Name: Fiona Abuyen
Age: 5yrs old
Gender: female
Birthday: Feb 13.2006
Birthplace: Caloocan
Ordinal position: 3rd
Siblings: Four (4)
Father’s name: Felix Abuyen
Mother’s name: Joan Abuyen
Educational attainment: N/A
Sec B. Joining Process
My client child is my neighbor daughter. They live two street from our house. She is my god children. The client child referred to me by my tita
Sec. C Presenting Problem
As i conducted this observation, according to the mother she has a speech disorder at age of 5,
She can’t able to say word clearly and construct their own sentence approximate 8 to 10 words as a normal age of 5
d.
d1. Psychosocial history
According to her mother and siblings the client child experience those event, when 3 yrs old they are going to pangasinan (april 2009) to have a family reunion together with their relatives.
But suddenly when the age of 4 yrs old two family members was dead. The 1st one his grandfather die then the following month his uncle die too
d2.genogram
According to the observation ,among the four sibling, the client child is not close to her mother and father, because according to her mother they both working when they born the client child, so probably they have no time to teach and guide the client child but you notice among the three siblings, Ivan the eldest are close both to their parents while Jason are close to her mother but not to his father and also the youngest are same.
d3.community
In this graph, only two playmates choose the client child to become their playmates, while John royce get four points want to be their playmates or likes and the other playmates, Carla,ivan,camaro and brix to get a three points from their payments.
D4. Self mastery
Based on the gathered information regarding with the client child relationship to the family is not very close unlike to the other siblings because according to the mother, the client child strength are good listener and good in puzzle and drawing.
D5. Relationship:
Based on the sociogram the client child have no quality relationship with the people in the community, because most of her playmates didn’t choose her as one of their life and also in the family, the client child is not close to the family members.
D6. Action
Based on the information, given by the skills parents they mentioned some skills that the client can performed, specially in language and psychomot6or skills. Since the client has speech disorder, there’s a limitations with regards to her pronunciation of the words. The client can speak but not fluently, theirs is a stuttering and there’s an instance that her words are mispronounced.
In terms of psychomotor skills, the client can performed well. The client can write her whole name, ever if it is not clear, the client was able to respond with the music, by means of moving her hands and feet. She can do a little task given by the mother such as washing the dishes, sweeping the floor and taking care of her younger sister.
E6. Theoretical framework:
Speech impairment or disorder is the one by Van Riper 1984 which states that speech is abnormal when it deviates so far from the speech of other people that it calls attention to itself interferes with communication or causes by the speaker or her listener to feel the distressed.
Perkins 1997 defines speech impairment an unintelligible abuses the speech mechanism or culturally or personally unsatisfactory.
There are speech related problem the cause inflective communication like problems in voice, articulation, and fluency.
Voice disorders are deviations in phonation such as in pitch (too high or too low), frequency (too loud or too soft) and quality (pleasant or irritating to the ear.
Articulation disorders are errors in the formation of speech sounds, there are four basic errors of articulation: omission(see for seen) substitution(wip for lip), distortion(talt for salt) and addition of extra sounds (buhrown for brown).
Fluency disorders interrupt the natural, smooth flow of speech with inappropriate possess, hesitations, or repetitions. Ex. Of fluency disorders are Cluttering and shuttering.
Cognitive development of Piagets
Stage 2. Pro-operational Stage. The preoperational stage covers from about two to seven years old, roughly or corresponding to the preschool years. At this stage, the child can now make mental representation and is able to pretend, the child is now ever closer to the use of symbols.
Symbolic Functions this is the ability to represent objects and events. A symbol is a thing that represents something else, a drawing a written word, or a spoken word.
Centration refer to the tendency of the child to only focus on one aspects of a thing or event and exclude other aspects.
Explanation:
According to her mother, the client child are engaged in doing that related in making symbols, puzzle and drawing and sometimes. The client child is focus only in one thing centration but she do it by himself or alone.
F. Prognosis
I am talking to Mrs: Abuyen when someone get my attention, a little girl who is seriously staring with me. When I’m tired to approach the little girl, she preferred to run and it seems like. She was too afraid. In that scenario, I formulate, that the client has a problem with regards to socialization, from that case, the client should develop a positive relationship towards the people around her. She needs to interact and experience being like by her peers. The family members should encourage the client to be friendly and let her play with the other child
G. therapeutic plan
G1. Knowledge
*The language uses approximately 45 different sound elements called phonemes
*Phonemes are represented by letter or others symbol between slashes. A morphemes is the element of a language that carries meaning
-At the end of the case study children are able to learn about the concept of morphemes and phonemes.
G2. Skills
*Some children may develop speech faster or slower than the timetable or acquire language in an unusual sequence.
-At the end of the case study children are able to practice reading by themselves.
G3. Attitude
*speech disorders could improve speech by "trying hard," to view people using deaf speech and people with cleft palates as perhaps being emotionally disturbed, and to regard deaf speech as a limitation.
h. therapeutic interventions
i. therapeutic progress
j.therpeutic result
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