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Diagnostic Protocol

This diagnostic protocol summarizes information about an 18-year-old male client named Derek who has been diagnosed with Down syndrome. Down syndrome is a genetic condition where a person has an extra copy of chromosome 21. Derek displays common physical characteristics of Down syndrome such as a flattened face and short stature. He may also experience related conditions like hearing loss, ear infections, eye infections, and sleep apnea. The goals are to promote Derek's physical, cognitive, and social wellbeing through recreation therapy. Specific outcomes include participating in physical activities, practicing stimulating conversations to improve speech, and learning to communicate and recognize social cues.

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98 views4 pages

Diagnostic Protocol

This diagnostic protocol summarizes information about an 18-year-old male client named Derek who has been diagnosed with Down syndrome. Down syndrome is a genetic condition where a person has an extra copy of chromosome 21. Derek displays common physical characteristics of Down syndrome such as a flattened face and short stature. He may also experience related conditions like hearing loss, ear infections, eye infections, and sleep apnea. The goals are to promote Derek's physical, cognitive, and social wellbeing through recreation therapy. Specific outcomes include participating in physical activities, practicing stimulating conversations to improve speech, and learning to communicate and recognize social cues.

Uploaded by

api-581952567
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Diagnostic Protocol

Down Syndrome
Yesenia Watt
RECTH 4300
October 1, 2021
Fall 2021 | RECTH 4300 Recreational Therapy and Intellectual and Developmental
Disabilities
Diagnostic Protocol
Agency Specific Information:
Agency Name: Clinical Supervisor’s Name: Eleanor
TURN
Client Population: Program Type: Art and Education Day Services.
850 people
Population Age Range: Years the agency has served this population: 48 years
18+
Agency Mission Statement:
TURNing Dreams Into a Reality
Agency Vision Statement:

Agency Values:
Be a place where people can live in a regular home setting and participate in community activities, and have
an integrated, more independent social interaction experience.
Client Specific Information:
Pseudonym: Age: 18 Gender
Derek Male
Diagnosis: Secondary Diagnoses:
Down Syndrome None
Level of Care Needed:

Diagnostic Information:
Diagnostic Grouping: Definition: A group of conditions due to an impairment in
Developmental Disability physical, learning, language or behavior areas.

Specific Diagnosis: Down Syndrome Definition: A condition in which a person has an extra
Trisomy 21. chromosome.

Qualifying Symptoms:
Trisomy 21: 95% of people with Down syndrome. Each cell in
their body has three separate copies of chromosome 21 instead
of the typical two copies.
Translocation Down syndrome: 3% of people with Down
syndrome. A whole extra or an extra part of a chromosome 21
is present but is “trans-located” or attached to a different
chromosome.
Mosaic Down syndrome: 2% of people with Down syndrome.
People with Mosaic Down syndrome have a combination of
cells that have three copies of chromosome 21 but other cells
still have the typical two chromosomes. Typically have fewer
features of the condition.
Identified Problems:
Flattened face (especially the bridge of the nose).
Almond- shaped eyes that slant upwards.
Shorter than average neck.
Small ears.
Tongues typically sticks out the mouth.
Small hands and feet.
A single line across the palm of the hand (palmar crease).
Poor muscle tone or loose joints.
Shorter height.
Slower to speak.

Related Factors and Etiologies:


Hearing loss.
Ear infections
Eye infections
Sleep apnea
Heart defects

General Goal(s): Promote physical, cognitive, and social wellbeing.

Process Criteria: Physical: Higher rates of obesity.


Choose 3, insert
N/A for the Cognitive: Not stimulated enough and not taught proper communication skills.
others.
Social: Cannot read social cues.

Behavioral: N/A

Spiritual: N/A

Outcome Criteria: Physical: Participate in physical wellness activities and recreation. Identify specific
Choose 3, insert recreation that the client likes in order to promote physical activity.
N/A for the
others. Cognitive: Practice stimulating conversations and promote comprehensive speech.

Social: Become able to communicate with others and begin to recognize those social
cues.

Behavioral:N/A

Spiritual:N/A

Signature: Yesenia Watt

References:
Centers for Disease Control and Prevention. (2021, April 6). Facts about down syndrome. Centers for
Disease Control and Prevention. Retrieved October 2, 2021, from
https://www.cdc.gov/ncbddd/birthdefects/downsyndrome.html.

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