Clinical Approach to Developmental Delays

.: PREFACE
ÖN SÖZ
PREFACE
Doç. Dr. Tuba ÇELEN YOLDAŞ
Gazi Üniversitesi Tıp Fakültesi, Gelişimsel Pediatri BD, Ankara, Türkiye
Article Language: TR
Değerli okurlar,

Erken çocukluk dönemindeki gelişimsel gecikmeler; sağlık, eğitim ve sosyal alanlarda çok yönlü bir yaklaşımın ve toplumda görülme sıklığı ve uzun dönem etkileri nedeniyle erken tanı ve girişimin gerektiği zorluklardır. Erken dönemden itibaren başlatılan bütüncül müdahalelerin, işlevsellik ve toplumsal katılımı anlamlı düzeyde artırdığı bilinmektedir. Bu nedenle, çocuk sağlığı ve hastalıkları uygulamalarında hekimlerin tanı sürecinden itibaren güncel bilgiye sahip olmaları; multidisipliner ekiplerle iş birliği içinde çalışmaları ve çocukların gelişimsel gereksinimlerine uygun yönlendirmelerde bulunmaları için büyük önem taşımaktadır.

Gelişimsel riskleri, gecikmeleri, zorlukları olan çocuklara güncel bilimsel yaklaşımlarla ulaşabilmek, erken dönemde fark edilmelerini, uygun yöntemler ile değerlendirilmelerini, aile merkezli destek hizmetlerine ulaşabilmelerini sağlamak ve sürdürmek amacıyla başta çocuk hekimleri olmak üzere çocuk sağlığı alanında çalışanların bilgi ve donanımlarının desteklenmesine katkıda bulunmak için bu kitap yazılmıştır.

Bu kitapta ''Gelişimsel Gecikmelere Klinik Yaklaşım'' başlığı altında çocuk sağlığı ve hastalıkları uygulamalarında, gelişim alanlarındaki gecikmelere yaklaşım, ayrı ayrı ele alınmıştır. Gelişimin temel özellikleri; tipik gelişim süreçlerini bilmek, gelişimi izlemek ve desteklemek, ortaya çıkabilecek gelişimsel sorunları fark edebilmek ve aileleri yönlendirebilmek için önemli olduğundan gözden geçirilmiştir. Özgül gelişimsel bozuklukların tanımlanması, etiyolojilerinin aydınlatılması, erken müdahale sağlanması için bütüncül ve aile merkezli bir yaklaşımla gerçekleştirilmesi önerilen gelişimsel değerlendirmeler aktarılmıştır. Her gelişim alanındaki gecikme, müdahale yöntemleri dâhil olarak kapsamlı bir şekilde ayrıca ele alınırken, genetik, metabolik ve güncel rehabilitasyon yaklaşımları da tartışılmış ve özel gereksinimi olan çocukların sağlık sistemi içindeki haklarıyla ilgili bilgi verilmiştir.

Çocuk sağlığı ve hastalıkları klinik uygulamalarında gelişimsel gecikmelere yaklaşırken güncel ve bilimsel bir rehber niteliğinde faydalı olmasını umut ettiğim bu kitabın hazırlanmasına katkı sunan çok değerli yazarlarımıza en içten teşekkürlerimi sunarım.

Saygılarımla.

Doç. Dr. Tuba ÇELEN YOLDAŞ
Editör
Gazi Üniversitesi Tıp Fakültesi, Gelişimsel Pediatri BD, Ankara, Türkiye
Dear readers,

Developmental delays in early childhood are challenges that require a multifaceted approach in health, education, and social areas, as well as early diagnosis and intervention due to their prevalence in society and long-term effects. Holistic interventions initiated early are known to significantly improve functioning and social participation. Therefore, it is crucial for physicians in pediatric clinical practice to have up-todate information from the time of diagnosis, to work collaboratively with multidisciplinary teams, and to provide guidance appropriate to children's developmental needs.

This book was written to contribute to the support of the knowledge and skills of those working in the field of child health, especially pediatricians, in order to reach children with developmental risks, delays, and difficulties with up-to-date scientific approaches, to ensure that they are recognized early, evaluated with appropriate methods, and to ensure and maintain their access to family-centered support services.

This book addresses the approach to developmental delays in pediatric practices separately under the heading "Clinical Approach to Developmental Delays." The basic characteristics of development are reviewed because they are important for knowing typical developmental processes, monitoring and supporting development, recognizing developmental problems that may arise, and guiding families. Developmental assessments recommended to be carried out with a holistic and family-centered approach to identify specific developmental disorders, elucidate their etiology, and provide early intervention are presented. Delays in each developmental area are comprehensively addressed, including intervention methods, along with discussions of genetic, metabolic, and current rehabilitation approaches, and information is provided regarding the rights of children with special needs within the healthcare system.

I would like to extend my sincere gratitude to our valued authors who contributed to this book, which I hope will be a useful and up-to-date scientific guide when approaching developmental delays in pediatric clinical practice.

Sincerely.

Assoc. Prof. Dr. Tuba ÇELEN YOLDAŞ
Editor
Gazi University Faculty of Medicine, Department of Developmental Pediatrics, Ankara, Türkiye

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