Background:

"SJ" is 3 years old and has a Down's syndrome. She is eager to communicate but has a severe language delay and gets very frustrated. She has hypermobile joints and as a result is delayed with her mobility. Her mum is a professional working woman who is now ready to return to work full-time.

Solution:

Following a home visit, it was agreed that although "SJ's" speech and language delay was of some concern, that someone with experience with physiotherapy would be the most valuable at this stage in her development.

A special needs nanny was identified who had a background with physiotherapy. She was happy to undertake a Makaton course to be able to also assist SJ's" communication. The family funded this course and soon "SJ" was enjoying basic signing. The nanny and mum devised a daily routine incorporating physiotherapy exercises, eating and drinking techniques as advised by the speech and language therapist. Makaton was used throughout the days activities which also included arranging playdates with other children.

The nanny works full-time (45 hours a week), Monday to Friday. She works on a daily basis, travelling to the family home each day.