Social Work Intervention - Case Study Example

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This paper under the title "Social Work Intervention" focuses on the treatment of paediatric cerebral palsy is an evolving and developing area. Although most forms of treatment have been in place for some time, existing methods are being modified and new methods introduced.  …
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Social Work Intervention
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Download file to see previous pages Treatment is examined from birth to early childhood, in both the general hospital and home care settings. This topic has been chosen because it clearly illustrates trends in the treatment of paediatric developmental delays and cerebral palsy, from a holistic perspective using the multidisciplinary healthcare team approach. A critique of the writer's practice is not included in this analysis, as the writer does not have a medical background.
"Cerebral palsy represents a broad range of static non-progressive motor disabilities that present from birth to early childhood, as a result of nervous system insults of congenital, hypoxic, ischemic, or traumatic origin. Motor involvement is always present, but additional neurological, sensory, and mental deficits often occur as well. The clinical manifestations vary depending on the nature and extent of the original injury. Characteristically, they are chronic throughout life and involve abnormalities in normal physical growth and mobility, as well as intellectual, social and emotional development" (Dzienkowski, et al. 1996: 45).
Increased understanding and awareness about cerebral palsy, have led to improved techniques for early identification and implementation of treatment. Apgar scores provide a method for documenting the newborn's cardiopulmonary and neuromotor status in the first minutes following birth. The scoring system is based on observations of colour, respiratory effort, heart rate, tone, and reflex activity. An exclusive test for the treatment of cerebral palsy, however, does not exist. Therefore diagnosis is generally based on a thorough history, physical examination, comprehensive neurologic assessment, and exclusion of differential diagnoses.
The child in the case study has low Apgar scores at birth and a diagnosis of cerebral palsy; subsequently developing significant developmental delay and health problems.
Scherzer (2001: 53) notes that clinical evidence consistently supports the case for very early initiation of assistance in daily management, and the provision of a treatment regime for infants with low Apgar scores. Although a diagnosis of cerebral palsy may not be apparent until between six and 12 months of age; if the child's developmental problems are confronted as they arise, larger gains are ultimately made. He goes on to state that the traditional, primary orthopaedic approach in cerebral palsy has now expanded to include multiple professionals who must deal with the array of needs of the child. Best results for the child in the case study can be achieved by taking full advantage of this multidisciplinary approach and by tailoring treatment to his/her unique situation. At the same time, choice of treatment needs to be goal-directed and take into account the stages of the child's physical, neurological, mental and emotional development.
A long-term multidisciplinary approach to treatment will assist the patient to achieve the three major goals of therapy, as outlined by Wong (1995: 1874): (1) improve motor function and ability; (2) develop effective compensatory strategies, and (3) maintain a maximum level of independence. The major components of holistic treatment include pharmacologic intervention, surgical intervention, therapy programs, and access to support services.    ...Download file to see next pagesRead More
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