Potential Factors Influencing Brayden's Development

Potential Factors Influencing Brayden's Development

1. Social Factors

   • Family
     • Two Parents, two children, 2 month old sister
       • Mother (Michelle)
         • Her sister moved to Mt Gambier
         • Her extended family live interstate
         • Her mother died when she was 15
           • Her father was supportive but died when Brayden was 6 months old
         • Is concerned that Brayden is not walking
       • Father (Paul)
         • His parents seperated when he was 8
           • His mother remarried and had more children
             • His mother now has little time for old family
         • He doesn't have a good relationship with his family
           • He hasn't seen his father since he was 15
         • Wishes Brayden could feed himself
       • Sister Sienna
       • Both are unsure of how Brayden should be developing
   • Socio-economics
     • Parents currently unemployed
       • Low income
       • Parents left school at 15
         • Limited education
     • Currently renting
       • On waitlist for housing trust accomodation
   • Family own a vehicle
     • Mother Michelle does not have licence
       • Has to rely on husband to drive or public transportation
   • Mother mostly looks after the children
     • Wishes husband would occasionally look after children
       • She is particular in how she wants husband to look after the children
   • Father believes it's the mother's role to raise children

2. Developmental Factors

   • Brayden's Development
     • Fussy eater
       • Eats mainly soft food
         • Drinks a lot of milk
           • Mostly drinks from bottle
     • Vocalisations but no distinct words
     • Shuffles on bum
       • is not currently walking
     • Mouthing toys
       • Repetitive Play
     • DOes not look up when people enter room
   • Typical Development
     • Motor SKills
       • 7 months sits alone
         • 7 months crawls
           • 8 months pulls to stand
             • 11 months stands alone
               • 11 1/2 months begins to walk alone
     • Communication
       • 7 months to one year
         • Looks in the direction of sounds
           • Babbles to get attention
             • Imitates different speech sounds
         • 1 to 2 years
           • Acquires new words regularly
             • Follows simple commands
               • Can put 2 words together
     • Feeding
       • 5-6 months spoon feeding introduced
         • Holds bottle with hands
         • 6-9 months begins to finger feed solids
           • 9-12 months begins eating more textured food
             • 12-18 months holds spoon with two hands to feed self

3. Biological Factors

   • Neonatal History
     • Natural Birth
       • Born at full term
         • small for gestational age
           • currently small for age
     • Age: 17 months old
     • recurrent middle ear infections
     • Had difficulties establishing breast feeding

4. Referrals

   • Child Health Nurse
     • Nurse concerned with Brayden's development
       • Referred Brayden for developmental assessment and management
       • Referred to Paediatrician
   • Possible future referrals
     • Social worker
       • family support
     • Speech Pathologist for communication
     • Psychologist
     • Occupational Therapy for motor skills
   • GP Suggested mother seek support for Brayden's feeding
     • This was not followed up on

5. Psychological Factors

   • Isolation
     • Due to little to no family support
       • Lack of support
     • Due to mother not having a license
   • Parental Grief
     • The relatively recent death of Michelle's father
       • The early loss of Michelle's mother at age 15
   • Stress
     • Possible marital stress
   • Family Estrangement
     • Brayden has no relationship with any grandparents