Highlights
Rebecca is a four-year-old child who is about to enrol in the pre-school room. She has a physical condition known as an ‘imperforate anus’. Imperforate anus is when there is no opening at the end of the digestive track where the anus normally is. This condition affects about 1 in every 5000 babies, and is a defect that occurs during the fifth to seventh weeks of fetal development. As a consequence, Rebecca experiences trouble with bowel control and continuously leaks fluid from her anus that can be quite strong smelling.
She has attended the service twice with her parents as part of the service’s orientation process and has spent time in the room with the other children. She has had bowel accidents on both occasions, which has been noticed and commented on by the other children. With one child saying ‘Does the smelly girl have to be in our room?’ This was asked in front of both Rebecca and her parents.
Complete the following:
Identify two strategies you would use with the children to promote understanding and acceptance of Rebecca and her medical condition?
Briefly describe three actions educators can take to help Rebecca manage her toileting needs in a way that both promotes her independence and also protects her self-esteem?
State how the Early Childhood Australia Code of Ethics relate and can be used to guide your interactions with this child?
Identify the policies and procedures, under the National Quality Framework, an education and care service must have in place that will help guide your actions in this situation.
Briefly explain how involving Rebecca’s parents in the management of her condition at the service will reduce their anxiety about leaving her in the mornings?
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