From the tests and results in the text given, three risk factors contributing to Parker’s delayed speech and cognitive development could be identified. The first risk factor is frequent upper respiratory tract infection (URTI). This condition is associated with Otitis Media with Effusion (OME), which is the common cause of children’s silent hearing impairment. The presence of this condition in Parker could be contributing to his delayed speech development. The second risk factor is ear infections. In most cases, children respond to sounds and voices that are directed to them. Parker’s ear infection could be affecting his hearing process, hindering his speech development. The last risk factor is food allergies, which have been considered to be the primary contributors to the delayed speech and language development among the children.
The three developmentally appropriate goals for Parker include social or emotional, motor or physical, and cognitive development goals. Cognitive development is the goal that would ensure that Parker thinks, explores, and figures things out appropriately. Social development is also an important goal because it could enable Parker to interact with other people and learn more from them. It is through social life and interaction with people that Parker would develop emotions and attitudes towards some things or behaviors. Lastly, the motor development goal would also play a vital role in Parker’s growth as far as Body Mass Index (BIM) is concerned.
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The first strategy that Parker’s mother and his grandmother can implement at home to improve his cognitive and language skills is standing and facing him while speaking to him. It would make him develop these skills because he will be trying to understand what the person in front of him will be communicating. Secondly, his mother and grandmother will need to get down to his level while talking to him slowly and coherently. The last strategy is using visual aids such as gestures and pictures while communicating with him.
