healthcare

1. ECEP 233- 063
Sophia Adamaley
300781290
Inclusion
Lisa McCaie
March 18th 2015.

2. Case Study
Eight year old Brandon really enjoys sports.
However, having Sickle Cell Disorder makes
playing sports difficult. He misses a lot of
time from school and misses his friends a lot.
Brandon is very angry that he has Sickle Cell
and becomes frustrated with himself. His
mother is very worried that Brandon may be
developing Depression as well. Brandon pet
dong named Boo-Boo has recently dies after
10 years. Brandon and Boo- Boo were very
close and often comforted each other during
difficult days.

3. Needs of the child
 Brandon has Sickle Cell Disorder
 He misses time at school and misses his friends a lot.
 Brandon is very angry that he has Sickle Cells and also
becomes frustrated with himself.
 His Mother also worries that he might be developing
Depression as well because he lost his dog Boo-Boo
who was always comforting him during difficult days.

4. What is Sickle Cell
•Sickle Cell is an inherited blood
Disorder that affects Blood Cells.
•They have red blood cells that
contain hemoglobin.
•Sometimes the red blood cells have
difficulty passing through small
blood cells
•Under stress cells , cells assume
inverted C (Sickle ), rigid shape
• Blockage causes Excruciating pain.

5. What is Hemoglobin?
 Hemoglobin is the main substance of the red blood
cells.
 It also helps the red blood cell carry oxygen from the
air in our lungs to all parts of the body.
 Normal blood cells contain Hemoglobin A.
 They are normally round and could squeeze through
tiny blood tubes vessels.
 Hemoglobin S and Hemoglobin C are the abnormal
types of Hemoglobin. http://www.webmd.com/pain-
management/pain-management-sickle-
cell-disease?page=3

6. Understanding Sickle- Cell
 https://www.youtube.com/watch?v=R6arY7OtrcI
Video

7. Symptoms of Sickle- Cell
 Shortness of breath
 Dizziness
 Headaches
 Coldness in the hands and feet
 Paler than normal skin or mucous membranes (the
tissue that lines your nose, mouth, and other organs
and body cavities)
 Jaundice (a yellowish color of the skin or whites of the
eyes)
(http://www.nhlbi.nih.gov/health/health-topics/topics/sca/signs)

8. Factors that Causes Sickle- Cell
 Cold Weather
 Pregnancy
 Alcohol
 Extreme Physical exercise
 Acidosis
 Infection
 Dehydration
 Low oxygen tension
 Extreme Physical exercise
 Concomitant medical Condition (Diabetes mellitus, herpes
etc)
Firth PG, Head CA: Sickle Cell Disease and anesthesia.
Anesthesiology 2004;

9. Complications of Sickle Cells
 When blocking of blood
flow occur people suffering
from sickle cells develop
some early breaking apart
that includes strokes, the
eyes turns yellow, delayed
growth, bone damage,
early gallstones, pain in the
body so on and so forth.
http://www.sicklecelldisease.ca/resea
rch-and-testing/screening-
counselling/

10. Prevent this Complications
Taking Folic
Acids daily
https://sciencebasedpharmacy.files.
wordpress.com/2011/03/folic-
acid.jpg

11. Prevent this Complications
Staying hydrated by
drinking at least eight
glass of water a day…..
http://blog.paleohacks.com/wp-
content/uploads/2014/04/kid-drinking-
water.jpg

12. Prevent this Complications
Family Doctor:
Going for regular
check up.
http://images-2.domain.com.au/2012/09/05/3611062/dr-
baby-620x349.jpg

13. Preventing Complications
Sleep, sleep, sleep.
Getting plenty of
rest.
http://iahealth.net/wp-
content/uploads/2009/07/sleep-
1.bmp

14. Preventing Complications.
Avoid being stress.
http://vagusfitness.com/wp-
content/uploads/2014/07/stress3.jpg

15. Professional that work with
children with Sickle Cells.
http://cccclinic.ca/our-team/
Hematologist
Nurses
Social Service Workers
Special Doctor

16. Agencies and Resources
 Sickle Cell Association of Ontario
202-3199 Bathurst St.
Toronto, ON M6A 2B2
416-789-2855
sicklecell@look.ca
 http://www.sicklecelldisease.ca/
 https://charityvillage.com/directories/organizations-a-h/health-and-
diseases.aspx

17. Agencies and resources
 The Scarborough Hospital — General campus
3050 Lawrence Ave. E.
Scarborough, ON M1P 2V5
416-438-2911
 TAIBU Community Education Program
27, Tap scott Road, Unit 1
Scarborough ON, M1B 4Y7.
416 644 0364

18. Meeting the needs in a childcare
centre.
Early Childhood Educator
could organize simple sports
that Brayon could participate
in during sports time such as :
LIME AND SPOON

19. Meeting the needs in a childcare
centre
•Ensure adequate access to water
and hydration.
During sports time the Early
childhood Educator could have
bottles of water at the playground
for the children. She should also
make sure Brayon is staying
hydrated by drinking lots of water
during sports or play time.

20. Meeting the needs in a childcare
centre.
Allowing
frequent
Bathroom
breaks.
This will allow the
Baryon to rest in
between during
sports in order for
him now to get
tired.
http://images.latinpost.com/data/images/full/39
245/kids-resting-after-playing-baseball-in-
cuba.jpg?w=600

21. Meeting the needs in a child care
centre.
Allow accommodation during
Extreme temperatures and
conditions.

22. Meeting the needs in a child care
centre.
Early childhood educators
should beware of emotional
Behaviors .

23. Meeting the needs in a child care
centre.
Maintain Open Communication
with parents.
http://www.parentscountdownt
ocollegecoach.com/wp-
content/uploads/2013/10/Parent-
Conference-Pic.jpg

24. Meeting the needs in a child care
centre.
 Ece’s will make the parents sign a parental consult
form. This form will have the amount of dose the child
needs when taking their medication such as folic Acid,
iron meals.
http://stopitcyberbully.com/wp-content/uploads/2014/01/parent-
teacher-conf-image.jpg

25. Meeting the needs in a childcare
centre.
 The Early Childhood Educators should also make sure
it is the right medication for the children.
 The medication is not expired
 Note from the doctor
http://www.drugfree.org/wp-
content/uploads/2011/09/Doctor-writing-prescription-9-
15-11-21.jpg

26. Second issue about Brandon.
 His mother is very worried that Brandon may be
developing Depression as well. Brandon pet dong
named Boo-Boo has recently dies after 10 years.
Brandon and Boo- Boo were very close and often
comforted each other during difficult days.

27. Depression
 Sadness or downswings in mood are normal reactions
to life’s struggles, setbacks, and disappointments.
Many people use the word “depression” to explain
these kinds of feelings, but depression is much more
than just sadness.
 However, some depressed people don't feel sad at all—
they may feel lifeless, empty, and apathetic, or men in
particular may even feel angry, aggressive, and restless.

28. Signs and Symptoms of Depression
in children.
 Irritability or anger
 Continuous feelings of sadness and hopelessness
 Social withdrawal
 Difficulty concentrating
 Fatigue and low energy
 Reduced ability to function during events and
activities at home or with friends, in school,
extracurricular activities, and in other hobbies or
interests

29. Symptoms of depression ctd…
 Some children’s symptoms of depression comes in
different ways. Some children’s symptoms show in
social activities.
 They loss interest in school
 They performance in school start to change
 Some children over twelve start to use alcohol and
drugs.

30. Symptoms of Depression.
 Depression is common in boys under ten.
 Girls usually have greater incidence of depression at
the age of sixteen.

31. What courses depression in
Children?
 As in adults, depression in children can be caused by
any combination of factors that relate to physical
health, life events, family history, environment,
genetic vulnerability and biochemical disturbance.
Depression is not a passing mood, nor is it a condition
that will go away without proper treatment.

32. Can depression in children be
prevented?
 Children with a family history of depression are at
greater risk of experiencing depression themselves.
Children who have parents that suffer from depression
tend to develop their first episode of depression earlier
than children whose parents do not. Children from
chaotic or conflicted families, or children and teens
who abuse substances like alcohol and drugs, are also
at greater risk of depression.

33. How is depression diagnosed in a
child?
 If the symptoms of depression had lasted for two week
on your child you should book an appointment to see
the family doctor.
 Mental health professional who specialize in children
is also recommended. (this includes interview with the
child parents and the primary caregiver and the child.
 Information's from teachers, friends and classmates
are also important.
 Questionnaires from parents and child can be very
useful in helping diagnosing in children.

34. How is depression diagnosed in a
child.
 Sometimes the therapy sessions and questionaire help
uncover other concerns that contribute to depression
such as
 ADHA
 CONDUCT DISORDER
 OCD

35. Treatment options
 The best studies to date indicate that a combination of
psychotherapy and medication is most effective at
treating depression.
 Studies show that the antidepressant Prozac is
effective in treating depression in children and teens.
The drug is officially recognized by the FDA for
treatment of children ages 8 to 18 with depression.
Other medication may be chosen if there are other
coexisting illnesses contributing to the depression.

36. Depression in Children: Warning
Signs
 Many depressive symptoms (changes in eating, sleeping,
activities)
 Social isolation, including isolation from the family
 Talk of suicide, hopelessness, or helplessness
 Increased acting-out of undesirable behaviors
(sexual/behavioral)
 Increased risk-taking behaviors
 Frequent accidents
 Substance abuse
 Focus on morbid and negative themes
 Talk about death and dying
 Increased crying or reduced emotional expression
 Giving away possessions

37. Video on Depression
 http://www.howcast.com/videos/507744-How-Is-
Depression-Treated-in-Children-Child-Psychology

38. Professionals that work with
children with depression.
 Family members •
 Primary Care Physician
 Psychiatrist / Pediatrician
 Social Service and Health Professionals – Psychologists
 Social Workers
 Occupational Therapists
 Speech Therapists
 Physiotherapists,
 Teachers • Professionals with particular expertise in areas
that may be related to the child’s difficulties, such as
neurologists, specialists in hearing or sleep disorders,
http://www.kidsmentalhealth.ca/documents/EBP_Treating_Depression_Handbook.pdf

39. Agencies that support depression
for children.
 Centre for Addiction and Mental Health
The Centre for Addiction and Mental Health (CAMH) is
Canada's largest mental health and addiction teaching
hospital, as well as one of the world's leading research
centre's in the area of addiction and mental health.
 1001 Queen Street West
 Toronto, ON, M6J 1H4
 Phone416-535-8501 Toll Free1-800-463-6273
 All ages Languages English, French Fees None

40. Agencies and Resources.
 Emotions Anonymous
Emotions Anonymous is a 12-step self-help group for
anyone with emotional problems such as fear, anxiety, and
depression.
Address 75 Alford Crescent,
Toronto, ON, M1B 4E4
Phone 416 281 9364
Website :Serves All ages Languages EnglishFeesNone

41. Agencies and Resources
 Griffin Centre Mental Health Services
Serves vulnerable youth and adults with mental health
challenges and/or developmental disabilities and their
families.
24 Silver view Drive
Toronto (north York)
ON, M2M 2B3
Phone416-222-1153
Fax416-222-1321
Email contact@
griffin-centre.org

42. Agencies and Resources
 Gail Appel Institute
The Hincks-Dell crest Centre - Gail Appel Institute was
established to respond to the challenge of improved
mental health care for children, by providing advanced
training, research and community consultation in the area
of children's mental health.
Hincks-Dell crest Treatment Centre
Address114 Maitland St., Toronto, ON,
M4Y1E1 Phone416-972-1935 Website Serves

43. Agencies and Resources
 Scarborough Hospital
Scarborough Hospital provides various mental health
services to all ages. Various campuses, including 1) Main
Campus.
ON,CA Map Phone416-438-2911TTY Phone416-438-
5802Website
Serves All ages Languages EnglishFeesNone

44. Agencies and Resources
 St Joseph's Health Centre
30 The Queensway
Toronto, ON, M6R 1B5 Map
Phone416-530-6000 TTY
Phone416-5306820
Website Serves All ages Languages EnglishFeesNone

45. Agencies and Resources
 Toronto General Hospital
200 Elizabeth Street
Toronto, ON, M5G 2C4
Phone416-340-3111
Website Serves All ages Languages English, French Fees
None

46. Agencies and Resources
 Children's Mental Health Ontario
40 St. Clair Avenue East
Toronto, ON, M4T 1M9
Phone416-921-2109
Toll Free1-888-234-7054
Emailinfo@cmho.orgWebsite
Serves All ages Languages EnglishFeesNone

47. Agencies and Resources
 Canadian Mental Health Association, National
Office
National, charitable organization that promotes the
mental health of all and supports the resilience and
recovery of people experiencing mental illness.
Address151 Slater Street, Ottawa, ON, K1P
5H3 Phone613-745-7750WebsiteServesAll
agesLanguagesEnglish, FrenchFeesNone

48. Meeting the needs in a childcare
certain.
 Stages of grief
Early Childhood Educator could bring in books about
meets and books and grieving.
Children and Early childhood could talk about death with
the children during circle time.
http://www.sandyssandbox.net
/images/enjoy%20pics/group%
20circle%20time.JPG

49. Meeting the needs in a childcare
centre.
 Ask parents to have a memory book.
Ask parents to make a memory book with Brayon. This
this could involve picture of boo-boo and even pictures
of both of them together.
https://s-media-cache-
ak0.pinimg.com/236x/88/ec/e3/88ece3c0e23
4636992eb28ee88db0d78.jpg

50. Meeting the needs in childcare
centre.
 Funeral for the dog
Early Childhood educators could use friendly words to
explain how pets die.
Everyone will go to heaven one day Brandon. Its was
Boo-Boo turn to go to heaven. (lynn class notes, thrid
semester).
https://encrypted-
tbn0.gstatic.com/images?q=tbn:ANd9GcTq
PALgf7oMS8TzmfYHeDtCHOXaM-
mVNoOvATds1FTlFt6Idtsn

51. Meeting the needs in childcare
Centre.
 Help child write journals
Early Childhood Educator could help Brayon write
journals about his time with his pet Boo- boo.
http://cmukindergarten.webs.com/p
hoto%20jour.JPG

52. Meeting the needs in childcare
centre.
 The Early Childhood educator could ask Brayon
mother to bring his favorite blanket or favorite book to
the childcare centre.
http://i.ytimg.com/vi/8jPIbNwB0
_E/maxresdefault.jpg

53. Meeting the needs in childcare
centre.
 Early childhood educator should have a one on one
activity with the child. This will make the child feel
safe and welcomed in the classroom.
http://www.bls.gov/o
oh/images/2171.jpg

54. Meeting the needs in the childcare
centre.
 The early childhood educator could also bring in a
music therapist to childcare to help cheer up Brayon.
http://www.musictherapy.org
/assets/1/17/SlideShowDimen
sionMain/group_handperc.jp
g

55. References.
 https://www.youtube.com/watch?v=R6arY7OtrcI
 http://www.nhlbi.nih.gov/health/health-
topics/topics/sca/signs
 http://www.sicklecelldisease.ca/research-and-
testing/screening-counselling/
 https://sciencebasedpharmacy.files.wordpress.com/20
11/03/folic-acid.jpg

56. References
 http://blog.paleohacks.com/wp-content/uploads/2014/04/kid-
drinking-water.jpg
 http://images-2.domain.com.au/2012/09/05/3611062/dr-baby-
620x349.jpg

 http://iahealth.net/wp-content/uploads/2009/07/sleep-1.bmp
 http://vagusfitness.com/wp-
content/uploads/2014/07/stress3.jpg
 http://www.parentscountdowntocollegecoach.com/wp-
content/uploads/2013/10/Parent-Conference-Pic.jpg
 http://stopitcyberbully.com/wp-
content/uploads/2014/01/parent-teacher-conf-image.jpg
 http://www.drugfree.org/wp-content/uploads/2011/09/Doctor-
writing-prescription-9-15-11-21.jpg

57. References
 http://www.howcast.com/videos/507744-How-Is-
Depression-Treated-in-Children-Child-Psychology
 http://www.kidsmentalhealth.ca/documents/EBP_Treatin
g_Depression_Handbook.pdf
 http://www.sandyssandbox.net/images/enjoy%20pics/gro
up%20circle%20time.JPG
 https://s-media-cache-
ak0.pinimg.com/236x/88/ec/e3/88ece3c0e234636992eb28e
e88db0d78.jpg
 http://www.bls.gov/ooh/images/2171.jpg
 http://www.musictherapy.org/assets/1/17/SlideShowDimen
sionMain/group_handperc.jpg
 http://cmukindergarten.webs.com/photo%20jour.JPG

58. References
 https://encrypted-
tbn0.gstatic.com/images?q=tbn:ANd9GcTqPALgf7oM
S8TzmfYHeDtCHO
 http://upload.wikimedia.org/wikipedia/commons/a/a
c/Sickle_cell_01.jpg
 Sickle Cell : http://www.webmd.com/pain-
management/pain-management-sickle-cell-
disease?page=3