merrylaa

merrylaa

Lv4

Polytechnic University of the Philippines

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Physicist|Data Scientist ~ Always dreamt of being a pediatrician growing up. But we all know medicine is not easy and more importantly not cheap. I'm trying my best to get clo...

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History1English15Science9Prealgebra1Nursing3Algebra4Mathematics3Physics5Chemistry12
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Rhian is a five-year-old girl who has just migrated with her family from Iran as a refugee. She attends your service twice a week and she is experiencing difficulty in forming friendships with the other children as she frequently wets her pants. At first, you assumed she was nervous and was forgetting to go to the toilet, but now you are wondering whether there is some other cause of her incontinence. You approach your Director to ask if there were any toileting issues identified at enrolment and find there were not. You decide to start a ā€˜Star Chartā€™ for her to reward every successful day without wetting herself. This is a dismal failure. You then try offering her stamps as a reward. After a few weeks, you decide to speak to her mother again about the problem because you have noticed that Rhian is deliberately restricting the amount of fluid she drinks through the day.

Rhianā€™s mother still insists that she is toilet trained and there must be something at the service that is stopping her from using the toilet. She asks to look again at the toilet and walks towards the staff toilet. You call her back and guide her to the childrenā€™s toilets, which are communal and open. The problem was evident immediately to Rhianā€™s mother; she explains that in Iran it is considered very shameful to go to the toilet where others can see you, so Rhian would not use the childrenā€™s toilet no matter what reward she was offered.

  1. The educator failed to look beyond the obvious to identify the issues behind Rhianā€™s behaviour. Why is it important to consult with other professionals before determining the causes for a childā€™s behaviour?

Ā 

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