The communication skills expected for a 35-month-old child across all language domains are outlined in the table below:
PHONOLOGY Uses 200 or more recognisable words but speech shows numerous immaturities of articulation and sentence structure.
Continually asking questions beginning with ‘What’? and ‘Who’?
Can use pronouns ‘I’, ‘me’ and ‘You’ correctly
SEMANTICS Uses short sentences to tell what he/she wants to do e.g., “me do it” for “I will do it”
MORPHOLOGY Uses structured sentences, past tenses and plurals.
Might not always get it right when using plurals and past tense e.g., “foots” for feet, “goed” for went
SYNTAX Uses lots of nouns, some verbs, adjectives, pronouns and location words.
Will start to say me, mine and you. Uses …show more content…
50% intelligible to an unfamiliar adult.
Talks audibly and intelligibly to self at play, concerning events happening here and now.
Continues to imitate phrases (echolalia).
Recites a few nursery rhymes
LISTENING Knows full name
Recognises general family name categories e.g., ‘baby’, ‘mother’, ‘granny’
Requires physical or verbal prompts in order to switch attention to looking and listening if engrossed in play
READING Recognises minute details in picture books
Can select pictures of actions e.g.,” Which one is eating?”
Enjoys simple familiar stories read from picture books
Recognises certain books by their covers
Can turn pages
WRITING Holds pencil in preferred hand, with improved tripod grasp
Imitates horizontal line and circle, and usually ‘T’ and ‘V’
TASK 2
CONCERNS IN RELATION TO AMANDA’S PRESENTATION
CONCERN 1: Independent Play
RATIONALE: It has been noted in the case history that she loves to play by herself and gets distracted during group activities. This could pose as a cognition and social problem. According to an article published by North Shore Paediatric Therapy, children who have little interest playing with other children and fail to initiate or participate in activities might need support in their social interactions (NSPT, …show more content…
She’ll start learning how to take turns when speaking and might be able to have a short conversation with you.” (Raisingchildren.net.au, 2017)
CONCERN 4: Developmental language delay
RATIONALE: From the case history information received from Amanda’s mother, it indicated that she sat at 10 months, crawled at 12 months and spoke her first word at 24 months. When compared with the developmental milestone published by The HANEN Centre on how to tell if a child is a late talker, “an 18-month-old child should use at least 20 words, including different types of words, such as nouns (“baby”, “cookie”), verbs (“eat”, “go”), prepositions (“up”, “down”), adjectives (“hot”, “sleepy”), and social words (“hi”, “bye”).
A 24-month-old child should use at least 100 words and combine 2 words together. These word combinations should be generated by the child, and not be combinations that are memorized chunks of language, such as “thank you”, “bye bye”, “all gone”, or “What’s that?”.
This indicates that Amanda is way behind in her expressive language skills when compared to children within her age group. Her receptive skills and fine motor skills seems to be age appropriate.
CONCERN 5: Family History of Speech