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=== 3. Child Amrutha - Case of a child with possible learning difficulties and often quiet ===

=== 3. Child Amrutha - Case of a child with possible learning difficulties and often quiet ===

Amruta lives with her mother along with her 3 sisters and 3 brothers (Mother’s brother sons, including mothers brother) in the same house in Gulbarga colony. Amrutha’s mother work at two places – during morning hours,ie.., 7.30 to 4 pm  she goes for a school to take care of children while onboarding and getting out from Van and during evening 6 pm to 10 pm she works in  Adigas hotel in cleaning vessels and moping etc, she has 4 children all are girl child. Amrutha is the 3rd  child her weight is 21 kg and height is 115 which is 3 times less than the child of the same age group (12 years). Except Amrutha all her sisters have normal height. But her  first Older sister has vision problem(complete blind from birth and recently got UDID card, for getting UDID card paid 6000 rupees to the 3rd party member in one of the government hospital in Bengalore – showing right direction to seeking help from government facilities for the needed children is an business or responsibility???). When Amruta was 8 year old she fell down while playing and got some injuries at hip(Sonta) and she didnt disclose this to her family, as she mentioned that pain after few days mother got to know about it and have made surgery at Indiraghandi hospital but her mother didnt maintained any document on it. She does not eat well in home and in family mother is not available all the time at home, her sister only helps her in case she needs any help.  

Amruta lives with her mother along with her 3 sisters and 3 brothers (Mother’s brother sons, including mothers brother) in the same house in Gulbarga colony. Amrutha’s mother work at two places – during morning hours,ie.., 7.30 to 4 pm  she goes for a school to take care of children while onboarding and getting out from Van and during evening 6 pm to 10 pm she works in  Adigas hotel in cleaning vessels and moping etc, she has 4 children all are girl child. Amrutha is the 3rd  child her weight is 21 kg and height is 115 which is 3 times less than the child of the same age group (12 years). Except Amrutha all her sisters have normal height. But her  first Older sister has vision problem(complete blind from birth and recently got UDID card, for getting UDID card paid 6000 rupees to the 3rd party member in one of the government hospital in Bengaluru – showing right direction to seeking help from government facilities for the needed children is an business or responsibility???). When Amruta was 8 year old she fell down while playing and got some injuries at hip(Sonta) and she didnt disclose this to her family, as she mentioned that pain after few days mother got to know about it and have made surgery at Indiraghandi hospital but her mother didnt maintained any document on it. She does not eat well in home and in family mother is not available all the time at home, her sister only helps her in case she needs any help.  

When we started interaction with her she processes and receives information slowly. She usually sits alone and keeps to herself, but after 3 to 4 interactions, she is responsive during one-on-one interactions.

When we started interaction with her she processes and receives information slowly. She usually sits alone and keeps to herself, but after 3 to 4 interactions, she is responsive during one-on-one interactions.

In classroom activity, Amruta was made to work on her number sense and counting. She was made to count and decode the no. of given objects. She was struggling to decode the numbers. While counting 1, 2,3  she would say correctly but while decoding she would get stuck. She would orally count the no. of drawn objects correctly. But, decoding she seemed to be familiar with till 5 and she was struggling to decode numbers after 5 i.e, when there were 8 0r 7 objects she would count the number as 8 or 7 but while writing, she used to get stuck and ask me what she should write. She needs a lot of support to strengthen her number sense and counting after 5 and also strategies to work on her decoding ability in order to build her number sense.

In classroom activity, Amruta was made to work on her number sense and counting. She was made to count and decode the no. of given objects. She was struggling to decode the numbers. While counting 1, 2,3  she would say correctly but while decoding she would get stuck. She would orally count the no. of drawn objects correctly. But, decoding she seemed to be familiar with till 5 and she was struggling to decode numbers after 5 i.e, when there were 8 0r 7 objects she would count the number as 8 or 7 but while writing, she used to get stuck and ask me what she should write. She needs a lot of support to strengthen her number sense and counting after 5 and also strategies to work on her decoding ability in order to build her number sense.

We consulted a Psychiatrist at Nimhans for Amrutha's difficulties, and they did detailed counselling with her teacher and mother. They noticed that she is not open to the psychiatrist's questions because of her shyness, and they suggested that we check her secondary sexual characters growth level at Indiraghandi hospital because she appears to be very short in comparison to other children her age. There is no problem with her test at Indiraghandi. Based on all of this counselling, Nimhans psychiatrist suggested an IQ test for her, but since there was no time slot available at Nimhans, they suggested taking Amrutha to Victoria hospital and get her IQ assessment done after screening.  

We consulted a Psychiatrist at Nimhans for Amrutha's difficulties, and they did detailed counselling with her teacher and mother. They noticed that she is not open to the psychiatrist's questions because of her shyness, and they suggested that we check her secondary sexual characters growth level at Indiragandhi hospital because she appears to be very short in comparison to other children her age. There is no problem with her test at Indiraghandi. Based on all of this counselling, Nimhans psychiatrist suggested an IQ test for her, but since there was no time slot available at Nimhans, they suggested taking Amrutha to Victoria hospital and get her IQ assessment done after screening.