Child Care - Stephen’s Story - Reflection on Mrs Marko’s Experience - Case Study Assignment Help

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Child Care Case Study Assignment Help

Case Study: Stephen’s story Stephen Marko is now 3 years old and is an only child. He was born in a family who migrated to Australia a few years before his birth and both parents were in professional positions. When his mother was pregnant with him she intended to return to work but has so far been unable to do so because of the demands of his care. As a consequence, his father now works long hours and is clearly uncomfortable managing Stephen’s care and behaviour. Mrs Marko’s mother also lives in Australia but there are no other family here.  Mrs Marko has enrolled him in your early childhood programme because she wants him to be around his peer group and she would like some relief from his care. He is enrolled 3 days a week and attends for a full day each of these days. Mrs Marko initially came with him as he transitioned into your service and was able to demonstrate the use of his medication and how to manage his care. Stephen is now 3 and has recently been diagnosed as having autism. He exhibits the classic signs of autism; he demonstrates little or no social interaction and does not establish eye contact. He will imitate sounds and actions. He engages in repetitive behaviour and will flip his hands for several hours on end. When he is asked to imitate sounds or actions he will often do so for a sustained period of time. The more stressed he is, the more he engages in repetitive actions. He experienced multiple seizures as a child and these are now relatively under control with medication. Stress, tiredness and changes in routine (which stress him) are likely to result in seizures. Seizures must be closely monitored, and any that extend beyond 60 seconds, or any sequence of seizures (when he comes out of one and goes straight into another) require the administration of medication which has been provided by his parents. If this medication does not stop the seizures he must be immediately taken to hospital.  Stephen is provided with nappies and neither his bowel or bladder movements have any predictable routine.   Stephen struggles with noise and changes in routine – he benefits from predictability in both these elements. He will independently follow group routines when these are predictable and unchanging – for example he will wash his hands and sit at the table for lunch where he finger feeds independently and drinks from a cup, holding it with 2 hands. However should a different child sit next to him, or lunch consist of something other than finger food, he will get upset, engage in extensive hand flapping and need individual attention in order to eat sufficient food. Should his distress be unresolved over a period of time he may have a seizure. Stephen holds a paint brush or pencil in his right hand and will make detailed scribbles on paper – he draws circles which join over and over on the page, generally in one colour. He does not appear to have a colour preference, he uses whichever pencil he picks up first. He does not like to change once he has a pencil or brush in his hand. He generally ignores any request to swap pencils or share with another child. He will often continue to make circles on his paper until the pencil tears through the page, going over and over the same lines. Stephen completes the most complicated jigsaw puzzles you have in your room and does these relatively quickly. He will complete a puzzle, tip the pieces out and complete again, over and over again. When he is left alone he can sit in the puzzle area with one puzzle for over an hour.  He builds block towers as high as himself. He tends not to engage in block play very often, perhaps because there are always other children in this area and his buildings tend to get knocked down because of the activity going on around him. He finds this very stressful. During outdoor playtime, when left to choose,  Stephen will often position himself facing the fence with his back to the children and their activity, and minutely inspect the ground around him. He will pick up a leaf, a clump of soil or a stone and twiddle this in his fingers for a considerable period of time. He gets upset if children come near but seems to be able to shut out their noise and activity if they maintain a small distance from him. He can be encouraged into the sandpit area where he moves sand around with his hands but this area is difficult for him as it is usually very busy and noisy. Stephen will climb the slide by holding on tight and moving his right foot up first, bringing the left onto the same step, then moving his right foot up to the next step. He manages steps in the same way – leading with his right foot then bringing the left together before stepping again with his right. He runs with a slight lurch and is not always able to avoid things that get in his way. On rare occasions he will join in group movement activities such as dancing – when he dances he tends to bop up and down without taking his feet from the ground. He will wave his arms wildly to the detriment of any children who are nearby. Stephen will repeat words but does not initiate an interaction with words. In a one-on-one situation he will point to a range of objects and pictures and he can follow simple one-step instructions. He recognises his name when it is used to label his drawings and possessions. Task: View the video “Watching Like the Moon” a play by Barbara Albury. (This is available in the link below called "Favourite Shorts Cut-Watching Like the Moon Page "). Please note in the dramatisation of this play the two actors play a variety of roles - Barbara plays mother, Mami, child, friend, Gym teacher, Nurse. Alan plays Counsellor, Psychologist/Case Worker, Father, Doctor. This play is about a real family and real experiences and is made available to you with permission of Barbara, the author of the play. The appropriate reference to use for the video is: Albury, B (2012) Watching like the Moon. Video of performance in Favourite Shorts, Armidale's Festival of short Plays. 24 August - 1 September. Director Jan Wyles. Performers:  B Albury and A Wilkinson Task 2: Write 600 words addressing the following questions, using references to support your argument where appropriate:
  • What did you understand from the video to be the main elements in Mrs Marko’s experience of parenting?
  • Discuss the similarities and differences between what you have seen in the video and the material presented in the readings and literature in general about parenting children who have different needs.
Present in your assignment using the Headings as follows:  TASK 2
  • My reflection on Mrs Marko’s experience
  • Links to literature
Task 3: Read through the attached information about Stephen (see the file below called "Stephen's story." Imagine it is his mother you have watched on the video and that we are dealing with a context where Stephen is about 3 years old – ie that we are dealing with him and his family as they were about midway through the video (ie not at the end where Mrs Marko is talking about him moving into a residential facility). Task 4:  List and explanation of those involved in the IFSP process
  • List, using references to support your argument where necessary, the relevant team of people who would work on developing an IFSP for Stephen and explain why each should be involved. (300 words)
  • Present in your assignment using the Heading as follows:
Task 5: Strengths/Interest Profile for Stephen
  • Develop a strengths/interests profile for Stephen (no identified word limit)
  • Present in your assignment using the Headings as follows:
Task 6: Rights Statement for Stephen Develop a Rights Statement for Stephen using the following format (no identified word limit). Assume that Stephen is attending a regular child care centre so the educators are regular early chidlhood educators. Present in your assignment using the Headings as follows: Task 7: Based on your Rights Statement identify what you think is the most important Recommendation for Planning to address Task 8:  Planning table for Stephen Present your chosen Recommendation for Planning, 2 associated Actions and 2 strategies per action in the following table (no identified word limit): Task 9: Explanation of planning In 600 words explain why you have chosen the Recommendation, Actions and Strategies you have. This explanation needs to incorporate references to theory as well as provide sufficient practical information to justify your choices. Make sure you identify who in the IFSP team is responsible for each strategy and why. Present in your assignment using the Heading as follows: Task 10: Reference List
  • Develop your Reference List (no identified word limit)
  • Present in your assignment using the Headings as follows:
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