Denver Development Screening Test

DDST 1. Understanding DDST is the Denver Development Screening Test, which is one of the screening methods used to assess child development and is intended for children aged 1 month to 6 years. 2. Goals a. Know the child's developmental abnormalities and other things that are a risk of developing these developmental abnormalities. b. Know the various developmental problems that require genetic counseling treatment c. Knowing when a child needs to be referred to a higher center 3. Preparation of Tools and Materials a. Props: red woolen thread, raisins/beads, cutlery, toothbrushing equipment, cards/game snakes and ladders clothes, drawing books/paper, pencils, red-yellow-green-blue color cubes, colored paper (depending on child's chronological age when examined) b. DDST II form sheet c. Instruction book as a reference that explains how to carry out the test and how to assess it 4. Work Procedures a. Determine the child's chronological age, ask for the date of birth of the child to be examined. Use a benchmark of 30 days for a month and 12 months for a year b. If the age calculation is less than 15 days, round down, if it is equal to or more than 15 days, round up. c. Draw a line based on chronological age that intersects the horizontal line of developmental tasks on the DDST form d. After that, calculate in each sector, how many are P and how many are F e. Based on the guidelines, test results are classified into: Normal, Abnormal, Doubtful and not testable. STEPS/ACTIVITIES MARK 1 Prepare the DDST form that will be used along with tools to check the growth and development of the baby/child 2 Greet clients/mothers politely, introduce yourself to them 3 Explain the purpose of the action to be taken I. ASSESSMENT 4 Carry out an anamnesis to obtain data on the baby and its parents according to the existing form 5 Wash hands under running water with soap and dry with a dry towel 6 Carry out anthropometric measurements (BB, PB, LILA and Head Circumference) 7 Perform a physical examination 8 Carry out a hearing test according to the existing format 9 Determine the age/age of the baby/child correctly 10 Enter the baby's age on the DDST form by drawing a vertical line on the DDST form 11 Do use tools according to the tasks located to the left of the baby/child age line evaluation development baby/child 12 Enter the assessment results into DDST format 13 Classify the results of assessments/inspections that have been carried out II. IDENTIFICATION OF PROBLEMS 14 Identifying problems based on assessment and development assessment using DDST III. IMPLEMENTATION 15 Provide information to the family on the results of the examination (assessment) that has been carried out 16 Provide counseling based on the results of examinations and development assessments and other problems 17 Give families the opportunity to ask questions about things they don't understand 18 Plan regular progress assessments (conduct repeat visits) 19 Politely say goodbye to your mother/family and say thank you 20 Document the results of the inspection/assessment 21 Tidy up the tools that have been used 22 Wash your hands under running water with soap and dry with a dry towel HEARING POWER TEST INSTRUMENTS ACCORDING TO CHILDREN'S AGE Age 0 ‒ 6 Months 1. When the baby is sleeping and then you talk or make noise, will the baby move or wake up from sleep? 2. When the baby is sleeping on his back and you are sitting near the baby's head in a position that is not visible to the baby, then you clap your hands loudly, is the baby surprised or blinking his eyes or tensing his body while lifting his arms and legs up? Yes No 3. If there is a loud sound (e.g. coughing, dog barking, plate falling to the floor, etc.), does the baby startle or jump? AGE 6 - 9 MONTHS 1. When the baby is sleeping, then you talk or make noise, will the baby move or wake up from sleep? 2. When the baby is sleeping on his back and you are sitting near the baby's head in a position that is not visible to the baby, then you clap your hands loudly, is the baby surprised or blinking his eyes or tensing his body while lifting his arms and legs up? 3. If there is a loud sound (e.g. coughing, dog barking, plate falling to the floor, etc.), does the baby startle or jump? 4. You are on the side that is not visible to the baby, call it Yes No name or sound something, does the baby turn his head to look for the source of the sound? AGE 9 - 12 MONTHS 1. When the baby is sleeping, then you talk or make noise, will the baby move or wake up from sleep? 2. When the baby is sleeping on his back and you are sitting near the baby's head in a position that is not visible to the baby, then you clap your hands loudly, is the baby surprised or blinking his eyes or tensing his body while lifting his arms and legs up? 3. If there is a loud sound (e.g. coughing, dog barking, plate falling to the floor, etc.), does the baby startle or jump? 4. You are on the side that the baby cannot see, say his name or make a sound, does the baby turn his head looking for the source of the sound?