CHCECE003 - Scenario: Rebecca - Physical Condition

[Ssab22]

Hi there, I have these case study to answer to and some of them im not quite sure. Would love a big of help please

Case Study 1
Rebecca is a four-year-old child who is about to enrol in the pre-school room. She has a physical condition known as an ‘imperforate anus’. Imperforate anus is when there is no opening at the end of the digestive track where the anus normally is. This condition affects about 1 in every 5000 babies, and is a defect that occurs during the fifth to seventh weeks of fetal development. As a consequence, Rebecca experiences trouble with bowel control and continuously leaks fluid from her anus that can be quite strong smelling.
She has attended the service twice with her parents as part of the service’s orientation process and has spent time in the room with the other children. She has had bowel accidents on both occasions, which has been noticed and commented on by the other children. With one child saying ‘Does the smelly girl have to be in our room?’ This was asked in front of both Rebecca and her parents.

For question 1 i have found 1 strategy for cant find a second one.
1. Identify two strategies you would use with the children to promote understanding and acceptance of Rebecca and her medical condition?
To promote understanding and acceptance of Rebecca and her medical condition, I would:
- Explain to the children what her condition is (without going into lots of details, but understanding why some of these things happened such, as fluids leak, might help the children understand and accept Rebecca and her condition).
-

Question 2, i have 2 but stuck on the third one (are the two i have ok)?
2. Briefly describe three actions educators can take to help Rebecca manage her toileting needs in a way that both promotes her independence and also protects her self-esteem?
- Keep a container of spare underwear, clothing and wipes in the bathroom for Rebecca to discreetly access if she has a toileting accident
- Informe children of how to store wet/ soiled clothing, and why it is important to maintain good hygiene practices such as correct hand washing techniques and cleaning the bathroom area.
-


Thanks a lot
Sabrina

[Lorina]

I have never heard of this condition before so it's been an interesting read as I tried to gain a better understanding of it. I found the following information that may help with your responses. It is for older children at school but you can accomodate it for a preschool child as it will be very similar.

http://www.bgk.org.au/school.php

For your second question children shouldn't this young shouldn't have to worry about storing their wet/ soiled clothes or cleaning up the bathroom etc. So, maybe you could change that to something like: have a special signal you could tell Rebecca to get her to go to the toilet especially if you notice she smells or fluid is leaking (got that idea from the info above).

Hope this helps,

,
Lorina

[bakewell]

Hi there,

I am also stuck on this question. I have put down "• Explain to the children that Rebecca has an illness without going into too much detail to encourage empathy and understanding" However I am wondering whether this breaches Rebecca's Privacy.

[Lorina]

You shouldn't just focus on Rebecca and point out that Rebecca has these issues. You should talk about it as a general concept and you should also include some other medical conditions children may have. You can't really single Rebecca out because that will be breaching privacy...

,
Lorina

[asha101]

i am trouble with this question as well
qu 3. State how the Early Childhood Australia Code of Ethics relate and can be used to guide your interactions with this child?
my answer
The Code of Ethics is in essence a guide for professional behaviour and ethical decisions. In relation to Rebecca the Early Childhood Australia Code of Ethics states that, “In Relation to Children, I will:... 7. Respond to the special rights of children and families with additional needs.” (pg 2)
qu 4. Identify the policies and procedures, under the National Quality Framework, an education and care service must have in place that will help guide your actions in this situation.
my answer
Standard 2.1Each child’s health is promoted.
Element 2.1.1Each child’s health needs are supported.
Standard 5.2Each child is supported to build and maintain sensitive and responsive relationships with other children and adults. - See more
Element 5.2.3The dignity and the rights of every child are maintained at all times.

is this right as I feel like I am missing something ???

[Lorina]

Identify the policies and procedures, under the National Quality Framework, an education and care service must have in place that will help guide your actions in this situation.

For your response, you are referring to the NQS rather than the policy or procedure of the centre. The following information may help:

[attachment=0]Policies-and-procedures-for-ECS (1).pdf[/attachment]
In the above ink you'll be able to find the policies and procedures required by the NQF. From here, you can best choose the one that fits the scenario...

Your response regarding the Code Of Ethics is good!

Hope this helps,

,
Lorina

[asha101]

thanks
so it would be regulation 168 2 d dealing with medical conditions in children,

Thanks heaps

[Lorina]

Yes, I'd also include:

Providing a child safe environment
Interactions with children (including the matters set out in regulations 155 and 156)

,
Lorina

[muskaan]

1. Identify two strategies you would use with the children to promote understanding and acceptance of Rebecca and her medical condition?
*Help other children to see and understand what they have in common with children with additional needs, medical condition, rather than differences.
*Explain to children about what the child’s behaviours might mean or what they suffering from. (Making sure that I will talk about few different medical conditions but I need to remember not to use child name as this will breaches centre’s privacy policy.)
2. Briefly describe three actions educators can take to help Rebecca manage her toileting needs in a way that both promotes her independence and also protects her self-esteem?
Actions I can take to help Rebecca manage her toileting needs in way that both promotes her independence:
• Rewards and positive reinforcement can help with toilet training.
• Where possible, using the correct terms for going to the toilet. Ask families what words they use at home, as consistent language between home and care will help children to understand and learn more easily.
• Asking or reminding children about using the toilet. As Child care professionals I should be alert to signs that a child is uncomfortable, and for older children be especially sensitive to any signs or communications that they need to use the toilet.
5. Briefly explain how involving Rebecca’s parents in the management of her condition at the service will reduce their anxiety about leaving her in the mornings?
any suggestion on this question will help
thanks