Recall the opening scenario. Jeremiah is a 7-year-old child who has Down syndrome. He has been relatively healthy after some GI and ear problems in early childhood. His early intervention programs and how his entrance into school have provided a strong and nurturing environment for leaming

1. How will you decide if the physical growth and psychological development that Jeremiah is demonstrating are what would be expected for a child with his condition? What regular physical assessments are needed, due to some common accompanying health problems seen in children with Down syndrome?

2. Based on his history of frequent otitis media, what assessments will you perform now? See Chapter 19 for ideas.

3. What is the genetic basis for Down syndrome? Why are old parents more at risk for having a child with the syndrome

4. Find evidence-based practice guidelines to help you plan some phyilcal activities that Jeremiah is likely to enjoy. How will you integrate them into his family and school ife?

5. Jeremiahs parents are requesting information about what plans they should make for his care when they start planning for retirement. How can you assist them in locating resources to assist with the future care that Jeremiah will need as he grows into teen years and young adulthood?