Powerpoint

Meeting the Needs of Children and Families Part 1

By, Kellie Downing300607008Lisa McCaieECEP - 233

Due: April 4th 2013

Brittany’s family has moved from the sunny state of

Florida to Toronto since her diagnosis of Bloom

Syndrome. She has been assigned to your preschool

room and will begin in a couple of days. Since the move

Brittany is feeling sad because she misses her friends

back home. Her brother is very mad at Brittany because

he believes that the move is all her fault. His behavior is

very difficult for the parents. They ask for your help.

(Case Study)Exact Quote from Case Study

Needs of the Child and Family

Brittany is upset because she is missing her friends from her old house and school. She may be feeling lonely not being able to see and speak to her old friends all the time. It may take some time for her to find some new friends.

Brittany has been diagnosed with Blooms Syndrome. This is going to cause changes in not only her life but her families as well. They had to move from the state of Florida to Toronto.

Info from Case Study

Needs of the Child and Family Cont’d

Brittany’s family is new to the city of Toronto so they may not know many resources around the community. They are going to need some guidance and help with finding some agencies or resources they can access, if needed.

One need or concern for Brittany and her family would be the fact that Brittany’s brother is blaming her for the move. This is causing Brittany’s brothers behavior to change.

Info from Case Study

Brittany’s brother is blaming her for the move and is very mad at her. A need for this would be to allow Brittany and her brother resolve their issues towards one another about the move.

Because Brittany has Bloom Syndrome, she is at a greater risk to cancer.

Needs of the Child and Family Cont’d

Info from case study and wisegeek.com

What is Bloom Syndrome?“Bloom Syndrome is a genetic condition characterized by a problem with the BLM gene, which normally governs recombination during cell division. Due to a malfunction in this gene, people with Bloom Syndrome experience chromosomal breakage and rearrangement, which can in turn cause a number of complications.” (wisegeek.com)

Bloom Syndrome has no cure. Prevention is something that is always focused on, when it is possible. For someone who already has Bloom

Syndrome, they can try and manage the symptoms it may cause. (wisegeek.com).

Bloom Syndrome Cont’d

“About one out of every 100 people with Ashkenazi Jewish ancestry carries a particular mutation known as BLMAsh. Almost every Jewish person known to have Bloom's syndrome has two copies of this mutation.” (www.23andme.com)

http://www.youtube.com/watch?v=1jNbeOR1ryIVideo:

Symptoms of Bloom Syndrome

“What are the symptoms of Bloom syndrome?- Growth delay.- Congenital telangiectatic erythema (dilated blood vessels)- Facial rash that developed shortly after first exposure to sun (Rash may be butterfly-shaped patch mainly on the cheeks).- Pigmentation changes in skin including hyper or hypo pigmented areas.- Café-au-lait spots- High pitch voice- Long and narrow face, micrognathism of the mandible and prominent nose and ears.- Immune deficiency characterized by recurrent respiratory tract infection like pneumonia and ear infection.- Most patients have Type 2 diabetes mellitus.- About 20% patients with bloom syndrome may develop malignancies like acute leukemia, lymphoma, and gastrointestinal adenocarcinoma.” (emedicinezone.com)

All points taken from (www.emedicinezone.com)

The genetic disorder of Bloom Syndrome is named after Dr. David Bloom. He discovered the syndrome in 1954. The disorder is more commonly found in Eastern Europeans, including Ashkenazim. (wisegeek.com)

In order for a child to have Bloom Syndrome both parents must carry the damaged gene. (wisegeek.com)

History of Bloom Syndrome

How Bloom syndrome diagnosed?

“Bloom syndrome is diagnosed by patient’s history; physical examination and lab test. Bloom syndrome is only confirmed by chromosomal study.”

(emedicinezone.com)

Looking for abnormal chromosomes in a sample of ones cells is the most common way to test for Bloom Syndrome. (23andme.com)

Treating and Managing Bloom Syndrome

Although Bloom Syndrome has no cure, there are still ways to treat and manage it.

Cancer prevention is a main priority for individuals who have Bloom Syndrome. The screening process for cancer must be started very early on. (www.23andme.com)

The most common cancer type for individuals with Bloom Syndrome is Colon Cancer. This cancer must be checked for and treated for way before anything else. It should also be checked more frequently than any other type of cancer. (www.23andme.com)

Changes to Physical Environment

Since Bloom Syndrome can cause a rash from exposure to sun one thing I would change to our physical environment would be to make sure outside in the playground there is a set place that has shade. Not just a spot in the corner with some shade but a big area created that the child can expand and play like everyone else.

“Being outdoors provides many benefits to children’s health including the opportunity to receive physical exercise. However, there are two potential concerns that we must be aware of so that we can provide protection against them. These are the use of arsenic on playground equipment and ultraviolet rays from the sun” (Bullard, page 335).

Meeting the Needs

“To protect children, it is important to provide shade on the playground. This can be both natural shade from trees and bushes, and human-made shade.” (Bullard, page 335).

This change in the environment would not only benefit a child who has Bloom Syndrome but as well as all the children in the environment as well. Having protection from the sun is something everyone in the room can be included in and benefit from.

Changes to Physical Environment Cont’dMeeting the Needs

Meeting the NeedsChanges to Classroom Environment Cont’d

Brittany should be able to sit with her friends at the tables in our classroom for any activities. Which is why chairs or desks must be at a level she too can be comfortable at as well.

Also when Brittany needs to use the sink or maybe reach onto a small shelf I will make sure to incorporate step stools around the classroom so she can access them.

“The materials and equipment should be accessible to children where they can reach and use the materials by themselves with adaptations to furniture to meet all children’s needs” (gov.mb.ca)

In the classroom, I will make sure to have no scented lotions or creams that may cause irritation. I will make sure to always have specific sunscreen for Brittany, through conversations with her parents we can find out which ones are best suited for her. As well as any creams her parents use for her when she may get a rash.

In the environment I will make sure to keep hats as well, not just for Brittany but for all the children as well. To make sure they can keep their heads and faces protected from the sun.

Meeting the Needs Changes to Physical Environment

Changes to Physical Environment Cont’dSince Brittany will be new to this center and doesn’t know any of the children. I will make sure to set up the environment in a way where she can be sociable without being forced to. I would do this by allowing centers and areas to be a place for more than 1 child so she would be included. As well as also setting up a lot of group activities to make Brittany feel welcome and get her interacting right away. This also will help all the other children to be more social and will take less time to incorporate Brittany into their friendships.

Meeting the Needs

“All children benefit from inclusion with others. Better social and adaptive

skills.” (Class Notes, Connectability, Inclusion Workshop)

Growth delay is a symptom seen in children with Bloom Syndrome. So practicing motor skills with children can help to increase skills in that area.

Changes to Physical Environment Cont’d

For Brittany, as well as her classmates I would make sure to set up Motor Skill areas within the classroom. Things that can help her to develop and practice her motor skills over and over.

I would include a bowling game within the classroom. “Model by tapping your chest, stating “my turn” before throwing the ball. Set up again and repeat for “your turn”” (Class Notes, Connectability Toy Workshop). This game would also be good to help Brittany meet new friends in a social interactions.

Meeting the Needs

“In many ways, the ways you include a child with physical differ ences or

impairments will benefit all children in your care.”

(ces.ncsu.edu)

Meeting the Needs - Strategies

Gross Motor Skills could be practiced through the activity of “Feed the Clown: Position your child with (his) back against the wall. The act of throwing will encourage him to move away briefly and to balance in the standing position. Gradually move further away from the wall.” (Connectability, Toy Shop Workshop). This activity is a great way to get Brittany to use more of her gross motor development, as well as practicing her balance. It can also involve other children as well to help her social development as well.

Through the preschool years, children move beyond simple walking to running and jumping and other complex motor skills that require greater coordination and precise timing of movements, such as swinging.” (Kail, 228)

Meeting the Needs - StrategiesFor Fine Motor Skills an activity I would include would be “Scarf-in-a Bottle: Provide hand over hand assistance as the child grasps the toy to place it into the bottle and then grasping the end of the scarf to remove it. The child is expected to poke it into the bottle until fully inserted.” (Connectability, Toy Shop Workshop). This activity would be good for Brittany because it would encourage her to use her fine motor skills such as pushing and pulling through with her fingers.

“Preschool children become much more dexterous, able to make many precise and delicate movements with their hands and fingers. Improved fine motor skills means that school children can begin to care for themselves.” (Kail, 229)

In order to help Brittany become familiar with the classroom and other children, and to help her feel comfortable I would allow a time for her to be sociable in a group.

Meeting the Needs - Strategies

For example, using the story “Tucker the Turtle Takes Time to Tuck and Think” (Rochelle Lentini) and allowing Brittany to be interactive with the process of the story as well as participating in the actions alongside her peers.

Tucker the Turtle taken from Class Notes and story. (ECEP-233)

Routine Posters will be kept up around the classroom as well, including what to wear during those activities. For example “Outdoor Activity (summer): hats, sun lotion etc”. These posters would be also near the children’s cubbies. That way, when they are getting ready to go outside. Also I would make sure to allow children enough time daily to get their sunscreen applied and put on their hats.

“place transition times on the daily schedule and on the daily plan.” (Bullard, 60).

Meeting the Needs - Strategies

Any of the changes made to the environment or any teaching strategies used would be beneficial to other children in the classroom as well. The environment will be including for Brittany, but wont be spotlighting her either. This allows equal opportunity for all children within the classroom.

“Play, engaged in by children throughout the world, is a very important vehicle for children's development. A rich environment can support children's’ play, providing social, emotional, physical, and cognitive benefits.” (Bullard, 6).

Meeting the Needs

Meeting the Needs – Strategies for Working with ParentsI would always make sure Brittany’s parents know they can approach me at any time and that if they have any concerns or questions in the future to not hesitate and let me know. “Create and open door atmosphere from the start.” (Connectability, Inclusion Workshop”.

Daily Journals of Brittany’s daily activities, anything parents should know. This keeps parents informed and allows room for parent-questions. “Maintaining open communication with a child’s family is very important but sometimes difficult to do. A communication book allows child care staff and parents to exchange a few written words about the child's day or night, share information about appointments or special events and it can also be used as a record-keeping tool.” (Reading Package, Unit 5, page 1).

This can also allow the parents an opportunity to be familiar with the strategies we use in class with Brittany and the other children and will gave them the chance to try them out at home.

Meeting the Needs – Strategies for Working with Parents

Having Conversations with the parents, and finding out what they want and need from the childcare setting and how I and the other staff can help make them feel as comfortable as possible.

I would also make sure to present the Brittany and her family resources in the community that could help them out as well. “A major responsibility of teachers is to refer children to the appropriate support and services. It is important that ECE’s know the local community services.” (Class Notes, week 5)

Meeting the Needs – Strategies for Working with Parents

In order to meet the need of Brittany’s brother having anger towards her for the family move, I would suggest the parents sit down with him and have a conversation about why they had to move and discuss all the ways it can be a good thing. I would encourage them to use positive wording about the new city and allow Brittany’s brother a chance to speak his mind as well. They should continue to have conversations like this daily with Brittany’s brother, not only to show him it is not Brittany’s fault, but also to allow him to let out his frustrations and thoughts.

I would suggest family counseling if they feel those at-home conversations aren’t working well enough. Brittany’s parents can also bring her brother with them to any doctors appointments so he can be knowledgeable about what is going on around him.

Resources and Agencies in the Local Community

“A major responsibility of teachers is to refer children to the appropriate support and services. It is important that ECE’s know the local

community services.” (Class Notes, week 5)

Resources/Agencies• One great resource Brittany and her family can use

would be www.ConnectABILITY.com – it has a lot of great resources and ideas that Brittany and her family can use and incorporate at home. It also has a lot of fun games and activities they could do together as a family.

Resources/Agencies• Toronto Public Library (Main Street

location) is a public Library in the Toronto area where you can go to find books, videos, do research, classes, programs, exhibits and more. (torontopubliclibrary.ca)

Located at:137 Main Street, Toronto, ON M4E 2V9 Telephone:416-393-7700Website:http://www.torontopubliclibrary.ca/

Good for helping Brittany and her family to research things, being new to Toronto, its good to know a library!

• Sick Kids Hospital is a hospital in the Toronto area that is dedicated to improving the health of children in the country (sickkids.ca)

“Each day we strive to provide better care than the day before, a pursuit of excellence that depends on learning, the

critical link between new knowledge and its application in the care of a sick child.” (sickkids.ca)

http://www.youtube.com/user/SickKidsFoundation

The Hospital for Sick Children555 University AvenueToronto, OntarioCanadaM5G 1X8Important contacts:General inquiries: 416-813-1500Patient information/locating: 416-813-6621Ontario Poison Centre: 416-813-5900Telehealth Ontario info line: 1-866-797-0000

Video from Sick Kids Hospital:

Resources/Agencies

Resources/Agencies

• Family Service Toronto is an agency that helps families and individuals with a wide variety of challenges. They assist families and individuals through counseling, advocacy, community development, and public education programs.

MISSION“Family Service Toronto

collaborates with individuals, families and communities to create lasting, measurable improvements in their health and well-being. We achieve this through counseling,

education, social action, advocacy, community development and

working with partners to advance a vibrant community services sector.”

(familyservicetoronto.org)

Resources/AgenciesFamily Service Toronto Cont’d…

Phone: 416-595-9618 ; Office 416-595-9230Web site: www.familyservicetoronto.orgAddress: 355 Church St, Toronto, ON, M5B 1Z8Hours: Mon-Fri 9 am-5 pm * evening appointments availableLanguages of service: Many Different Languages SpokenEligibility: Anyone living or working in City of Toronto, regardless of age, cultural background, race or sexual orientation, including children * particularly individuals and families with low incomes in needHow to apply: Call Service Access Unit 416-595-9618 to discuss available programs and arrange appointmentFees: Geared to income * some services free

Information taken directly from 211toronto.ca

*Free Walk-In Counseling Wednesdays 4-8 pm – First-come-first-served basis* (familyservicetoronto.org)

• “Childs Life – Finding Fun Close to Home” is a great website that can be used to find any events or activities for children going on around in your community. It is also a place to show you events or shows that are upcoming. (childslife.ca) This resource would be a great

way for Brittany to meet new friends and be social in the Toronto area.

http://childslife.ca/events/events_toronto.html

Website:

Resources/Agencies

Bibliography• Bullard, Julie. Creating environments for learning: birth to age eight. Upper Saddle River, N.J.: Merrill, 2010. Print.• "Bloom syndrome - Genetics Home Reference." Genetics Home Reference - Your guide to understanding genetic

conditions. N.p., n.d. Web. 2 Apr. 2013. <http://ghr.nlm.nih.gov/condition/bloom-syndrome>. (slide 3)• "Bloom Syndrome Symptoms, Diagnosis, Treatments and Causes - RightDiagnosis.com." Right Diagnosis. N.p., n.d.

Web. 2 Apr. 2013. <http://www.rightdiagnosis.com/b/bloom_s• "What is Bloom Syndrome?." wiseGEEK: clear answers for common questions. N.p., n.d. Web. 3 Apr. 2013.

<http://www.wisegeek.com/what-is-bloom-syndrome.htm>.• "Blooms Syndrome." 23andme. N.p., n.d. Web. 29 Mar. 2013. <https://www.23andme.com/health/Blooms-

Syndrome/>.• "Bloom Syndrome | Emedicinezone."emedicinezone.com. N.p., n.d. Web. 3 Apr. 2013.

<http://www.emedicinezone.com/pediatrics/bloom-syndrome>.• (Class Notes, Connectability Toy Workshop)• Class Notes, Connectability, Inclusion Workshop• "Bloom syndrome - Cream of the Crop."Cream Of The Crop - Natural Market, Juice Bar and Deli - Home Page. N.p.,

n.d. Web. 3 Apr. 2013. <http://www.creamofthecropnatural.com/ns/DisplayMonograph.asp?StoreID=bb0f665fa17a417c847258f7c5f34b81&DocID=allergy-bloomsyndrome>.

Bibliography Cont’d• Connectability, Toy Shop Workshop). • "Materials/Equipment List." Preschool Child Care Centres. N.p., n.d. Web. 29 Mar. 2013.

<http://www.gov.mb.ca/fs/childcare/pubs/• "ConnectABILITY | Resources for people with a developmental disability and their support networks." ConnectABILITY |

Resources for people with a developmental disability and their support networks. N.p., n.d. Web. 29 Mar. 2013. <http://connectability.ca/>.

• Kail, Robert V., and Theresa Zolner.Children: a chronological approach. 2nd Canadian ed. Toronto: Pearson Canada, 2005. Print.

• "Wordle - Create." Wordle - Beautiful Word Clouds. N.p., n.d. Web. 3 Apr. 2013. <http://www.wordle.net/create>.• Reading Package – ECEP 233. “Inclusion of Children with Special Needs” – Centennial College Early Childhood Education

2011• Class Notes – week 5. ECEP-233, “The Role of the Educator”• "211Toronto.ca - Organization or Program Information." 211Toronto.ca. N.p., n.d. Web. 4 Apr. 2013.

<http://www.211toronto.ca/Gatekeeper?WebAppId=fht&RequestedSubmitAction=Or• "Main Street : Toronto Public Library."Home : Toronto Public Library. N.p., n.d. Web. 4 Apr. 2013.

<http://www.torontopubliclibrary.ca/detail.jsp?Nr=p_cat_branch_name:Main%20Street>.• SickKidsFoundation. "SickKidsFoundation - YouTube." YouTube. N.p., n.d. Web. 4 Apr. 2013.

<http://www.youtube.com/user/SickKidsFo• "Family Service Toronto." Family Service Toronto. N.p., n.d. Web. 4 Apr. 2013. <http://www.familyservicetoronto.org/>.• "Child’s Life | York Region, Durham & Toronto Kids Guide - Markham, Richmond Hill, Durham, Stouffville, Toronto,

Vaughan." Markham, York Region, Durham Region | Kids Events, Kids Directory, Activities & Programs, Family Fun. N.p., n.d. Web. 4 Apr. 2013. <http://childslife.ca/about/about.html>.

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