Semiología médica (eBook online) [Marcelo E. Álvarez Horacio A. Argente] on baspogophoba.cf Fisiopatología, Semiotecnia y Propedéutica. Más de figuras, entre las que se encuentran nuevas fotografías clínicas uniformadas con un. Las estrategias para el desarrollo de las asignaturas, Propedéutica Clínica y Semiología Médica y de Medicina Interna, están diseñadas de. Introducción: la clase práctica de Propedéutica Clínica y Semiología Médica es la .. baspogophoba.cf
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Please choose whether or not you want other users to be able to see on your profile that this library is a favorite of yours. Among the references, 34 had definitions of the term, and 16 different concepts were identified. Internationally, ways to improve communication between professionals have been indicated, with standardized definition of the term and use in very specific situations up to the fifth year of life, which was not found in Brazilian publications.
Keywords: Child development, Child development disorders, pervasive Introduction Arthur was born at a gestational age of 32 weeks, weighing 2, grams. At six months of life, his pediatrician referred him to physical therapy due to neuropsychomotor developmental delay NPMD , because, according to his mother, "he could not support his head and had no tonus.
Currently, Arthur is 7 years old and has difficulty using cutlery, tying shoes, and does not perform personal hygiene tasks on his own. He cannot play ball, but loves video games.
According to his mother, Arthur is a quiet child who walks, talks, sees, hears, and understands what is said to him normally, but has little initiative, is very dependent, and has difficulty in adapting to new environments and people. In school, according to the teacher, he is a shy child, but interacts with colleagues and participates in all activities requiring minimal assistance.
He is learning to read and write, but is slower than peers and is inattentive. The parents are confused because the child persists with the diagnosis of NPMD, which does not qualify him to receive specialized support.
It is estimated that million children worldwide, younger than five years of age, are at risk of not reaching their full development. However, these same factors have led to a paradoxical situation, as the higher survival of at-risk infants, especially the premature, is associated with increased morbidity, such as neurodevelopmental sequelae, generating new demands for pediatricians and other health professionals.
Developmental delay is associated with several childhood conditions, from conception, pregnancy, and childbirth, due to adverse factors such as malnutrition, neurological diseases such as chronic childhood encephalopathy cerebral palsy , and genetic factors, such as Down syndrome. The delay may also be a transient condition, which does not allow defining what the child development outcome will be and, thus, requires follow up with periodic evaluations.
It can also be observed that it is not uncommon to find the term used as a diagnosis, as in the case of Arthur, without a more objective definition of what is happening with the child. Although the term developmental delay is widely used in the area of child health, and is often employed clinically and mentioned in the literature, it is worth mentioning, as discussed by Aircadi 3 in , that the term does not appear as a chapter title or in the table of contents of most books on child neurology, or in the International Classification of Diseases - 10th Revision ICD and the Diagnostic and Statistical Manual of Mental Disorders - fourth Edition DSM-IV.
Nevertheless, what does the term developmental delay mean? However, this definition is not consensual and the lack of concept standardization has generated disagreement among professionals, leading to very different usage scenarios and a multitude of terms e.
The term has been used over the years in a generic way, not functioning as a communication tool, bringing dissatisfaction to parents, as they do not know what type of problem their child has, and causing frustration at school, because without a specific diagnosis, the child is not eligible to receive specialized educational support or assistance by the health team.