脑性麻痹痉挛课件.ppt

Serving Physical Handicapped Children Youth Barbara Chan Occupational Therapist I Prince of Wales Hospital Planned activity ...... The common types of disabilities Cerebral palsy (腦性麻痺/痙攣) Muscular dystrophy (肌肉營養不良/　　肌肉萎縮) Spina Bifida(脊柱裂) Brain injury(腦受損) Others: Hydrocephalus, epilepsy, brittle bone, congenital heart disease, tumor, burns, congenital abnormalities Guess ...... Guess ...... Clients Understand the common types of disability Accept and consider disability Understand abilities and disabilities Knowing how to communicate and play with them Major problems Impaired motor control In-coordination problems Tonal problems Joint contractures deformities Skeletal malformation Muscle weakness Associated problems Cognitive impairment Visual / auditory problems Oral motor dysfunction Communication problems (speech problems) Drooling Feeding problems Behavioral problems Strength Normal to moderate IQ Varied physical abilities Same as normal children Communication with Children Introduce yourself and give the reason for you are being there. Call the child by name when giving direction or interacting with the child. When meeting or interacting with the child, bend or stoop so that you are on eye level with the child. When speaking to a child, use words and tone of voice that will help the child feel confident and reassured. Communication with Children Listen to the child. Respect the child’s response and view. Observe the child carefully. Body language will tell you a lot about the child’s mood or fears. Always remember that the child may have misunderstanding or worries that you may not have thought about. Each child will be different with special interests, likes or dislikes. You will need to find out the child’s interest to help you communicate. The least lovable child needs the most love. Do ...... Give a child a choice when there is a choice. Allow child to be independent with minimal help. Give verbal encouragement and make sure he or she has o