Tuesday, August 28, 2012

Is Your Child Struggling to Read? Symptoms of Dyslexia in Children


Is your child struggling to read? If your child isn't keeping up with his classmates in terms of reading or writing then he may have some kind of learning difficulty.
Could he be dyslexic? There's a chance that he is if he's displaying any of the following symptoms of dyslexia in children.
Dyslexic children are often bright and intelligent with a high IQ but are often labelled "lazy" or "stupid" by their peers and teachers may think that they aren't trying or that they have behavioural problems so they don't receive the help that they need. As a result the child himself thinks he's stupid and develops low self-esteem. He tries to hide his weaknesses by misbehaving or daydreaming in class and becomes frustrated easily when faced with reading, writing or mathematical tasks. In general, such a child will be:
• unable to read, write or spell at a level considered to be normal for his age 
• not able to complete written tests although he may do well orally 
• good at non-academic subjects such as music, art, drama, business, woodworking, design or engineering 
• able to learn more effectively by demonstration and visual aids 
• able to count but will have problems with counting objects or money 
• unable to do sums without using his fingers or other such aids; he will come up with the right answer to simple sums in this way but won't be able to put the workings down on paper and won't be able to progress to higher maths or algebra

Specifically, the child will read haltingly, leaving out words or substituting different words, reversing letters or numbers or even words and will understand little of what he's read. Letters, words, numbers and explanations may cause confusion and spelling will be inconsistent. There are also some physical manifestations such as:
• headache, dizziness or stomach ache while reading or a feeling that a fictional something is moving and causing distraction 
• vision problems although an eye test reveals nothing 
• very keen sight and observational skills or poor peripheral vision 
• hearing things not audible to others 
• speech problems including mispronunciations, transposition of syllables, words and phrases and stuttering when stressed 
• being ambidextrous 
• repeated ear infections 
• a sensitivity to food additives or chemicals

Other symptoms of dyslexia in children concern motor skills and may include:
• writing difficulties often because of an unusual way of holding a pencil; writing may be inconsistent or illegible 
• clumsiness and a lack of co-ordination, not good at ball sports or team games, difficulties carrying out simple tasks that require a degree of motor skills 
• a confusion between left and right or over and under

In addition, a dyslexic child may have problems telling the time, managing time or learning or remember sequences, facts or information that he hasn't personally experienced but will probably have a good long-term memory for people, places and experiences.
Behaviour and development can be an accurate indicator that a child has dyslexia and shouldn't be confused with normal childish behaviour. Behaviour can be compulsive or obsessive and could be at either end of the spectrum such as:
• tidiness or untidiness 
• too noisy or too quiet in class 
Development can be either very early or very late when it comes to crawling, walking and talking and the child may be a very light or deep sleeper or may continue to wet the bed long after it is normal to do so.

The child may have a very high or low pain threshold and may be sensitive emothonally.
Any of these symptoms of dyslexia in children will appear to a greater degree if the child is confused, stressed, under pressure of any kind or in poor health.
If your child is displaying any of these behaviours or traits, do get him tested for dyslexia right away so that the appropriate education can be started before the symptoms become worse or eventually unmanageable.

Wednesday, August 22, 2012

USMLE Step 1 Exam - Briefly Explained


Toppers are always looked with awe, be it USMLE or any other exams. They are some who think that toppers possess some mysterious powers or intelligence, which helps them score, while others are left scratching their heads in wonder. However there is no such special power; the thing that differentiates the two is their approach towards the examination.
Passing the USMLE exams needs great effort as these are conducted over a series of varying levels. Clearing the very first step is considered the most strenuous for medical graduates hoping to practice in the United States. USMLE is not just confined to US nationals only; foreign nationals can apply too, but with some differentiated procedural rules.
Clearing USMLE step 1 exam with good scores can open up more doors than you might have thought. A decent step 1 score is not just confined to obtaining a license, but is a determinant factor for hospital residency programs. Score good and you have two great options to choose from. Step 1 exam score also plays a pivotal role in making up your choice for further medicinal courses. Prestigious residential hospitals are obviously looking for the smartest graduates around and those with high scores fill in the gap.
While step 2 is used to assess a student's skill to put into use of what he/she studied, USMLE step 1 checks for a student's understanding and knowledge levels. The various sections that the step 1 exam covers include physiology, pathology, anatomy, microbiology among others. With around 322 multiple choice questions divided in 7 sections, USMLE step 1 exam looks scary enough.
USMLE exams are thought to be one of the toughest to appear for and passing the first level is itself considered to be a game only for nerds. Students are always in a self doubt mode as to whether they are ready to appear for USMLE exams or not. Getting good scores in USMLE exams is not impossible at all; some smart tactics and you would get through. Why exactly is this exam so dreadful? Apprehensions say that it is the time constraint that medical students are faced with, which plays the spoilsport. Medical students do find it hard to adjust their studies and prepare for exams in short stipulated times.
Having a question bank by your side is a must if you are appearing for USMLE step 1 exam. This step 1 exam is meant to assess a student's theoretical knowledge to the practical field of medicine. A multiple choice examination like this is sure to set in a lot of confusion with similar answer choices. No wonder students find this 8-hour examination tough enough but they have to deal with it if they are to enter the medicinal world. Additionally, the various rules set in to answer the MCQ's are looked upon with fear by students. A single mistake here and there and your scores are on the risk mode.
Why take risk in your USMLE exam scores when there is easy help available? Preparing with online test guides is a good way out to avoid treading the wrong path. Regular practice with dummy exams can be a good confidence booster.

Thursday, August 16, 2012

Handling Self-Injurious Behavior in Children With Autism


I have read recently and understand that some parents are desperately seeking advice for handling their child's self-injurious behavior. Self-injurious behavior, also known as SIBs, are classified as any aggression towards oneself. The most common forms of self-injurious aggression is hitting or biting but some older children may also be involved with cutting. Other forms of SIBs may also include head butting, body slamming, picking or scratching, and using other objects to hit. Before talking about strategies that help to replace these SIBs and decrease the severity of the injury, let's discuss how critical SIBs are.
If your child is demonstrating SIB, then it is time to get a behavior consultant involved if there is not one already. The reason for this is because it is crucial to get to the root of the problem and find out exactly why your child is acting out in an aggressive way. He may be desperate with communicating his needs and incredibly frustrated. She may be seeking out deep sensory input. He may be trying to gain access to some tangible that he can't have. Unless a functional behavior assessment is done, you will not be able to truly address the SIB because you won't know exactly what is causing it. I will focus another few posts on functions of behavior but it is important to note that when you know the function of the behavior, you can act proactively to help prevent and/or at least decrease the behavior that is inappropriate. So seeking out the help of a professional behavior consultant may be your first step. Now, this may take some time to get set up. In fact, just getting an agency, evaluation, behavior consultant, and/or services in place, (if you do not have already) can take a tremendous amount of time. So, here are some tips that you can try now to handle the everyday occurrences until you have more help in place.
I know it must be SO incredibly frustrating and disheartening to see your child hurting himself. You're willing to try anything because you know your child may end up causing himself severe injury, if not hospitalization. You also may be very puzzled as to why your child is acting this way. Some children will casually bite their hand and stop biting because it hurts. This is a natural consequence. They will stop biting because they feel pain. However, many children with Autism Spectrum Disorders do not feel pain like typical children do. Many of them have an extremely high tolerance for pain and may not even cry when they get hurt. Many of them also seek out deep sensory input. They crave, not only deep pressure, but some kind of impact to their bodies in order to help feel more regulated. These are children with sensory processing disorders known as the "sensory seekers." Biting can be due to an oral fixation, the need for sensory input to the mouth. As odd as it may sound, children who are orally fixed and may be biting, may continue to bite because it brings them a sense of joy and regulation, NOT pain. Don't forget that most SIBS are caused by some level of frustration in the child, not just sensory needs. A biter may be seeking input but may also be acting out of frustration for another need or want. That is why a behavior assessment needs to be done to truly understand the cause.
Let' also discuss the issue of restraint. When a child is acting out against himself or someone else, retraining him/her can be an option. HOWEVER, it is very important to note 3 things. 1. Restraining a child should only be done to help prevent further injury to the child or someone else, especially in extreme measures. 2. There is a protocol, a heirarchy, and training involved with restraining a child appropriately so that you and the child do not continue to get hurt in the process. If you are not trained properly, nor understand the protocol, then I would not recommend restraint in any way. 3. If restraining the child makes matters worse, i.e. causes your child to completely lose control, fight back, and increase rage, frustration, SIBS, and/or aggression, then restraint should not be used. I will discuss the methodology of restraint in other posts but please keep these tips in mind if considering it as a reactive measure to SIBs.
BITING
Biting can be very harmful as bite marks and bruises can occur without too much force. If you have a child that bites, you should invest in some kind of a chew object. There are companies that sell chew tubes that help children who need to chew or bite due to lower oral motor function or who may need sensory input to the mouth because of a sensory disorder. Chew tubes also work great for children who bite because you may be able to replace the biting of one's arm to biting this rubbery object and still give your child the oral input that they may be craving. If the biting is done out of frustration, it is still done in a safer way. One company, The Sensory University, offers a pack of chew toys called CHEWY RETRACTABLE BITE BUDDIES that can be attached and retractable to a belt loop so they are on hand immediately whenever they are needed. There are also CHEWY TUBES as well as a TRI CHEW toy that looks like a triangle.
HITTING
Hitting can be a little trickier, depending on where the child is hitting himself. Some times, hitting can be prevented by holding down the child's arms. You want to do this only with enough force to prevent the child from lifting his arms to hit. You can also place your hand between your child's hand and the place your child is hitting. For example, if your child is hitting his forehead, you may be able to place your hand on the child's forehead to block the hit. This has worked with some children. I had a student who stopped hitting once he felt another hand there, blocking his face. He may hit one to two more times but then stopped. Another idea is to have the child wear a helmet if he engages in repetitive and severe hits or blows to his head. The best type of helmet to use is a soft foam helmet that is easy to put on and does not harm the head further if pounded on. It simply creates a soft space between the hand and the head to protect the head. One such helmet would be Playmaker Headgear. Be sure to get a helmet that fits your child's head properly. The helmet should only be put on while head hitting is occurring and then it can be removed.
Remember that these are measures that can be taken to help reduce the severity and/or harm that can happen as a result of SIBs. They are only tips that can be tried as a reactive strategy. They are not to be considered solutions. The best way to handle SIBS is to assess what is causing the SIB and address the specific function of the behavior. In this way, you can learn to be proactive and help prevent SIBs from happening at all.

Friday, August 10, 2012

Top 5 Ways to Reduce Problem Behavior in Children With Autism


If you have a child who has behavior outbursts, it can leave you desperate for things to try to stop the behavior or reduce its intensity. As a behavior specialist, I have learned many reactive strategies that help to reduce behavior if it is already occurring. Without giving you too much technical terms about ABC data, finding functions of behavior, and setting up a behavior intervention plan, (which you should have a behavior therapist do), here are 5 strategies/consequences you can try when you are in the heat of the moment:
1. Ignore the Behavior. Please know that this means you are not to verbalize the behavior that is happening. If your child is doing something dangerous to himself or others, you obviously have to intervene but you still do not have to draw attention to the actual behavior. This strategy only works if you know that your child is doing this behavior to get attention, even if the attention is negative. You don't want to reinforce inappropriate behavior, so ignore and then also try a strategy below.
2. Redirection. If your child is a acting out, verbally or physically, it is important to redirect her to another task or activity. Instead of focusing on the behavior, focus on what you want her to do next.
3. Decrease Demands. Sometimes, your child becomes frustrated with the task at hand and does not know how to ask for help, so instead, he acts out. Lower the demands that are placed on him. This can include lowering the amount of time he has to be on task before he gets a break. You may just have him work for one more minute. Decrease the number of questions or offer assistance to complete the task together.
4. Decrease Stimulation. Often with children with sensory processing disorders, the environment or setting can be causing your child to demonstrate behaviors. If the setting is too loud, has too many people, too many pictures, or is too lit up or too dark, it may be overstimulating for her. Use headphones, a preferred electronic device like an iPhone or iPad to distract her, or simply take a walk outside or to a quieter location. This may help you get through a trip to a restaurant, family party, supermarket, or store.
5. Use a Calming Down Protocol. It is very important to try to help your child self-regulate and calm down before the behavior escalates to a dangerous situation. Teach him how to take deep breaths, fold his hands to avoid hitting/punching, count to a designated number, close his eyes, go for a walk, etc. You can also try some sensory integration in your protocol like deep pressure or light scratching on the arms if your child is calmed by this.

Saturday, August 4, 2012

Care Training: An In Demand Course For Everyone


Every person on earth would reach a point where they would need professional medical assistance and this is where nurses and other experts in the field comes into play. The government knows that by the year 2020, the number of people who will need the service of nurses and doctors would double and decide to act on it as fast as possible. Their objective is to provide programs that can help ease other people's suffering as they enter the hospital with regard to the billing and quality of service. If you are seeking for a profession that not only pays well but is fun and rewarding as well, then there are many health care training facilities in Australia that you can enroll into. There are unlimited opportunities that await people who take medical professions because of the list of individuals who are seeking health care assistance in maintaining their body's good physical shape. Medical trainings are given to individuals who are seeking greener pastures.
The government has increased the salary of doctors and nurses in an effort to entice others to consider taking health courses. The scarcity of doctors and nurses today are among the many problems that every government in the world is facing right now. The government needs to produce professional nurses and doctors to provide the sick citizens with the utmost care and quality services. There are private organisations that render their help to the citizens with regard to providing medical assistance and are receiving help from the government since they have the same vision thus making this faster and more efficient.
People who have undergone the proper training and passed the appropriate exams can easily get a job since they are qualified to do so. There are many facilities that graduates in this field can go to, like hospitals, aged care facilities, local clinics, and many others. With so many facilities that are looking for professionals, getting a job in the medical field is as easy as singing the ABC song.
If you are currently stuck with your job and can't find time to enroll in an actual school, then you can always study and get certifications online. There are many online sites that are willing to take in individuals who are fed up with their current jobs and want to start anew. Greener pastures await people who take allied health professions. Not only will they get a higher salary, but the job is fun and rewarding as well.