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Developmental Assessment Developmental Assessment

Developmental Assessment - PowerPoint Presentation

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Developmental Assessment - PPT Presentation

Ophelia Luong OCYL2camacuk Potentially the most fun that youll ever have in an OSCE A Brief Recap Four Domains Gross motor Vision and fine motor Hearing speech and language Social emotional and ID: 584288

motor 12m gross 18m 12m motor 18m gross play age social parents developmental newborn head questions behavioural emotional hearing

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Slide1

Developmental Assessment

Ophelia

Luong

OCYL2@cam.ac.ukSlide2

Potentially the most fun that you’ll ever have in an OSCE

…Slide3

A Brief Recap Slide4

Four Domains

Gross motor

Vision and fine motor

Hearing, speech and languageSocial, emotional and

behavioural Slide5

Developmental Delay

Can be global delay

In all four domains

EG Down’s or Fragile X

Can be delayed in one or two domain EGGross motor – Duchenne’s muscular dystrophy

Social – Autism Spectrum DisorderSlide6

Developmental Milestones

Median age

Limit age

2 SDs from mean

Age by which milestone should have been achieved

Prompt for further actionBut remember, variations in patterns of developmentBottom-shufflers

Bilingual households

And correct for prematurity up to 2ySlide7
Slide8

Gross Motor

Limbs flexed, head lag

-

Newborn

Raises head

6w

Sits unsupported

– 6m (curved); 8m (straight)

Crawls

– 8-9m

Cruises

– 10m

Walks

– 12m (unsteady); 15m (steady)

Runs

– 18m

Kicks ball and jumps, can do stairs one at a time

– 2y

Tricycle, can do upstairs like adult

– 3y

Stands on one foot

– 4y

Skips

– 5y

4m

– Head control

9

m

– Sitting unsupported

12m

- Standing

18m

– WalkingSlide9

Vision and Fine Motor

Fixes and follows in midline

– newborn

Fixes and follows horizontally – 6w

Reaches for things and palmar grasp – 4-6m Transfers

– 7mPincer grasp – 10mBangs

bricks

together –

12m

3m

– Fixing and following

12m

– Pincer grip

9

m

– TransferSlide10

Fine Motor

18m –

Tower of 3-4

Scribbles

2y –

Tower of 6

Line

3

y –

Bridge (after demo)

Circle

3.5y –

Cross

4

y –

Steps (after demo)

Square

5

y –

Triangle

Can copy 6m earlierSlide11

Hearing, Speech and Language

Startles to loud noises

– newborn

Vocalises

and coos – 6mBabbles – 8m

Parents can understand sounds – 10mKnows name, 2-3 words

excl

mama/dada

– 12m

6-10 words

– 18m

2 word phrases

– 2y

3-4 word sentences w/ personal pronouns

– 3y

Relatively fluent

by 5ySlide12

Social, Emotional and Behavioural

Smiles in response

– 6w

Fear of strangers

– 10mWaves bye-bye and plays peek-a-boo – 10-12m

Symbolic play – 18mParallel play

– 3y

Shares toys and group play

– 4-5y

8w

– Smiling

2-2.5y

– Symbolic playSlide13

Social, Emotional and Behavioural

7m -

Puts

food in

mouth

12m -

Finger

feeds and drinks from

cup

18m -

Spoon

,

takes

off socks/shoes, indicates when

soiled

2y -

Spoon

and fork,

helps

with clothing, dry by

day

3y –

Starts to use knife and fork,

dresses w/ supervision

4y -

Dresses

alone

Slide14

Practical TipsSlide15

In an ideal OSCE…

Introduce yourself to child and parent/guardian

Get down to their level – metaphorically and literally

OBSERVE

FeaturesWhat they are doing alreadySee what they can do

Ask the parent questionsAbout hearing and visionAbout things you can’t test

HAVE FUN! Slide16

…But if it goes wrong...

Don’t panic!

Give the child back to their parent

Ask the parents questions insteadSlide17

To prepare beforehand…

Have a picture in mind of what children of a certain age should be doing

People watch!

Films and TV

The concourseSiblings etcSlide18

On the day…

Be aware of space and time

Improvise

Give LOTS of praise

Talk as you go alongMaybe save gross motor for last…Ask the

parents questions(But not “how old is your child?”)Slide19

https://www.youtube.com

/user/

MRCPCHRevision

https://www.youtube.com

/watch?v=4u4B0hs4UKUSlide20

Any questions?

Good luck!