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Pierre Robin Sequence Case Study

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Jane has Pierre Robin Sequence (PRS) and a Chromosome 16q 24.1-q 24.3 micro deletion. The deletion of the 16q chromosome increases the risk of poor social skills, developmental delays and learning disabilities (Gillmore & Campbell, 2006, p. 229). PRS is sequence of disorders that present with recessed mandible, restricted airways, displacement of tongue and cleft palate (Gangopadhyay, Mendonca, & Woo, 2012). According to Gilbert (1996, p.234) usually this sequence causes only slight learning disabilities but produces other abnormalities that have “far-reaching effects “which can lead to learning disabilities. As with Jane, PRS can cause a gap between social understanding and an ability to express feelings appropriately or clearly, causing frustration and anxiety (Calen & …show more content…

1.3 Visual Impairment Jane has Duanes Syndrome (DS), which is a congenital eye disorder causing horizontal eye movement limitation (Gutowski, 2017). Commonly, and as with Jane, this results in a sublte face turn towards the affected eye, resulting in lose of eye contact when communicating and difficulty tracking when reading (Prince, 2005). For the purpose of this case study a focus will be placed upon the PRS and associated chromosomal deletions, which have caused global developmental delays, learning delays and present Jane with social and emotional challenges. Also considered will be the Duanes Syndrome and resulting visual impairment. 2.0 Summary of the home background. Jane is Australian born, has both parents and an older sister. The father works long hours and Jane’s mother consciously chose a career that permits her to work night shift, so she is able to care for Jane. The family live on an island 80 km’s away from Brisbane’s major hospitals, with a population of 18 thousand which does not have the medical service to support Jane’s specialised needs (Australian Bureau of Statistics,

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