Chapter 11 outline.docx - Team 1 Chapter 11 Outline I...

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Team 1 Chapter 11 Outline I. Special Topics in SLP: Camille Flint Work with several special populations Disabilities long lasting, but clients’ skills may improve over time Clients may need livelong services though Five special groups of children and adults o Cerebral palsy o Autism spectrum o Specific genetic syndromes o Intellectual disabilities o Various physical disabilities Need augmentative and alternative communication Cerebral Palsy Characterized by brain injury in early childhood , resulting in paralysis, and attending problems with physical growth, locomotion, communication, and potential sensory deficits Cerebral palsy = name for a group of neurological problems caused by the brain injury Diagnosed in childhood, often in first two years Origin can be prenatal or congenital It’s a chronic disease, not progressive Motor cortex, pyramidal, the extrapyramidal motor systems, and the cerebellum are main structures affected by CP The incidence of CP is 1-6 per 1000 births. In the U.S., at least 750,000 people live with the disease; and most are 21 years of age or younger Textbox 11.1 Marie Killilea wrote two popular books about a child with CP and her family The first book gives an account of the history of the rehabilitation of children with CP, written from the parent’s perspective The parents knew something was wrong, but didn’t get an answer from the pediatrician until the child was 1 years old because they pressured him into telling them The doctor told the parents that their child would never sit up, use their hands or walk. Admitted that he didn’t learn much in medical school They roamed from specialist to specialist and they all told them that their child was not going to be able to anything throughout their life Some Causes of Brain Injury Brain injury can be prenatal, perinatal, or postnatal
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Prenatal: infections woman suffers especially during the early period of pregnancy can damage brain o Rubella, mumps and influenza are a few o Mother’s anemia can cause fetal anoxia o Sick pregnant woman, exposed to too many x-rays, too much radiation, or large amounts of anesthesia may have a brain injured child o Accidents during pregnancy o Incidence due to car accidents have increased Perinatal: causes of brain injury include prolonged labor, breeched delivery, too fast of a delivery, and structural damage to the head by the use of forceps o Fetal brain hemorrhage eventually injures portions of the brain by the formation of blood clot that prevent the free flow of cerebral blood o Premature babies more likely than full-term babies Postnatal: causes are numerous o Auto accidents o Infections and diseases (mumps, measles, scarlet fever, whooping cough, meningitis, encephalitis [meningitis: disease of meninges; encephalitis: inflamed brain cells]) o Postnatal anoxia: baby does not breathe soon after birth o Vascular diseases that reduce the cerebral blood supply o Poisoning agents (lead/mercury)
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