“I am a daughter, a wife, a mother, a full time housewife, a part time engineer and vacation is my life”
Saturday, 31 December 2022
Friday, 21 October 2022
Lunch Date Di MV
Monday, 10 October 2022
Hotty To Pokok
Sunday, 9 October 2022
Rocky To Hotty
Saturday, 8 October 2022
Rocky Farm Ipoh Staycation
Saturday, 17 September 2022
Masih Di Hard Rock Hotel Penang
Friday, 16 September 2022
Hard Rock Hotel Penang Staycation
Hello Penang!!
Monday, 15 August 2022
ATM Makan Duit
Thursday, 11 August 2022
Life After The Diagnosis Part 3
Sebagai parents, aku rasa part treatment ni yang paling ibu bapa nak tahu dan concern so aku akan share untuk pembacaan diri sendiri terutamanya next time. Tapi all this treatment ada criteria untuk syorkan based on gred A, B dan C. Aku just note untuk pengetahuan umum je without zooming into target grade yang disyorkan untuk receive the treatment. Antara treatment yang disyorkan dalam Clinical Parctice Guide – Management Of Autisme Spectrum Disorder In Child And Adolescent by MaHTAS, KKM adalah tanpa ubat dan dengan ubat. Aku Cuma nak sentuh pasal treatment tanpa ubat antaranya
1. Applied Behaviour Analysis (ABA)
Ada beberapa kaedah ABA tapi yang paling famous kaedah Loovas. Dalam buku The Autism Sourcebook by Karen Siff Exkorn, beliau memilih kaedah ABA sebagai foundation untuk terapi anak beliau selain OT dan speech teraphy. Ikut pengalaman penulis, sesi ABA ni panjang dalam 40 hours per week dan menggunakan konsep reward.
2. Speech, Language and Communication Interventions
a. Naturalistic Approach
i. Responsive Education and Prelinguistic Milieu Teaching (RPMT) – improve social communication and language learning
ii. Reciprocal Imitation Training (RIT) - improves elicited and spontaneous imitation of object and gestures
b. Augmentative and alternative Communication (AAC)
i. Unaided - nonverbal natural communication guna gestures and mimic muka
ii. Aided - guna external support macam communication board dengan grafik visual guna gambar, lukisan, printed words macam Picture Exchange Communication System (PECS)
c. Video Modelling – guna video
a) Social Skills and Self-help Skills – untuk imporvve social skills & self-help
b) Sensory Integration Therapy (SIT) – improve sensory
c) Joint Attention Intervention – improve attention
d) Perceptual Motor Training – improve eye hand coordination
So a) Social Stories
b) Developmental, Individual-Difference, Relationship-Based (DIR) /Floortime
c) Music Teraphy
Tuesday, 9 August 2022
Life After The Diagnosis Part 2
Hari tu aku bagitau aku ada baca Clinical Parctice Guide – Management Of Autisme Spectrum Disorder In Child And Adolescent by MaHTAS, KKM. Guideline ni aku panggil CPG, dikeluarkan pada 2014 dan akan revise pada 2018 katanya tapi so far aku takde jumpa lagi la new version. Maybe dah tak di kongsi kepada umum aku tak sure. Aku cuma baca untuk personal knowledge mengikut pemamahan aku sendiri dan khas untuk pemahaman sendiri.
Dalam tu ada la explain few things abot autism, apa itu autism, siapa yang ada risk untuk dapat anak autism, macamana proses screening, assessment & diagnose, treatment dll la. Tapi kena ingat, garis panduan ni tak target parents biasa like me as this is more kepada professional use yang terlibat macam doctor, psychiatrists, care providers, therapists, audiologists, nurses, pharmacists, policy maker, educators.. not us, so kena baca with our own discretion.
Masa sesi interview dengan doctor hari tu, doktor memang tanya macam-macam soalan such as habit adik, rutin, apa yang dia suka dan tak suka, how pembawaan diri dia, our family history ada tak yang ada autism dan maklumat all ahli keluarga such as berapa bilangan adik beradik ibu bapa. Then kena isi MCHAT.
Doktor akan asses dan diagnose based using criteria from the Diagnostic and Statistical Manual of Mental Disorders [DSM-IV-TR, 2000 (Appendix 4) and DSM-5, 2013 (Appendix 5)] or 10th-Revision of International Classification of Diseases [ICD-10] (Appendix 6). Ini standard tools yang digunakan all over the world untuk proses asses dan diagnose. Apa benda dalam dokumen tu aku pun tak sure sebab this is more to technical. Cukup lah setakat tahu sebab DSM-iv dan DSM-5 ni mungkin kita akan jumpa masa baca buku-buku yang related to autism.
Sebagai parents, aku rasa part treatment ni yang paling ibu bapa nak tahu dan concern so aku akan share untuk pembacaan diri sendiri terutamanya, in my next post. Tapi all this treatment ada criteria untuk syorkan based on gred A, B dan C. Aku just note untuk pengetahuan umum je without zooming into target grade yang disyorkan untuk receive the treatment.
Sunday, 7 August 2022
Life After The Diagnosis Part 1
I might not able to see the whole picture yet tapi as of now aku rasa apart from seeking for professional opinion.. parents support group is good. Selain tu kena juga rajin membaca be it a book atau di internet. Sekarang ni aku sedang baca satu buku and hoping to finish it soon. Lepas belajar, seingat aku lah aku tak de lagi khatam hatta sebuah buku walaupun aku ada banyak gila buku.. hahah. All I do is beli buku dan baca first few pages or flip and skip here and there sampai last page.. oops! Hahahaha
Back to the book, it tell a story from a mother point of view dan quite informative tittle “The Autism Sourcebook”. The author Karen Siff Exkorn claimed the book is from mother whose child recovered. Dia pun ada anak autism, a boy yang didiagnose pada usia 2 tahun and he is fully functional now. Walaupun buku dia ni merujuk kepada personal experience dan how it is di negara dia.. tapi aku suka sebab penulisan dia structured covering from diagnose, treatment, coping and healing. This is a good book untuk parents macam aku yang terlalu banyak perkara yang perlu diproses dan difahami selepas anak didiagnose autism, dan at the moment cuma nak tahu secara overall picture terlebih dahulu before digging deeper about what is autism, how to deal with your kids, your own emotion dan seek for information in term of treatment option etc. This is the book for me at this level. I am yet to go into technical and all the detail. All I need is the “picture” secara general. Next dalam pembacaan aku maybe a bit technical, Clinical Parctice Guide – Management Of Autisme Spectrum Disorder In Child And Adolescent by MaHTAS, Kementerian Kesihatan Malaysia (KKM) just to get some knowledge on pengurusan autism oleh profesional di negara kita dari segi how the diagnose is made, how they handle the case and treatment yang available.
Saturday, 6 August 2022
Life After The Diagnosis..
What was the reason we seek for professional opinion on adik? I do not remember since bila tapi my instinct rasa macam something. Tak tahu nak explain perasaan tu macamana actually. Bukan la rasa macam something is not right or not normal tp “something”. It started to alarm me bila panggil his name dia tak ada respond, not totally takde respond sebab sometimes bila panggil tu dia toleh juga. Tapi takde la rasa macam off” sangat sebab kakak dia dulu pun macam tu that she did not respond to name calling, average eye contact, did not address us as mamme and adih, did not say a word but cried instead every time she wanted susu. For adik, bila dia lambat berjalan dan meniti berjengket, belum pandai bercakap or panggil us or approach us kalau nak sesuatu.. instead dia cuma nangis dan hentak kepala, suka pusing tayar and bila pandai sikit lay on his stomach main kereta which is a must kalau main kereta, attach dengan selimut dia to the extend menangis kalau selimut takde.. masa tu aku makin rasa something is off. Kalau compare perkembangan dia dengan kakak dia, lebih kurang sama except for the part lambat berjalan, suka benda berpusing dan head banging which kakak dia xde buat.
Apa expectation aku masa jumpa doktor? Frankly speaking.. it was a 50/50 for me. 50 for all the delay on his motor skill, communication and head banging and another 50 sebab he look fine for a one year++ boy except for that 50 i mentioned earlier. People say boys blossom later than girl, right?!
How do i feel masa doktor pakar terus confirm he is autistic even on the first time seeing him on a session that did not last even 10 minutes and all based on our interview with her sub-ordinate? To be frank, tak de la terkejut dengan diagnose tu tapi terkejut dengan how he was been diagnosed tu, yes. The younger doktor mula2 bagitau based on her assessment adik needs more further assesment and some therapy session to confirm wether he is really autistic although through her assessment adik did show some of the autistic charater. Then she consult and explain tu her pakar, after not even 10 minutes with minimal talking to us.. the pakar asked me what was our concern bringing adik for the assesment. I said my concern and she told me what she saw is adik meet the autistic criteria and she said she can confirm it, right now, as we spoke. She then proceed to tell us that adik need OKU card and will proceed to set an appointment with Children Developement Centre CDC for OT and speech teraphy.
How do i feel about the doctor? I dont know.. maybe her approach on conveying the news to us was like that because of my cool and understanding reaction to hearing adik was diagnosed as autstic, that i did not cry my heart out and show her i was extremely in denial about the news.. maybe?
But i think she could do better and add in more human touch. Maybe she could just told us that she was sorry that the news was shocking to us… especially when the diagnose was made when adik was only 1year and 9th month.. not even after his two years. Maybe she could just explain and say something that sooth our aching heart instead of saying “yes,i just confirmed it now” after i asked her why was the diagnosed confirm when adik is not even 2 years old. Maybe she did not have to mention about the OKU card first, instead of last on her news breaking. I really dont know how to process the situation and it still ache my heart to recall the moment.. or maybe it was not how the doctor handle the situation that time that hurt me, but i was because i was frustrated with the diagnose instead.. i really dont know…
Thursday, 4 August 2022
Does Adik Has Autism?
Sunday, 19 June 2022
Adik Warded Covid Day 5
Tengah menunggu si Chemba datang tadi, member sekolah aku yang aku panggil Ja singgah melawat. Member tu doktor dekat HKL.. kebetulan dia ada round dekat HTA tu yang di singgah tu. Aduii.. last jumpa masa for 5, 24 tahun yang lepas oii!!
Saturday, 18 June 2022
Adik Warded Covid Day 4
Kawan kuarantin aku ni anak dia baby girl, umur 6 bulan. Kuat menangis tapi kuat senyum juga.. nama Syiifa Inara., mak dia nama zana. Mula-mula masuk tu dengar dia batuk pun senggsara. Kesian… kecik lagi. Sama juga macam adik, covid categori 3 sebab pneumonia. Hopefully ini yang pertama dan terakhir la adik kena cobit.. tak sanggup rasanya. Depan bilik kami ni ada pesakit kategori 5, umur baru 7 tahun. Kategori 3 yang ada pneumonia, kategori 4 kena pakai bantuan pernafasan… yang kategori 5 tu paling teruk.
Petang tu bosan, order la grab. Kat sini actually memang tak kekurangan makanan sebab disediakan 4 kali sehari start sarapan, lunch, minum petang dan dinner. Yang bestnya, hospital allow grab hantar makanan sampai ke kaunter wad. Masa aku order tadi dah malam so grab tu tak dibenarkan naik. Ingatkan tak sampai dah order aku tapi alhamdulillah dapat juga.