How To Screen A Child With Dyslexia IMA New

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 4

How to Identify Dyslexia in office Practice

Introduction
Dyslexia in School going Children to be identified by Paediatricians, or any
qualified Doctor who is taking care of a child. No child wantonly fails in a class.
No Parent knows that he needs to consult a Doctor for problem in Learning.
Teachers can be able to pick up the children with learning problem easily as
they watch them in their daily class works and home works and by their
performance in studies. Now parents have no time to see the performance of
their children as both the educated parents are working hard to have a
comfortable living and if even, they notice poor marks, they prefer only
Tuition, after the school hrs. So, the child is subjected to lot of stress as they
have problem in the basic Phonology itself and they are unable to read fast,
write with lot of spelling and grammar mistakes and also poor in maths. So,
any amount of Tuition will not be able to increase their performance and they
are going to get low marks only, unless we provide them Remedial teaching.
One source of potentially powerful ,highly accessible screening information is
the Teachers judgement about the child’s reading and reading related skills
Evidence based screening as early as kinder garden and also in grade 1-3 by
the child’s Teacher .The Teacher responds to the small set of questions (10-12)
predict the pool of children who are at Risk for Dyslexia with a high degree of
accuracy. Screening takes less than 10 mts and completed on a Tablet, and is
efficient and economical (1)
For informal screening ,in addition to the careful history ,the primary care
Physician in an office setting can listen to the child read aloud from the child’s
own grade level reader .Keeping the set of Graded readers available in the
office serves the same purpose and eliminates the child to bring in school
books ,Orel reading is the sensitive measure of reading accuracy and Fluency.
(1)
(1)Ref: page 268 Nelson 21st Edition. Topic Dyslexia Chapter 50
Methodology
We need to put a board that If there is problems in reading writing and doing
math , problems in spelling ,and if the child gets low marks in exams kindly
consult your Doctor
The Receptionist could be trained to tell about the importance of screening the
children with problem in studies.
When the child comes for learning problem for the 1st time. parents need to be
counselled regarding the need for screening and simple intervention will solve
the problem. The child examined clinically for any Medical problem and simple
investigations like CBC, ESR, peripheral smear, Mx test and Thyroid function
Test may be done. They may be asked to come at the convenient time usually
on Friday when there will be minimum OP. The Teachers questionnaire may be
given to them to be filled by the Teacher. Parents need to come with the
student’s note book, homework note books, progress report.
When they come for Special consultation after fixing an appointment.
In the Reception the parents will be given a Performa which contains all the
details of the parents education, income , useful hrs they spend with the
children, consanguinity , Anti-natal Natal and post-natal problems , nature of
delivery , any intervention done immediately after delivery and any Neonatal
admissions in the hospital or after the neonatal period , any health problem in
child hood , the problems in reading writing and doing maths and any other
psychological problem the child have etc .

The student will be given a work sheet depending on their class they study. If
the child is doing 3rd standard, he will be given a 1st standard questionnaire.
The questionnaire contains writing ABCD 26 letters, 1234 up to 20. What
comes before and after M, 8. naming the fruits, vegetables (pictures will be
there) identify the shapes, Drawing the shapes, draw a man copying the
paragraph, Chair picture will be there, he need to write 4 lines about the chair
and do some maths.
Weight, height, and Head circumference will be measured in the reception
itself. Immunization history will be noted in the reception.

When he enters the consultation Room, he will be having a parent


Questionnaire filled by the parents which contains all the detailed history and
all AN Natal and Post-natal problems and neonatal problems mode of delivery
etc. A teacher’s questionnaire which will give details about the problem and
shows a positive screen . A students work sheet which will give the Educational
level of the student and we know he is able to write ABCD and 1234 , able to
say what comes before and after , identify the shapes , identify the name of
the fruits and vegetables draw the shapes draw the man and copy the
paragraph and do the max which will be 2 grades bellow for the age.
Doctor need to examine clinically for any Medical problem, ADHD, Intellectual
Disability or Psychological problem again and review the Blood reports for any
chronic illness like primary complex , anaemia , Hypothyroidism, etc .
If the child does the initial basic thins well it rules out Intellectual disability.
Reading: The child may be asked to read the paragraph in the work sheet. As
the child reads the doctor need to listen carefully whether the child read
slowly word by word, missing word, missing sentences, any guess work in
reading, any reversal tendency (reading was as saw) Reading fluency is there,
reading accuracy is there etc
Writing: The child could have copied the paragraph and written four lines
about the chair. Just on looking at that write up Doctor can identify the
problems like poor handwriting spelling mistakes. poor punctuation marks,
mixing up of capital and small letters, lot of spelling mistakes, lot of grammar
mistakes. Doctor can ask the child to write 2 sentences about the School and
he can observe hoe the child writes, whether the holding the pen is correct. is
the written fluency being normal, written expression is normal?
Maths: The child have done 4 math problem in the work sheet. Doctor can give
one or two maths in addition and verify the answer is correct. usually their will
be problems in borrowing sums.
Spelling: Grade wise spelling list is used and Doctor need to dictate the words
from the list 2 grades low for the age.
If there is problem in reading, writing spelling and maths any one or in
combinations a professional diagnosis of Learning Disability may be made as ?
Learning Disability. Doctor need to send the child for IQ assessment. If the IQ is
between 90-140 the Diagnosis is confirmed and Doctor can refer the child for
Remedial teaching
IQ Assessment: IQ assessment will be done by a qualified clinical psychologist
with RCI number. Doctor can refer to District early Intervention Centre for free
IQ assessment. BKT method may be used.
Doctor need to council the parents. clear their doubts and help them to get IQ
assessment and assure them that their child will become alright and successful
in their school and pass Government exams without any problem.
Doctor need to council the children that they are having a problem in the
connections of their brain and they need to work hard and they will succeed in
their studies as they will be getting remedial teaching and Government
provisions in the final government exams
Remedial Teaching: The DEIC is provided with remedial Teachers and the child
can be referred there. It is a structured Teaching method to correct learning
Disability. When a child is not able to learn in the way we are teaching we will
change the way of teaching so that the child will understand. Phonics method
of teaching is used initially to help to know the relationship between the sound
of the letter and shape of the letter for easy identification of the letters and to
master sight word vocabulary ( to identify a word just by looking at the word
and not spell individual letters and read the word )1-2 hrs a day for 3 days in a
week .
Government Concessions; Government is giving lot of concession to the

Dyslexic children to compete with normal children in the exams ,one hr extra

time in public exams , no mark reduction for spelling and grammar mistakes ,

use calculator in math exam, can use scribe if there is poor handwriting .

Conclusion:

Doctor need to identify the children early as the load is very high nearly 5-10 %

they have multiple inelegance and remedial teaching works well. With

remedial teaching and Government concessions they will become useful

citizens of our Nation

You might also like