Main SN: internal hydrocephalus, condition after ventriculostomy, spina bifida with meningomyelocele, neurogenic bladder, epilepsy, visual impairment ER+1, EL + 3. Additional diagnosis: deformity in the lumbosacral region, condition after dural sac hernia repair, excessive abduction in the hip joints, lower limbs without surface and deep sensation.
Sienna is generally very calm, smiles often, and responds quite well to different people. A year ago, she developed a dysfunction of the ventriculoperitoneal shunt, and the child had to undergo revision and valve implantation. After this procedure, she became calmer and began to be more active, crawling freely on the available surface, and when in her crib, she eagerly pulled herself up to a sitting position. At the end of last year, she began to use orthoses.
Sienna has a speech delay, although she has recently been eagerly repeating and saying words on her own. Some words are difficult to understand, but progress in speech development is evident. The girl also has difficulty understanding speech, but here too, progress is visible. She understands simple words, especially when they are supported by gestures. The girl can be engaged in a simple form of “dialogue” through play such as sharing toys. She is learning how to draw and eat independently using the spoon. She is able to pick up food cut into smaller pieces and put it in her mouth, although she does so slowly and uncertainly. She has difficulty biting off solid food and chewing it.
Sienna is a very cheerful and smiling child. She is speaking more and more – she can use many basic words, such as “give,” “more,” “come,” “yes,” “no,” “auntie,” and “hello.” She uses them in appropriate situations to express her needs and emotions. She recognizes various animals and can imitate most of their sounds.
Sienna to cuddle and read books. She participates enthusiastically in the group activities and enjoys walks. She responds to smiles, touch, and the voice of her caregivers. The girl has recently made significant progress in her emotional and social development. She is also able to initiate contact – she waves her hands in greeting, says “hello” in her own way, or responds with simple vocalizations. She is able to express her dissatisfaction, joy, or excitement and her progress is getting better and better in many areas.
