ECEP 233- 063

Sophia Adamaley

300781290

Inclusion

Lisa McCaie

March 18th 2015.

Case Study

Eight year old Brandon really enjoys sports.

However, having Sickle Cell Disorder makes

playing sports difficult. He misses a lot of

time from school and misses his friends a lot.

Brandon is very angry that he has Sickle Cell

and becomes frustrated with himself. His

mother is very worried that Brandon may be

developing Depression as well. Brandon pet

dong named Boo-Boo has recently dies after

10 years. Brandon and Boo- Boo were very

close and often comforted each other during

difficult days.

Needs of the child Brandon has Sickle Cell Disorder

He misses time at school and misses his friends a lot.

Brandon is very angry that he has Sickle Cells and also becomes frustrated with himself.

His Mother also worries that he might be developing Depression as well because he lost his dog Boo-Boo who was always comforting him during difficult days.

What is Sickle Cell

•Sickle Cell is an inherited blood Disorder that affects Blood Cells.•They have red blood cells that contain hemoglobin.•Sometimes the red blood cells have difficulty passing through small blood cells•Under stress cells , cells assume inverted C (Sickle ), rigid shape• Blockage causes Excruciating pain.

What is Hemoglobin? Hemoglobin is the main substance of the red blood

cells.

It also helps the red blood cell carry oxygen from the air in our lungs to all parts of the body.

Normal blood cells contain Hemoglobin A.

They are normally round and could squeeze through tiny blood tubes vessels.

Hemoglobin S and Hemoglobin C are the abnormal types of Hemoglobin. http://www.webmd.com/pain-

management/pain-management-sickle-cell-disease?page=3

Understanding Sickle- Cell

https://www.youtube.com/watch?v=R6arY7OtrcI

Video

Symptoms of Sickle- Cell Shortness of breath

Dizziness

Headaches

Coldness in the hands and feet

Paler than normal skin or mucous membranes (the tissue that lines your nose, mouth, and other organs and body cavities)

Jaundice (a yellowish color of the skin or whites of the eyes)

(http://www.nhlbi.nih.gov/health/health-topics/topics/sca/signs)

Factors that Causes Sickle- Cell Cold Weather Pregnancy Alcohol Extreme Physical exercise Acidosis Infection Dehydration Low oxygen tension Extreme Physical exercise Concomitant medical Condition (Diabetes mellitus, herpes

etc)Firth PG, Head CA: Sickle Cell Disease and anesthesia.

Anesthesiology 2004;

Complications of Sickle Cells When blocking of blood

flow occur people suffering from sickle cells develop some early breaking apart that includes strokes, the eyes turns yellow, delayed growth, bone damage, early gallstones, pain in the body so on and so forth.

http://www.sicklecelldisease.ca/research-and-testing/screening-

counselling/

Prevent this Complications

Taking Folic Acids daily

https://sciencebasedpharmacy.files.wordpress.com/2011/03/folic-

acid.jpg

Prevent this Complications

Staying hydrated by drinking at least eight glass of water a day…..

http://blog.paleohacks.com/wp-content/uploads/2014/04/kid-drinking-

water.jpg

Prevent this Complications

Family Doctor: Going for regular

check up.

http://images-2.domain.com.au/2012/09/05/3611062/dr-baby-620x349.jpg

Preventing Complications

Sleep, sleep, sleep. Getting plenty of

rest.

http://iahealth.net/wp-content/uploads/2009/07/sleep-

1.bmp

Preventing Complications.

Avoid being stress.

http://vagusfitness.com/wp-content/uploads/2014/07/stress3.jpg

Professional that work with children with Sickle Cells.

http://cccclinic.ca/our-team/

Hematologist Nurses

Social Service WorkersSpecial Doctor

Agencies and Resources

Sickle Cell Association of Ontario202-3199 Bathurst St.Toronto, ON M6A 2B2416-789-2855sicklecell@look.ca

http://www.sicklecelldisease.ca/ https://charityvillage.com/directories/organizations-a-h/health-and-

diseases.aspx

Agencies and resources The Scarborough Hospital — General campus

3050 Lawrence Ave. E.Scarborough, ON M1P 2V5416-438-2911

TAIBU Community Education Program

27, Tap scott Road, Unit 1

Scarborough ON, M1B 4Y7.

416 644 0364

Meeting the needs in a childcare centre.

Early Childhood Educator could organize simple sports that Brayon could participate in during sports time such as :

LIME AND SPOON

Meeting the needs in a childcare centre

•Ensure adequate access to water and hydration.

During sports time the Early childhood Educator could have bottles of water at the playground for the children. She should also make sure Brayon is staying hydrated by drinking lots of water during sports or play time.

Meeting the needs in a childcare centre.

Allowing frequent

Bathroom breaks.

This will allow the Baryon to rest in between during

sports in order for him now to get

tired.

http://images.latinpost.com/data/images/full/39245/kids-resting-after-playing-baseball-in-

cuba.jpg?w=600

Meeting the needs in a child care centre.

Allow accommodation during Extreme temperatures and

conditions.

Meeting the needs in a child care centre.

Early childhood educators should beware of emotional

Behaviors .

Meeting the needs in a child care centre.

Maintain Open Communication with parents.

http://www.parentscountdowntocollegecoach.com/wp-

content/uploads/2013/10/Parent-Conference-Pic.jpg

Meeting the needs in a child care centre. Ece’s will make the parents sign a parental consult

form. This form will have the amount of dose the child needs when taking their medication such as folic Acid, iron meals.

http://stopitcyberbully.com/wp-content/uploads/2014/01/parent-teacher-conf-image.jpg

Meeting the needs in a childcare centre. The Early Childhood Educators should also make sure

it is the right medication for the children.

The medication is not expired

Note from the doctor

http://www.drugfree.org/wp-content/uploads/2011/09/Doctor-writing-prescription-9-

15-11-21.jpg

Second issue about Brandon. His mother is very worried that Brandon may be

developing Depression as well. Brandon pet dong

named Boo-Boo has recently dies after 10 years.

Brandon and Boo- Boo were very close and often

comforted each other during difficult days.

Depression Sadness or downswings in mood are normal reactions

to life’s struggles, setbacks, and disappointments. Many people use the word “depression” to explain these kinds of feelings, but depression is much more than just sadness.

However, some depressed people don't feel sad at all—they may feel lifeless, empty, and apathetic, or men in particular may even feel angry, aggressive, and restless.

Signs and Symptoms of Depression in children.

Irritability or anger

Continuous feelings of sadness and hopelessness

Social withdrawal

Difficulty concentrating

Fatigue and low energy

Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests

Symptoms of depression ctd… Some children’s symptoms of depression comes in

different ways. Some children’s symptoms show in social activities.

They loss interest in school

They performance in school start to change

Some children over twelve start to use alcohol and drugs.

Symptoms of Depression. Depression is common in boys under ten.

Girls usually have greater incidence of depression at the age of sixteen.

What courses depression in Children? As in adults, depression in children can be caused by

any combination of factors that relate to physical health, life events, family history, environment, genetic vulnerability and biochemical disturbance. Depression is not a passing mood, nor is it a condition that will go away without proper treatment.

Can depression in children be prevented? Children with a family history of depression are at

greater risk of experiencing depression themselves. Children who have parents that suffer from depression tend to develop their first episode of depression earlier than children whose parents do not. Children from chaotic or conflicted families, or children and teens who abuse substances like alcohol and drugs, are also at greater risk of depression.

How is depression diagnosed in a child?

If the symptoms of depression had lasted for two week on your child you should book an appointment to see the family doctor.

Mental health professional who specialize in children is also recommended. (this includes interview with the child parents and the primary caregiver and the child.

Information's from teachers, friends and classmates are also important.

Questionnaires from parents and child can be very useful in helping diagnosing in children.

How is depression diagnosed in a child. Sometimes the therapy sessions and questionaire help

uncover other concerns that contribute to depression such as

ADHA

CONDUCT DISORDER

OCD

Treatment options The best studies to date indicate that a combination of

psychotherapy and medication is most effective at treating depression.

Studies show that the antidepressant Prozac is effective in treating depression in children and teens. The drug is officially recognized by the FDA for treatment of children ages 8 to 18 with depression. Other medication may be chosen if there are other coexisting illnesses contributing to the depression.

Depression in Children: Warning Signs

Many depressive symptoms (changes in eating, sleeping, activities)

Social isolation, including isolation from the family Talk of suicide, hopelessness, or helplessness Increased acting-out of undesirable behaviors

(sexual/behavioral) Increased risk-taking behaviors Frequent accidents Substance abuse Focus on morbid and negative themes Talk about death and dying Increased crying or reduced emotional expression Giving away possessions

Video on Depression

http://www.howcast.com/videos/507744-How-Is-Depression-Treated-in-Children-Child-Psychology

Professionals that work with children with depression. Family members •

Primary Care Physician

Psychiatrist / Pediatrician

Social Service and Health Professionals – Psychologists

Social Workers

Occupational Therapists

Speech Therapists

Physiotherapists,

Teachers • Professionals with particular expertise in areas that may be related to the child’s difficulties, such as neurologists, specialists in hearing or sleep disorders,

http://www.kidsmentalhealth.ca/documents/EBP_Treating_Depression_Handbook.pdf

Agencies that support depression for children. Centre for Addiction and Mental Health

The Centre for Addiction and Mental Health (CAMH) is

Canada's largest mental health and addiction teaching

hospital, as well as one of the world's leading research

centre's in the area of addiction and mental health.

1001 Queen Street West

Toronto, ON, M6J 1H4

Phone416-535-8501 Toll Free1-800-463-6273

All ages Languages English, French Fees None

Agencies and Resources. Emotions Anonymous

Emotions Anonymous is a 12-step self-help group for

anyone with emotional problems such as fear, anxiety, and

depression.

Address 75 Alford Crescent,

Toronto, ON, M1B 4E4

Phone 416 281 9364

Website :Serves All ages Languages EnglishFeesNone

Agencies and Resources Griffin Centre Mental Health Services

Serves vulnerable youth and adults with mental health challenges and/or developmental disabilities and their families.

24 Silver view Drive

Toronto (north York)

ON, M2M 2B3

Phone416-222-1153

Fax416-222-1321

Email contact@griffin-centre.org

Agencies and Resources Gail Appel Institute

The Hincks-Dell crest Centre - Gail Appel Institute was

established to respond to the challenge of improved

mental health care for children, by providing advanced

training, research and community consultation in the area

of children's mental health.

Hincks-Dell crest Treatment Centre

Address114 Maitland St., Toronto, ON,

M4Y1E1 Phone416-972-1935 Website Serves

Agencies and Resources Scarborough Hospital

Scarborough Hospital provides various mental health

services to all ages. Various campuses, including 1) Main

Campus.

ON,CA Map Phone416-438-2911TTY Phone416-438-

5802Website

Serves All ages Languages EnglishFeesNone

Agencies and Resources St Joseph's Health Centre

30 The Queensway

Toronto, ON, M6R 1B5 Map

Phone416-530-6000 TTY

Phone416-5306820

Website Serves All ages Languages EnglishFeesNone

Agencies and Resources Toronto General Hospital

200 Elizabeth Street

Toronto, ON, M5G 2C4

Phone416-340-3111

Website Serves All ages Languages English, French Fees

None

Agencies and Resources Children's Mental Health Ontario

40 St. Clair Avenue East

Toronto, ON, M4T 1M9

Phone416-921-2109

Toll Free1-888-234-7054

Emailinfo@cmho.orgWebsite

Serves All ages Languages EnglishFeesNone

Agencies and Resources Canadian Mental Health Association, National

Office

National, charitable organization that promotes the mental health of all and supports the resilience and recovery of people experiencing mental illness.

Address151 Slater Street, Ottawa, ON, K1P 5H3 Phone613-745-7750WebsiteServesAll agesLanguagesEnglish, FrenchFeesNone

Meeting the needs in a childcare certain. Stages of grief

Early Childhood Educator could bring in books about meets and books and grieving.

Children and Early childhood could talk about death with the children during circle time.

http://www.sandyssandbox.net/images/enjoy%20pics/group%

20circle%20time.JPG

Meeting the needs in a childcare centre. Ask parents to have a memory book.

Ask parents to make a memory book with Brayon. This this could involve picture of boo-boo and even pictures of both of them together.

https://s-media-cache-ak0.pinimg.com/236x/88/ec/e3/88ece3c0e23

4636992eb28ee88db0d78.jpg

Meeting the needs in childcare centre. Funeral for the dog

Early Childhood educators could use friendly words to explain how pets die.

Everyone will go to heaven one day Brandon. Its was Boo-Boo turn to go to heaven. (lynn class notes, thridsemester).

https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcTq

PALgf7oMS8TzmfYHeDtCHOXaM-mVNoOvATds1FTlFt6Idtsn

Meeting the needs in childcare Centre. Help child write journals

Early Childhood Educator could help Brayon write journals about his time with his pet Boo- boo.

http://cmukindergarten.webs.com/photo%20jour.JPG

Meeting the needs in childcare centre. The Early Childhood educator could ask Brayon

mother to bring his favorite blanket or favorite book to the childcare centre.

http://i.ytimg.com/vi/8jPIbNwB0_E/maxresdefault.jpg

Meeting the needs in childcare centre. Early childhood educator should have a one on one

activity with the child. This will make the child feel safe and welcomed in the classroom.

http://www.bls.gov/ooh/images/2171.jpg

Meeting the needs in the childcare centre. The early childhood educator could also bring in a

music therapist to childcare to help cheer up Brayon.

http://www.musictherapy.org/assets/1/17/SlideShowDimensionMain/group_handperc.jp

g

References. https://www.youtube.com/watch?v=R6arY7OtrcI

http://www.nhlbi.nih.gov/health/health-topics/topics/sca/signs

http://www.sicklecelldisease.ca/research-and-testing/screening-counselling/

https://sciencebasedpharmacy.files.wordpress.com/2011/03/folic-acid.jpg

References http://blog.paleohacks.com/wp-content/uploads/2014/04/kid-

drinking-water.jpg http://images-2.domain.com.au/2012/09/05/3611062/dr-baby-

620x349.jpg

http://iahealth.net/wp-content/uploads/2009/07/sleep-1.bmp http://vagusfitness.com/wp-

content/uploads/2014/07/stress3.jpg http://www.parentscountdowntocollegecoach.com/wp-

content/uploads/2013/10/Parent-Conference-Pic.jpg http://stopitcyberbully.com/wp-

content/uploads/2014/01/parent-teacher-conf-image.jpg http://www.drugfree.org/wp-content/uploads/2011/09/Doctor-

writing-prescription-9-15-11-21.jpg

References http://www.howcast.com/videos/507744-How-Is-

Depression-Treated-in-Children-Child-Psychology http://www.kidsmentalhealth.ca/documents/EBP_Treatin

g_Depression_Handbook.pdf http://www.sandyssandbox.net/images/enjoy%20pics/gro

up%20circle%20time.JPG https://s-media-cache-

ak0.pinimg.com/236x/88/ec/e3/88ece3c0e234636992eb28ee88db0d78.jpg

http://www.bls.gov/ooh/images/2171.jpg http://www.musictherapy.org/assets/1/17/SlideShowDimen

sionMain/group_handperc.jpg http://cmukindergarten.webs.com/photo%20jour.JPG

References https://encrypted-

tbn0.gstatic.com/images?q=tbn:ANd9GcTqPALgf7oMS8TzmfYHeDtCHO

http://upload.wikimedia.org/wikipedia/commons/a/ac/Sickle_cell_01.jpg

Sickle Cell : http://www.webmd.com/pain-management/pain-management-sickle-cell-disease?page=3