View source for Disabled Village Children:Caring for the Severely Disabled Child

{{bctrail|segments=3|chaptitle=Chapter 33: The Child with Several Severe Disabilities|pagetitle=Caring for the Child with Severe Disabilities}}
{{DISPLAYTITLE:Caring for the Child with Severe Disabilities}}
{{SideSupplement|bookabbreviation=dvc|pagealt=is from pages 285 to 286 of|chapterpdf=http://hesperian.org/wp-content/uploads/pdf/en_dvc_2023/en_dvc_2023_33.pdf|bookurl=Disabled Village Children|booktitle=Disabled Village Children}}
{{chaptertoc|In this chapter:|
 <ul class{{=}}"noprint">
<li>[[Disabled Village Children:Chapter 33: The Child with Several Severe Disabilities|Chapter 33: The Child with Several Severe Disabilities]]</li>
    <li>[[Disabled Village Children:Community Support|Community Support]]</li>
    <li>[[Disabled Village Children:Caring for the Severely Disabled Child|Caring for the Child with Severe Disabilities]]</li>
 </ul>
}}
In deciding how to care for and work with the child who has a combination of severe disabilities, it is important to evaluate as best you can both her disabilities and possibilities. Especially in the very young child, this may not be easy. You must be ready to see new signs and change your evaluation. This, in turn, may change your plan for working with the child, so as to best help her to develop whatever skills and responses are possible. 

In evaluating and planning activities with the child, try to be realistic. Do not expect too much, because this can lead to disappointment. But at the same time, do not expect too little.
 
For example, a child with a serious physical disability who also has hearing and/or vision loss may appear to have cognitive delay simply because her ability to experience and respond to things around her is very limited. The child may, in fact, have a lot more mental capacity (or possibility) than she appears to have. It would be wrong not to look for ways of reaching, developing, and appreciating her mind. However, this may take great patience and creativity by those caring for her. 

====SOME GOALS IN CARING FOR A CHILD WITH MULTIPLE SEVERE DISABILITIES:====
<ol style="font-weight: bold;padding-left:15px;">
<li><span style="font-weight: normal;">
To help her to be physically comfortable, clean, safe, and well-fed.
</span></li>
<li><span style="font-weight: normal;">
To help her with positioning and exercise to prevent further deformity, and to make caring for her easier.
</span></li>
<li><span style="font-weight: normal;">
To help her learn whatever basic skills she can—in developing head and hand control, and in some form of communication. Also, to help her learn to interact with others in a way that her needs are met and her behavior is acceptable.
</span></li>
<li><span style="font-weight: normal;">
To make caring for the child easier and more enjoyable for those who are responsible for her.
</span></li>
<li><span style="font-weight: normal;">To assure her that she is loved.</span></li>
</ol>
<br>
<div class{{=}}page-break></div>
<div style="position:relative; width:350px; height:350px; line-height:110%; float:right;">
[[Image:DVC_Ch33_Page_285-1.png|300px|right|alt=a child in a seat that supports his body and head while a woman feeds him.]]
<div style="position:absolute; width:315px; top:280px; left:30px;">''Special seating can help the severely disabled child by supporting him in a position&nbsp;where he has better control.</div></div>
Much of the information and suggestions in [[Disabled_Village_Children:Chapter_34:_Child_Development_and_Developmental_Delay|Chapters 34]] and [[Disabled_Village_Children:Chapter_35:_Early_Stimulation_and_Development_Activities|35]] on early stimulation and development may be helpful for the child with multiple disabilities. Look for areas of development where the child seems to be most ready or to have possibilities. Then work out a plan of activity, stimulation, and rewards that will take the child forward one small step at a time. Some of the suggestions included in [[Disabled_Village_Children:Chapter_40:_Ways_to_Improve_Learning_and_Behavior|Chapter 40]], “Ways to Improve Learning and Behavior,” may also help. However, you will need to apply them with much patience and repetition.

To help meet the needs of the child with multiple disabilities, you will also find useful information in the chapters on the different disabilities that affect the child. 

Special seating and positioning, discussed in [[Disabled_Village_Children:Chapter_65:_Adaptations_for_Wheelchairs_and_Other_Sitting_Aids|Chapter 65]], may help the child to have more control of her body. This can make feeding, basic communication, and other activities easier.
{{clr}}
<table width=100% style="line-height:110%;">
<tr>
<td>[[Image:DVC_Ch31_Page_286-1.png|600px|alt=A baby is being helped to roll over]]</td></tr>

<tr>
<td style="padding-right:80px;">''A child who takes longer than others in learning to use her mind and body needs extra help. Learning to twist and to roll, and to lift up on her arms and turn, are important early developmental steps. Here a rehab worker first helps ‘loosen up’ a child by slowly swinging her hips from side to side.</td></tr>

<tr>
<td style="padding-top:30px;">[[Image:DVC_Ch31_Page_286-2.png|600px|alt=a woman holding a baby bottle while a child turns to look at it.]]</td></tr>

<tr>
<td>''Then she encourages the child to lift up and turn to follow an object she wants.</td></tr>
</table>

<br>
{{Caution|statement='''Breast feeding is healthier than bottle feeding.''' It is usually better to use a toy or rattle to draw the child’s attention rather than a bottle.}}




{{Previous and next sections|Community Support|Chapter 34: Child Development and Developmental Delay}}
{{LastEditDate}}
[[es:Disabled_Village_Children:Cuidado_del_niño_con_discapacidad_severa]]
[[en:Disabled_Village_Children:Caring_for_the_Severely_Disabled_Child]]