SIGNS OF DEVELOPMENTAL DELAY 0-3 Months Doesn’t prattle up to three to four months 4-6 Months (s)he starts babbling but doesn't try to mimic your voices up to four months 7 Months Doesn't smile or creak for up to six months Doesn’t prattle up to eight months 10
- 11. MedVETSUPPORT 2017-1-TR01-KA202-045932 SIGNS OF DEVELOPMENTAL DELAY 8-12 Months Doesn’t say a single word 2 Years Old Doesn’t speak a minimum of 15-20 words up to 18 months Doesn’t make two-word sentences up to two years old Doesn’t mimic actions or words 11
- 12. MedVETSUPPORT 2017-1-TR01-KA202-045932 0-3 MONTH WARNING SIGNS Communication Doesn’t cry when being hungry or uneasy Doesn’t realise or reply to violent sounds Doesn’t make eye contact or smile at parents 12
- 13. MedVETSUPPORT 2017-1-TR01-KA202-045932 4-6 MONTH WARNING SIGNS Communication Doesn’t reply to sounds Doesn’t make any vowel sounds Abstains eye contact Doesn’t smile or laugh 13
- 14. MedVETSUPPORT 2017-1-TR01-KA202-045932 7-9 MONTH WARNING SIGNS Communication Has no interest in interacting with others Doesn’t pursue eye contact along playful interaction Doesn’t respond to sounds or voices Doesn’t babble Has no respondse to the own name 14
- 15. MedVETSUPPORT 2017-1-TR01-KA202-045932 10-12 MONTH WARNING SIGNS Communication Doesn't look back when someone calls her/him by name Shows no recognition of familiar simple words 15
- 16. MedVETSUPPORT 2017-1-TR01-KA202-045932 13-18 MONTH WARNING SIGNS Communication Doesn’t babble Doesn’t maintain eye contact Doesn’t reply when her/his name is called Makes no attempt to contact 16
- 17. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1.3 SOCIAL AND EMOTIONAL, COGNITIVE DEVELOPMENT 0-3 Months Has no reply to loud sounds Won't blink when a bright light is shown Doesn’t concentrate and pursue a nearby collateral moving object The lower jaw constantly vibrates even when he is not crying or thrilled 4-6 Months Isn’t interested in new faces or looks very afraid of new faces 17
- 18. MedVETSUPPORT 2017-1-TR01-KA202-045932 SIGNS OF DEVELOPMENTAL DELAY 7 Months Rejects to cuddle Shows no connection to the caregiver Looks like the baby doesn't like being around people One eye or both of them constantly turn in or out Insistent crying or susceptibility to light Has no response to sounds around her Isn’t turning the head to spot voices up to four months 18
- 19. MedVETSUPPORT 2017-1-TR01-KA202-045932 SIGNS OF DEVELOPMENTAL DELAY 7 Months Doesn’t roll in both directions up to five months Seems that (s)he cannot be comforted at night after five months Isn’t smiling by her/himself up to five months Doesn’t pursue objects with both eyes at close and distant ranges up to seven months Does not try to attract attention through actions up to seven months Shows no attention in games up to eight months 19
- 20. MedVETSUPPORT 2017-1-TR01-KA202-045932 SIGNS OF DEVELOPMENTAL DELAY 8-12 Months Doesn't search for hidden objects Doesn’t learn how to use gestures Doesn’t indicate objects 2 Years Old Doesn't know the use of everyday items by fifteen months Doens’t follw easy rules up to age of two 20
- 21. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1.4 SENSORY INTEGRATION Opposes to cuddling When somebody tries to hold the baby, (s)he weeps Troubled by diaper changes Troubled by baths and/or water splashing on her/him Doesn’t have a proper sleep pattern Weeps extremely all day Doesn’t laugh frequently, most of the time feels upset and disturbed Abstains from eye contact, hardly concentrates on objects or pursuing with eyes Feels troubled when suddenly being transferred 21
- 22. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1.4 SENSORY INTEGRATION Feels troubled by swinging motions Feels troubled when thrown up in the air Looks like (s)he doesn't respond to her name or familiar voice Whatever the parent tries, the parent can't calm her/him Challenging breastfeeding and such actions like sucking, chewing, or swallowing Doesn’t endure new eatables nicely Consumes a limited number of nutrients, heaves or vomits in different foods. Often an infection develops in the ear Is sensitive to outside sounds Does not play games mutually with acquaintances 22
- 23. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1.4 SENSORY INTEGRATION Can't feel whether the diaper is wet or dirty Cries inevitably when changing the diaper Doesn’t want to wear clothes Strong separation anxiety Being very angry several times in a day Feels troubled by bright lights Feels troubled in public places Has no fun while playing regular interactive games Doesn’t realize new toys 23
- 24. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1.4 SENSORY INTEGRATION (s)He cannot change activities or participate in daily routines without any problems when switching from one to the other. Baby is incomprehensible and often irritated The baby often hits with the head, bites, squeezes or harms her/himself or others Shatters toys often Doesn’t act gently to animals Doesn't seem coordinated, and often hits things Can’t concentrate on a game, parents or toy for long enough to play Extravagates purposeless or interacts in non-excessive activities 24
- 25. MedVETSUPPORT 2017-1-TR01-KA202-045932 2.2.1.4 SENSORY INTEGRATION Only uses one hand to manipulate and explore toys and/or can't switch from hand to hand Uses only one hand to move and explore toys and can’t change it between two hands Can’t pair up toys Makes the hands fist and often keeps them closed Gets disturbed when the hands or face are unclean Tenses up and cries when staying with less familiar people Has trouble starting to eat solid foods 25
- 26. MedVETSUPPORT 2017-1-TR01-KA202-045932 0-3 MONTHS WARNING SIGNS Sensory Makes a fist and hands remain like this often Doesn’t concentrate on an object with the eyes Doesn’t like varied movements Often reluctates being carried 26
- 27. MedVETSUPPORT 2017-1-TR01-KA202-045932 4-6 MONTHS WARNING SIGNS Sensory Doesn’t give it a shot to reach out and take toys Doesn't take the own hand or a toy into the mouth Baby often gets angry for no obvious reason Baby doesn’t monitor moving things 27
- 28. MedVETSUPPORT 2017-1-TR01-KA202-045932 7-9 MONTHS WARNING SIGNS Sensory Doesn't like playing with toys with different tissue Is displeased by playing with musical toys Is not interested in playing with objects of different colours Doesn't move to explore the surrounding area while on the ground Isn’t interested in different types of movement like swinging Seems to be afraid of daily sounds 28
- 29. MedVETSUPPORT 2017-1-TR01-KA202-045932 10-12 MONTHS WARNING SıGNS Sensory Feels disconcerted in reaction to movements Excessive reaction when touching a surface or touching new tissues 29
- 30. MedVETSUPPORT 2017-1-TR01-KA202-045932 13-18 MONTHS WARNING SIGNS Sensory Feels disconcerted in reaction to movement Is sensitive to excessive noise and different surfaces or does not react at all Cuddling or holding by someone is not a joyful activity Doesn't like to touch different tissues Is very afraid when the feet are lifted from the ground and embraced 30
- 33. MedVETSUPPORT 2017-1-TR01-KA202-045932 https://medvet-project.eu/ https://www.facebook.com/Medvetproject/ This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. The European Commission support for the production of this publication does not constitute an endorsement of the contents which reflects the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein. 33