Solutions For Parents

Let Me Introduce Myself

Let Me Introduce Myself Eva

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Eva 16 months, mother, grandmother

Home Visit - October 2007

Observation: Eva lives with her mother and grandmother in an apartment since they had a flood that ruined their own apartment; Grandmother and Mother told the observer the story of Eva’s destroyed immune system. They try to protect Eva from any germs and disinfect the home every few hours. Eva has a pleasant mood and smiles easily.

Mother was able to play the piano in order to show the observer how Eva’s love of music and her ability to respond to music is normal and how she tries so hard to do all she can for the child. Eva has a sense of rhythm and stands against the wall to show us how she can tap her hands against the wall and beat her hands to the music. Eva’s mother is a beautiful pianist.

Eva’s mother allowed the observer to assess her skills and abilities, given her physical problems and result of mother’s exhaustion with the serious medical situation. The observer notes that Eva’s low muscle tone, heavier weight and floppy posture make it more difficult to motivate her to play with toys and to engage with her mother in play. Eva’s poor balance makes it difficult to play on her own. She does not crawl but the observer encourages mother to teach Eva how to scoot on her bottom along the floor. With practice, she could manage that way effectively.

She does not have a schedule of daily exercises and she does not go out of the house. Her head and neck control are improved, according to Hesed’s social worker, Tatyana, who was also present at the home visit and feels very caring about Eva and her mother. Eva rolls from side to side only when the observer rocks her with a firm touch. Eva responds to singing but does not follow a red ball past the center of her body. Her hearing and vocalizations appear to be in normal range. Eva reaches to take objects but does not play. She cries when she is pulled to an upright position. Eva shows no energy or interest in faces or toys.

Eva’s motor development and fine muscle movements of the hands, mouth and eyes are at a three month functional level and there is a probability that the child has a form of cerebral palsy related to prenatal conditions or some inherited disability. At home, the observer recommends the family realize that Eva is in a state of depression and needs outside professionals to stimulate her ability to “wake up.” Eva’s alertness and responsiveness are at stake! A great deal of progress can be made if mother and grandmother cooperate fully.

  • Mother needs a schedule, so Eva can function in the areas of toilet training, play time, and social interaction.
  • It is vital that Eva receive massage at home and at school, so that she becomes aware of how to feel her body in space. Then she will start navigating on the floor trying to move on her own!
  • Her mother must be sure she is not confined to a crib or small space when she is awake.
  • She is ready to get up and get out of her static state!
    She needs room to play with objects and to be placed on the floor to strengthen her muscles and get moving.
  • Mother needs to spend time with Eva stimulating her arms, legs, and trunk and especially getting her head and neck up off the floor to look around and start to play.
  • Play, play, play!
  • She needs large objects to play with so that her body begins to works efficiently.
  • Eva needs daily opportunities to see and hear various sounds and see different spaces and places
  • Try to keep her less bundled up in clothes at home and at school when she is allowed to return. 

 

Thank you the observer will visit the family in April, 2008 when she returns.

Ask Dr. Susan