Tuesday, July 16, 2013

Early Intervention: The Assessment

Today Giovanni had his evaluation by the Early Intervention team. Present was our Service Coordinator, a Speech/Language Pathologist, and a Physical Therapist in addition to myself and my husband. The first 20 minutes or so was all about my pregnancy as well as the labor and delivery process. I had to fill them in on all the complications that I had during my pregnancy, his traumatic birth, and then all of the issues we had since his birth. I never realized how much has happened since he was born, but this served as a great reminder (note the sarcasm).

The next 40 minutes was devoted to the evaluation itself. They asked me a ton of questions about things he can/can't do. They also interacted with him using toys and also just observed him for a while. They kept telling me that he was such a bright boy. I couldn't have been more proud!

The next 30 minutes was going over the Individualized Family Service Plan (IFSP). Since his diagnosis automatically qualifies him for the program, we did not even need to discuss whether or not he was to receive services. The first thing that they did was to go over all of his scores on their evaluation.

  • Physical Development was assessed using the Peabody Development Motor Skills )PMDS-2). This evaluates both gross motor skills and fine motor skills. His Gross Motor Skill quotient was 98 and his Fine Motor Skill Quotient was 100, with a Total Quotient of 98. The average range for this is 90-110, so Giovanni scored smack dab in the middle of normal.
  • Communication Development was assessed using the Preschool Language Scale-5 (PLS-5). His score was a 92 and the average range is 85-115.
  • Cognitive Development was assessed using the Bayley Scales of Infant Development (BSID-III). He scored a 105 and the average range is 85-115.
  • Social Development and Adaptive Development was assessed using the DAYC. Giovanni scored 97 on the Social Development and 89 on the Adaptive Development tests with the normal range being 85-115.
The one area that they definitely saw an issue is the coordination within his motor skills. He is very rigid and spastic with his movements, with his reflexes being VERY pronounced. Again, we had the possible need for leg braces mentioned as he is a toe stander and his stance is a bit awkward. I know that some of this is normal, however, they said that the extent to which he does it is not. They also noticed that with his spasticity that he had some difficulty doing intricate movements with his hands, but this is not anything we didn't already know. Although they didn't observe it, his difficulty swallowing thinned liquids was also discussed in great detail.

It was decided that Giovanni is going to receive physical therapy weekly at our home. While they know that he is going to need a speech/language pathologist to work with him as well, they will not treat him until he has a video fluoroscopy to assess his swallowing. We will be calling his pediatrician tomorrow to get that scheduled as it has to be done down at the medical center.

Speaking of which...we got the call today to schedule his MRI...something I was hoping to hold off on until after his birthday. Unfortunately they could not do that, so his MRI is scheduled for August 14th. He will be put under general anesthesia and I am so nervous! The one good thing is that we may have some answers as they also moved our follow up with the neurologist to August 26th from the end of September. If anyone has any experience with a baby/toddler going under general for an MRI, I would be happy to hear from you! 

1 comment:

  1. Just wanted to say, I am praying for for you and your family and little G...I don't have any advice, as I have not walked through anything like this...But my thoughts and prayers are with you!