Tuesday, January 3, 2012

TEIS's Evaluation

TEIS evaluated Paisley on December, 16, 2011 for eligibility to be in the program. Thankfully, yet unfortunately, she was accepted. Just a little peek into Paisley's abilities.

RELEVANT HISTORY: Paisley is a seven month old girl born at 36 weeks gestation with a birth weight of 5 lbs and 3 oz. Pregnancy was complicated with UTI's, hypothyroidism, and preeclampsia. Review of Paisley's medical records indicates that she has severe dysgenesis with this in the migrational spectrum with a mixture of lissencephaly and cobblestone cortex or pachygyria.
HEARING AND VISION SCREENINGS: A functional hearing screening revealed that Paisley startles at loud sudden noises An audiological evaluation is recommended if concerns arise. Paisley is followed by ophthalmologist, Dr. Allyson Schmitt and identified to have punctuate cataracts and decreased visual function due cortical visual impairment.
EVALUATION TOOL: Battelle Developmental Inventory - 2nd Edition (BDI-II)
SUMMARY: In the area of adaptive development, Paisley is breast and bottle fed. She reportedly is coordinated in her sucking movements however Paisley often leaks formula from the corners of her mouth. She eats Stage II baby foods and mouths the food using up-and down jaw movements but often pushes much of the food with her tongue. Paisley does not yet use her lips to remove food from an eating utensil held by an adult.
In the area of personal social development, Paisley responds when held and shows awareness of other people. She smiles or vocalizes in response to adult attnetion, and expresses her emotions. Paisley shows awareness of her hands. She does not yet desire to be picked up or held by familiar people.
In the area of communication development, Paisley responds to nonspeech sounds and voices outside of her field of vision. She is sometimes soothed by a familiar adult's voice, and turns her head toward the source of sound. Paisley produces differentiated cries and produces one or more vowel sounds. She does not yet babble or vocalize to express her feelings.
In the area of motor development, Paisley maintains an upright posture at an adult's shoulder and holds her head erect for one minute when held. She lifts her head and holds it up while lying in a prone position and brings her hands together at midline. Paisley holds an object very briefly in her hand. She does not yet turn from a prone to a supine position, unassisted or hold her hands in an open position when not grasping an object.
In the area of cognitive development, Paisley reportedly shows anticipatory excitement when placed in her chair at mealtime. She responds positvely to physical contact. Paisley does not yet turn her eyes toward a light source or visually attend to a light source moving in a vertical direction.
SCORE SUMMARY REPORT: Paisley's performace on the Battelle Developmental Inventory- 2nd Edition indicates 25% delay in the area of personal social development and 40% delay in the areas of adaptive, communication, motor and cognitive development.

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