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Tips for Parenting a Child With Special Medical Needs

Welcome to the March 2012 Carnival of Natural Parenting: Parenting With Special Needs

This post was written for inclusion in the monthly Carnival of Natural Parenting hosted by Hobo Mama and Code Name: Mama. This month our participants have shared how we parent despite and because of challenges thrown our way. Please read to the end to find a list of links to the other carnival participants.


It is a huge honour to have Jorje from Momma Jorje guest posting here for this month’s Carnival of Natural Parenting. Please make sure to stop by and check out her blog and Facebook page if you’re not a fan already!

We were very lucky in that we got advanced notice that we would be having a child with special needs. We received Spencer’s Down syndrome diagnosis about mid-pregnancy. I kind of saw this as having a new hobby thrust upon me.

Spencer's TherapySpencer’s first therapy started with something
as simple as putting a toy in his hands.

I don’t mean to make light of the situation, trust me. However, I now had a new passion to research. Isn’t that what you do with a new hobby? Then I came up with a plan to manage his care. I put together a notebook with tabs for all the different types of problems he might have, so we could avoid overlooking anything. I added paper to each section and jotted down which tests he needed to have and when.

I’d been told that babies with Down syndrome don’t really require much special assistance for the first 6 months. That isn’t entirely true. Aside from low muscle tone (which is very common, but Spencer does not have), babies with Down syndrome tend to have small mouths. The reason this is a problem is that their tongues are not so small. They tend to thrust them forward and out. So far, Spencer doesn’t do this too much, but he did need to work with a Speech Therapist when we were in the hospital. What? Speech? Yes, because they work with the mouth, not just speaking. It is hard to eat if you continuously push the food out of your mouth, ya know?

Spencer's Hearing Test in NICUSpencer had his hearing tested in the hospital and again shortly after leaving. He’ll be tested again at 6 months old and then annually throughout childhood.

Spencer has required several extra medical appointments by comparison to “typical” children. (At 2 months old, he has already seen a pediatrician several times, a cardiologist, an audiologist, and has had 2 x-rays done, soon to be another. He also has blood-work to be drawn soon.) I had originally thought I’d purchase a Day Timer or other such calendar book, though I really love my Google Calendar. As a minimalist and being broke, I put off the purchase and never did get to it. Instead, I now print a month or two ahead (from my Google calendar!) and keep it in his notebook. This makes it easier to book follow-up appointments while I’m on site without the risk of double booking. You do, however, have to make sure to keep all calendars synced. I have to come home and immediately add appointments to my online calendar.

My quick tips, from my minimal experience parenting a child with special medical needs:

  • Sync your calendars!
  • Organize your specialists.
  • Find a pediatrician that is a “Medical Home1.”
  • Keep copies of diagnoses and treatments for your own records.
  • Try to group your appointments in a way that works for you. We have NO appointments next week, it will be a nice break.
  • When you get overwhelmed, talk to someone! Get help if you need it.

Do you have some tips I’m overlooking? I truly am very new to this special needs job.


 

1 Medical Home is a style of management over chronic medical and behavioral conditions with compassionate care coordination. (Our doctor keeps close contact with all of the specialists we see and brings all their information together.)

Jorje is a slightly crunchy momma (and wife!) embracing her crunchiness and striving to be ever crunchier. She is passionate about breastfeeding, co-sleeping, baby signing, elimination communication and general attachment parenting, and is currently obsessed with hitting the road full time to unschool with her family.


***

Carnival of Natural Parenting -- Hobo Mama and Code Name: MamaVisit Hobo Mama and Code Name: Mama to find out how you can participate in the next Carnival of Natural Parenting!

Please take time to read the submissions by the other carnival participants:

(This list will be live and updated by afternoon March 13 with all the carnival links.)



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19 Responses to “Tips for Parenting a Child With Special Medical Needs”

  • Tara says:

    What a beautifully positive post and a beautiful little boy!
    I work with children with down syndrome (and other special needs) and despite the challenges they face they are such a joy! They bring a love, warmth and an authenticity that I find truly inspiring. I hope this post encourages other parents who are facing a DS diagnosis or already have a child with DS as I really love your proactive approach and totally understand the ‘new hobby’ description.
    Tara recently posted..What is WRONG with you? The challenges of raising a spirited child

    • Momma Jorje says:

      Thank you. I hoped it made sense. When we got the diagnosis, “new hobby” was literally the exact phrase that came to mind. I even said it to my husband.

      People have wonderful things to say about their experiences with children with DS. I’d heard there were people wishing to adopt babies with DS. Researching WHY people would want to (literally Googled “why adopt children with DS?”) was VERY helpful in coming to peace with our diagnosis, before we actually got our test results.
      Momma Jorje recently posted..Raised by a Special Needs Mom

  • My tip is to get a therapy notebook. When each therapist comes, have them jot down what they worked on this session and what you should be working on at home.

    A typical entry for us might be something like: “Today we worked on /k/ and /g/ sounds at the beginning of words. She can do this well for one syllable utterances, but has more trouble as the syllables increase to two or three. Try emphasizing these sounds in two and three syllable words at home, such as ‘cookie’”

    You can keep each therapist in their own notebook tab, or just have them all in the same book chronologically. This not only keeps you informed about what the therapist is working on, but also lets you look back and see progress over time.
    Alicia @ My Baby Sweets recently posted..She Said It Was "Vital"

  • It sounds like a part time job just to make appointments and research your options! I’d be the same way on researching though – I love learning new things :)

  • I’d never heard the term Medical Home, but what a great concept. It definitely is overwhelming trying to keep track of what different specialists are telling you. (I’ve experienced that before in much more minor ways.) I like the idea of having someone reliable to help you make sense of it all. I love your planning and scheduling strategies as well!
    Lauren @ Hobo Mama recently posted..March Carnival of Natural Parenting: On invisible special needs & compassion

  • Hannah says:

    He is a beautiful little boy. How did you find a doctor who is a “medical home?” I love Google Calendar as well and it is a great tool to keep to use it the way you have been using it.
    Hannah recently posted..Our rules for NICU – March Carnival

    • Momma Jorje says:

      It was a huge pain, actually. I was disappointed that the website all about Medical Home doesn’t have some sort of listing or database. What I actually did was ask my local Down Syndrome association for doctor recommendations. I mentioned that I wanted someone open to natural remedies, especially BEFORE attempting drugs. He was one of the recommendations. His website is the most amazing, complete doctor’s site I have ever seen! I can log in and view Spencer’s test results from anywhere! I can contact them through the site and always get a response within 24 hours.

      I once called the office on Saturday morning and… the doctor answered! This stuff is simply unheard of!
      Momma Jorje recently posted..Monday Minimalist: In the Kitchen

  • Julie says:

    Thanks for posting these useful tips, I think I’m going to forward your post to my sister, who has got a daughter with Down syndrom.
    Julie recently posted..dental implants

  • Wonderful suggestions! I worked with children and adults with Down syndrome for two summers before college, and I still treasure those experiences. I found individuals with Down syndrome to be special in the most positive sense of the word. It sounds like you’re doing an awesome job with your precious son! :)
    Deb @ Living Montessori Now recently posted..Montessori-Inspired Special Needs Support

  • Such solid advice for any parent facing something new. I would research, just as you did.
    Mandy @ Living Peacefully with Children recently posted..Parenting the Perfectionist Child

  • Melissa Vose says:

    Great post, Jorje! Super helpful for other parents with babies or kids with special needs! I’m glad you contributed 2 posts to this carnival! =)
    Melissa Vose recently posted..Special Needs: Limitation or Liberation?

  • Melissa Vose says:

    Oh, and also my aunt had a ‘medical home’ doctor when she had breast cancer: it actually likely saved her life, because her medical home doctor caught a scheduling mistake that would have put her significantly behind on chemotherapy!! Very valuable!
    Melissa Vose recently posted..Special Needs: Limitation or Liberation?

  • I love your attitude! I tend to take the same approach to new things in life: research, research, research. Knowledge is power! Sounds like your son is off to a great start. He’s lucky to have you :)

  • Dana says:

    The great thing about your case is that you are informed of what you are going to face upon the birth of your child. That makes all the difference, at least in my opinion.
    Dana recently posted..universal studios distounts

  • Research is key to anything. I have read about other cases wherein they were told this and that only finding out later that it was a totally different case. Anyhow, been reading through your posts and I think you are doing a wonderful job with Spencer. I know it must be really tough (can’t say how I’d handle it if I were in your shoes). Just keep going :)

    One of the hospitals here are working on their patient services by also having “medical home” under their palliative (?) program.

    PS
    So that’s how the hearing testing device looks like.

  • What wonderful tips for someone who may be going through something similar. I was happy to have a friend suggest many of these things for my own health crisis and the notebook, synced calendar, and keeping copies of everything has been so important. Your boy is so sweet and he has such a devoted mama, I am sure you are both lucky to have one another.
    Brenna @ Almost All The Truth recently posted..Sunday Surf: Time for a Little Action

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