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Sunday, September 12, 2021

LESSON 3;UNIT-1; DMLD

      TEXT UNIT 1

A GENERAL OUTLOOK ON DMLD COURSE

 (CLICK HERE FOR QUESTIONS MCQ-1)

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ANSWERS TO  MCQ-1 ; UNIT - 1  ; DMLD

(1). canonical ;  (2). 50 ;  (3). 4 ;  (4) .50 ;  (5). 16-17; (6) .Erikson ; (7). First ; (8).4 ;  (9). 20 ; (10) .9

MCQ -2;UNIT 1,DMLD

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Notes- 11/09/2021 : click here for a  VIDEO

PREVIOUS CLASS notes

31 /07/2021 DMLD MODULE 1 VIDEO

15/08/2021  MY NOTES (video not available till now)

FINAL PART OF CHAPTER 1 : TEXT 1.7 TO THE END

1.7 Trivandrum Development Screening Chart for Children Aged 0-3 Year 

1.8. Developmental milestones and delays

1.8.1. Mile stone check lists 

 1.8.2. Assessment of Growth and Development 

1.8.3. Average growth measurements of normal children.

 1.8.4. Length/ Height Growth Pattern

 1.8.5. Measuring the mid upper arm circumference (MUAC) 

1.8.6. Mid Upper Arm Circumference Growth Pattern

 1.8.7. Growth Monitoring 

1.8.8. Weight Growth Pattern 

1.8.9. Importance of Growth Monitoring: 

1.8.10. Assessment of development 


MY NOTES

TEXT 1.7 Trivandrum Developmental Screening Chart (TDSC)6 

* designed and developed the Child Development Centre, SAT Hospital, Medical College, Trivandrum. 

* helps as a simple tool for the early detection of development delay and to start intervention program to prevent onward progression to disability. 

#This can be easily understood by the community health worker, parents and should cover all developmental domains. 

1.8 Developmental milestones and delays

. Assessment of Growth and Development

 weight,  height,  head circumference,  mid upper arm circumference (MUAC) and the  eruption of teeth

# use reliable equipment # use correct measurement techniques

infants weighed using beam balance or spring balance

# should have an idea about small weights and measures. ( Eg: - what is the average weight of an egg/ lemon ? Practise weighing kitchen items using spring balances.

# check the difference in the reading of the balances for small changes in weights (using known weights )

# remove wet / heavy clothes/ napkins etc..,

Average growth measurements of normal children.

Try to keep these data by heart.( refer charts given in the text )

Eg: By birth - a child average minimum weight 2.5 kg , length - 50 cm

The formula for average weight of a child above 4 years- ( age + 3) x 2.2 kg

growth monitoring  to be done weekly / monthly / bi monthly

Measuring the length of a child 

We don't use the term height for children. we measure their length by sliding scales.

occiput( word used in the chart)-ഓക്‌സിപ്പ റ്റ് - തലയുടെ പിൻഭാഗം 

Measuring the Head Circumference

Head Circumference Growth Pattern

Length/ Height Growth Pattern

term baby- full term baby, motherr having completed 39 weeks of pregnancy( more ideas early term baby/ late term baby - given  in the text )

mastoid process-ചെവിയുടെ പിന്നിലുള്ള ഭാഗം 


Measuring the mid upper arm circumference (MUAC) 

------measured using a tape or string in the absence of a tape.

.... Mid Upper Arm Circumference Growth Pattern 

...Growth Monitoring

... Weight Growth Pattern

......Combined Height and weight chart of WHO :  REFER THE TEXT






printed chart of percentiles

The meaning of percentile-  

Eg - 5th percentile

ആകെയുള്ള 100 ൽ ഏറ്റവും താഴെയുള്ള 5 കുട്ടികളുടെ data

...Interpretation of the growth curve

normal should be parallel to the curve in the printed chart.

. Importance of Growth Monitoring:

 Health workers and parents should monitor the growth of children for the following reasons  For early detection of abnormal growth and development

  To facilitate the early treatment or correction of any conditions that may be causing abnormal growth and development.

  To provide an opportunity for giving health education and advice for the prevention of malnutrition.


Assessment of development

 Developmental assessment is the process of mapping a child’s performance compared with children of similar age. The comparison group is obtained from a representative sample of the population that the child comes from. 

Screening of children

involves examination of all aspects of development,

 including 

#social/emotional behavior, 

#vision and hearing, 

#motor skills and coordination,

 #cognitive abilities, 

 #language and speech. 


free   Milestone Tracker   app 

developed by Centre for disease control and prevention (CDC) U.S

#WEB MD 

#sample ‘developmental milestones chart’of children from early childhood to adolescence at:http://www.rsd.k12.pa.us/Downloads/Development_Chart_for_Booklet.pdf

# Activity1.4. 

Collect different developmental / milestone checklists for Indian children and compare them to know the areas included in them.8,9,10. Compare with the Milestone Tracker app also

SUMMARY

In human growth and development, heredity and environment plays important roles.

# If the environment is suitable, the development will reach to the maximum extent which is determined by the heredity.

# There are different aspects of development like physical development, motor development, language and speech development, emotional development, social development and cognitive or intellectual development. 

#Suitable tools and check lists are available to monitor the growth and find out if there is any delay or disorder happens.

ASSIGNMENTS

# will be given in the next class... there will be 3 assignments....

#assigmments must be written by hand on lined papers.

# average  400 words ...minimum 4/5 pages.....

.....practical and internship BY SMALL  GROUPS based on the first unit will commence from OCTOBER


UNIT END QUESTIONS DISCUSSED

Instructions given

# WRITE ANSWERS TO THE UNIT END QUESTIONS AND PRACTISE

# MUST LEARN MILESTONE DEVPT DATA BYHEART

# PRACTISE MULTIPLE CHOICE QUESTIONS (MCQ) AS FAR AS POSSIBLE

.....

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