Keeping severly disabled kids small????

phillybeth, your story about your brother was very touching. I'm so sorry. That must have been so hard for you and your parents. I know he will always hold a special place in your heart. The heart never forgets.
 
This is actually something I posted before on the disABILITIES Board - in January after coming home from my youngest DD's dance class. It seems to fit here, so I'm repeating it again:
Youngest DD and I were on our way home from the one place in the world where we fit in completely. Everyone in that little "world" understands what we are going thru because they have been there, or somewhere nearby.

The "world" we were in is tiny; one big room about 30 by 40 feet, one small (but wheelchair accessible) restroom and another room that we sometimes use if someone has brought treats for a birthday. When that happens, several of the participants just lick the treats, some are fed in messy mouthfuls shoved into their mouths by mom or helper, some can't eat anything by mouth and devour the treats with their eyes. Some don't look like they notice we have moved from the large room, until one girl cries (more like screaming) until we have finished singing Happy Birthday and several of them get startled and arms and legs jerk. My DD will never eat anything when we are away from home; afraid she'll make a mess and suspicious of plastic cutlery - she has broken one too many plastic fork when she couldn't control how hard she bit down. Her treat has to be wrapped up in a napkin and placed into her bag; where I may be able to remove it later without her noticing (or maybe not and I'll find it in a few days, a sticky mess of frosting crusted napkin.)

In this world, my DD is not one of the most disabled, she is actually one of the least disabled. Welcome to the world of the Uniquely Abled Dance Class. My DD is the one with glasses in the back row on the far right of the picture. The one who is obstinantly looking out of the picture. This picture was taken a few years ago; the one they used before was better (at least of my DD). The photographer's helper that year was a cute teen guy. The helper when this picture was taken was a middle aged woman; not the same effect at all.

And Uniquely Abled we are. Some participants can walk a few steps, some can talk, some can understand everything that is said to them, some can drive their own wheelchairs, but no one in the room can do all those things (except us helpers, parents or other family members who are watching). Some participants are wheeled around the room, as insubstantial and apparently as unfeeling as ghosts. Sometimes a piece of music or movement breaks thru to one of those participants and they smile or make a sound. In our world that is a cause for group rejoycing because we know how precious that connection with the world is for the parent of that child.

Some of us envy other parents because of things their kids can do that our child can't:
  • I envy J and N because they can talk. (J and N are in the first row, the 2nd and 3rd from the left).
    Mothers of typical children wouldn't understand that because, by typical child standards, J and N can hardly talk at all. They speak in quiet, breathy voices with pauses between words as they struggle to find a word or force it out. My DD is one who can understand, but not talk. She's sometimes very noisy, but doesn't have the ability to say any words that people in the "normal" world can understand. She talks in signs, gestures and what Ursula in the Little Mermaid calls "body language".
  • J and N's moms have told me that they envy me because my DD is fully grown, but is tiny (5 feet tall and 86 pounds), a perfect size for transfers. J and N live in a world of using Hoyer lifts to move from place to place because they are too heavy to be lifted and can't support their own weight. I'm lucky because, not only is DD tiny and light, but she is also able to stand and walk if I hold her up (clumsy and lurching, but walking and easier than using a lift).
  • I envy LR because she does a good job of controlling her computerized talking device (even though she has to do it with scanning and controlling a switch with her head). (LR is in the front row, right over the word "the").
  • LR's mom envies me because my DD can drive her wheelchair with her hands, instead of a head array like LR has to use because she can't use her hands.

I feel lucky and don't know how some of the parents survive their life; I don't know how I would.
Some of the kids hardly react to anything and there is seldom a connection between them and the outside world. That would be hard for me, but they seem to cope. Maybe they are watching me and wondering how I cope with DD, who connects with me a bit too much sometimes. My DD sometimes bosses me around - everyone in the class knows the drill. She is obsessed with my purse. Sometimes, I have to wear it. Sometimes it is supposed to be on the floor in a specific place. If I leave it by my coat, she's OK for a while, then gets an absolutely paniced look on her face until I put it where she wants it to be (it's my purse, if anyone is paniced about where it is, it should be me). The back of her wheelchair would be the logical place for the purse to be, but heaven forbid I put it there, that is not part of my DD's "rules of conduct" to have it there.

I also feel lucky that my family doesn't have a "before and after" like some of the parents do. Some of them put a "normal" child to bed one night and then something catastrophic moved them from the world of "parent of 'normal' child" to the world of "parent of special needs child". We didn't have any sudden uprooting like that; just a slow realization that our child was not following on the path we thought she was. I don't know that I could handle the fast uprooting.

We feel lucky and thankful - today 2 kids are missing from class, but not for any bad reasons. One is on vacation and one is in respite care because her parents went on a trip and she had no way to get to class.
In a "typical" dance class, kids might miss class because they forgot the date or had car trouble. In our world, missing the class is more likely something more ominous; one boy had pneumonia earlier this year, my DD missed classes a few times because she had seizures the night before and was too tired, a year ago one of the girls got bacteremia from an infected baclophen pump and nearly died. Today, our world is lucky because no one is sick.

We feel lucky and thankful because in a world where parents without special needs children often don't stay together, most of the parents in our class are. And some kids have entended family members who come somtimes to observe the class. I feel lucky because I have a DH who loves me and adores our DDs (and they him). I have an older DD who is a real blessing. I feel blessed because she has found a young man who she loves and he loves her back. And both of them love my younger DD.

We feel lucky and thankful that a wonderful woman named Nancy started this class - and provides it for us all free of charge. All because she had a friend who went blind and was sad that he would not be able to take dance classes any more. Nancy couldn't see a reason why not and started dance classes for people with visual disabilities and hearing disabilities and Developmental Disabilites and our class, where all the participants use wheelchairs.

We feel lucky and thankful that we have others we can talk to who understand what we are saying. After class, we talk about things that wouldn't make ANY sense to most people; talking in a sort of verbal shorthand about power wheelchair settings and computers that talk for our kids and more usual things like glasses and bras for our teen girls (but from a different viewpoint) - how many parents are trying to deal with the problem of keeping glasses in place when the child moves their head on the headrest, or how many times you can bend wire rim glasses back into shape after they have been run over by a power wheelchair. I'm pretty confident that most mothers of teens have not discussed how to keep a bra on their teenage DD because her athetoid movements make her "slither" out of it.

I am lucky and thankful that I happened upon the DIS boards in 1999, which led to the disABILITIES board starting and being able to share joys and sorrows and WDW hints with other people on this board. The people in the dance class world are mostly unaware of the DIS world that I am part of, although one of the moms gave me one of the most poignant suggestions I had for this board - her DS can't sit up without his wheelchair which has trunk pieces that "hug" him into his wheelchair and a head rest that cradles his head. He is one who hardly ever reacts to anything - a newborn in a tiny 23 year's body. When they went to WDW, one of the CMs at one of the photo shops that superimpose your picture against a different backround in the computer devised a way to digitally remove the wheelchair from the picture. With that piece of magic, the woman got to see her son for the first time without his wheelchair.
True magic to her.
And we all understood and were happy for her.

So, I wish you all feel as happy and blessed today as I do, as we discuss little things that just might be huge for the person who we are discussing with.
 
phillybeth said:
You're right- they are selfish. Selfish for wanting to be able to keep their daughter at home, where they can care for her. Selfish for wanting to ensure that she is fed, bathed, positioned to prevent bedsores, and loved. Selfishly putting their needs ahead of their daughter's :rolleyes:

How can you think for one minute the care a severely mentally disabled person gets in a care facility is better or even equal to the care of a loving family? In a facility this child would lay for hours in one position, in filthy diapers, with little or no interaction with anyone. She would be slung around and treated like a breathing piece of meat.
How can I? Because I've worked in a day hab with severely developmentally disabled adults. Guess who came in neglected, not fully wiped. or lacking in appropriate food? Both clients who lived at home, and clients who lived in homes. Shockingly, living at home is no way to avoid being neglected or getting better care.
What if her parents die? What if they decide that she's too much work? What if they think a group home would be the better environment for her in fifteen years.
I empathize with those of you who raise disabled children, but the parents of that girl, and those doctors, may think they are doing the right thing, but they are doing the wrong thing.
 
So, her parents will die. Happens to the best of us. But they will have given all they could to raise the little girl they brought into this world. Allowing for the easiest care by anyone is a benefit to this young lady, and the aides that will most likely, deal with her after her parent's death.
 

Hedy said:
How can I? Because I've worked in a day hab with severely developmentally disabled adults. Guess who came in neglected, not fully wiped. or lacking in appropriate food? Both clients who lived at home, and clients who lived in homes. Shockingly, living at home is no way to avoid being neglected or getting better care.
What if her parents die? What if they decide that she's too much work? What if they think a group home would be the better environment for her in fifteen years.
I empathize with those of you who raise disabled children, but the parents of that girl, and those doctors, may think they are doing the right thing, but they are doing the wrong thing.

Is it possible that their hygiene was neglected because they were too big for their parents to care for properly?

I think it's admirable for parents to explore every option available to be able to care for their severely disabled child. I've seen the struggles some of my friends go through, and I know it's only the tip of the iceberg of what they have to live with day in and day out. I'm sure a decision like this wouldn't come easy.
 
MushyMushy said:
Is it possible that their hygiene was neglected because they were too big for their parents to care for properly?


This might be a little off topic but there is another girl who was a camper where I worked whose parents had this issue also. She is only physically disabled and is in a wheelchair all the time. She is a very heavy girl and is basically deadweight. Since her parents also have health issues this girl was lucky to be bathed once a month. She would come to camp reeking of cat urine, wet dog, smoke and BO. her hair was so greasy that it would drip.. Whenever she came to camp, the second day of camp for her group would be "Marvelous makeovers". We would get permission from the parents to do do the makeovers that included professional hair cuts and spa treatments....and ask for a pretty sundress for them to wear after the makeovers.. ( we would wash the ones that needed it)

The girls would start their day by "showering" and then going swimming...( since they couldnt do it after their makeovers..the rule was everyone would have to shower before getting in the pool) then they would change and get their hair washed, cut ( if needed) and then they would get their manicures and pedicures as well as put makeup on. they would get into their clean dresses and then have a tea party....

it worked out well, the few girls that needed to get bathed got it and went home clean and the rest of the kids got a fun makeover....

( we were finally able to get the girl an home aid that helps her bath 2-3 times a week)
 
Hedy said:
How can I? Because I've worked in a day hab with severely developmentally disabled adults. Guess who came in neglected, not fully wiped. or lacking in appropriate food? Both clients who lived at home, and clients who lived in homes. Shockingly, living at home is no way to avoid being neglected or getting better care.
What if her parents die? What if they decide that she's too much work? What if they think a group home would be the better environment for her in fifteen years.
I empathize with those of you who raise disabled children, but the parents of that girl, and those doctors, may think they are doing the right thing, but they are doing the wrong thing.
Every single day there is someone painstakingly making a medical decision for their child that comes without guarantees. Most of us do not have to have our personal situation reviewed by a medical ethics board. Fortunately, most of us do not have to make these decisions with the judgement of the public, whose opinions are not based on any knowledge of the situation or the people involved.

Our opinions here, while they may be interesting, are irrelevant as we do not have to walk a mile in these peoples shoes, we do not have all of the facts involved and we do not have the right to make these decisions for other people.
 
/
All opinions here are relevant. The issue should be discussed, as the article states, it hopes to be debated. No one is trying to make decisions for the parents, because obviously the decisions have been made already. I appreciate hearing all of the perspectives.
 
Hedy said:
Because I've worked in a day hab with severely developmentally disabled adults. Guess who came in neglected, not fully wiped. or lacking in appropriate food? Both clients who lived at home, and clients who lived in homes. Shockingly, living at home is no way to avoid being neglected or getting better care.


You're right that staying at home doesn't guarantee more love or better care, as both a special educator and someone who has worked in group homes, respite and recreational facilities I agree with you that the family home is not neccessarily the best choice for every child -- there are parents who don't and parents who can't do good jobs of caring for their children.

However, these parents are doing a good job of caring for their child, and they are confident that they can continue to do so if she stays small enough to manage. They're comparing themselves (and they know how they parents) with an unknown group home or institution.

To me that's like saying, well a higher percentage of children every year are murdered by their parents than by their teachers or classmates (true). So, let's send Mickey'snewestfan's son to boarding school where he'll be safer. Yes, on a global scale parents aren't as safe as teachers but on a micro scale I happen to know that I'm not going to murder my son and the safest place is with me.
 
Thank you Sue for sharing that story, what a wonderful outlet dance must be for everyone involved.

My girls have taken Dance from a local teacher who included differently abled children, most with Downs syndrome. They loved dance and it was obvious how helpful it was for them physically.

Your lucky comments are so true, and I guess why this debate strikes home. My SIL has often remarked how lucky they are that my nephew is naturally small and also how lucky they are that he has a sweet disposition. Every child has special characteristics. Parents of children with special needs have to face very different questions and sometimes the outside world might not understand their decisions but hopefully they'll continue to be able to do what is right for their family.
 
RobinMarie said:
All opinions here are relevant. The issue should be discussed, as the article states, it hopes to be debated. No one is trying to make decisions for the parents, because obviously the decisions have been made already. I appreciate hearing all of the perspectives.
Sorry, I should have clarified. I think our opinions in regards to this particular case are irrelevant.

It's one thing to have healthy debate over the issue itself and another to cast judgement of right/wrong on a case where we have very limited information of their particular situation.
 
I am so thankful that I don't have to make these types of decisions about my children. I have no idea what I would do in such a situation.
 
I don't know what I would do either.

I'm sure that these parents would sell their soul to have a daughter who could even have a chance at someday being able to lead a "productive" life - even if it was sorting clothes at Goodwill or bagging groceries. I'm sure they'd love nothing in the world more than a daughter who could get herself into a bathtub, who could wipe herself, who could move her own body at a minimum well enough to prevent bedsores. The lifelong sacrifice these parents are facing is mountainness is nature.

I have no problem with the discussion, but to throw out adjectives such as "selfish" and "wrong" about these
people -- I just don't know. That just seems sad. To me, I see nothing more than a set of parents who are trying to deal with a crappy set of circumstances. They've been reviewed by the Ethics Board, Social Workers, and a whole team of "experts." That is certainly good enough for me.
 
Spinning said:
I have so many different thoughts on this issue! Not even sure where to begin.
I worked for 6 years in a large facitlity for the physically and mentally impaired. I saw all ranges. And unfortunately there are children who turn into adults that will never ever be able to shread paper or be able to be in any type of productive position. Even in a sheltered work shop. They will be dependent for everything except breathing. And even then some require assistance. Then of course there are people who have many disablitites but can do simple activities and with the help of a job coach can complete tasks.
I also worked 5 years in an early intervention program. But we had kids in the school up to 21 and then a sheltered workshop/day care. Again....all different levels. Some of the older kids/adults were truly just being housed and care for.

Just a comment about workshops and working out in the public with aids that doesn't apply just to this post. In my opinion, it's cruel to force someone with the mentality of a six year old (or in my sister's case, a 3 year old) to sit around and perform the same task over and over again, day in and day out, for the sake of making them "productive citizens." Would you make your three or six year old child shred paper or unwrap batteries all day, day after day? It isn't right.

As for the original post, I support the parents' and doctors' decision. Like it or not, people in general have more sympathy for disable kids than disabled adults, too.
 
momof2inPA said:
Just a comment about workshops and working out in the public with aids that doesn't apply just to this post. In my opinion, it's cruel to force someone with the mentality of a six year old (or in my sister's case, a 3 year old) to sit around and perform the same task over and over again, day in and day out, for the sake of making them "productive citizens." Would you make your three or six year old child shred paper or unwrap batteries all day, day after day? It isn't right.

The people I've known with working disabled children it's usually more about routine / schedule just something for them to do that gets them out of the house. A co-workers' disabled son had a job at a thrift store but they ran out of things for him to do. He's an adult - too old for school and there really are very few programs for him. His mom hates that he's home everyday and without a regular schedule she's looking for alternatives but hasn't found anything yet.
 
janette said:
The people I've known with working disabled children it's usually more about routine / schedule just something for them to do that gets them out of the house. A co-workers' disabled son had a job at a thrift store but they ran out of things for him to do. He's an adult - too old for school and there really are very few programs for him. His mom hates that he's home everyday and without a regular schedule she's looking for alternatives but hasn't found anything yet.

That's just it. I think there should be more fun programs for the severely disabled, not just those that teach life skills or require repetitive work. My sister went to a workshop for awhile where they didn't have enough work, so they would just string beads-- all day. She couldn't keep on task and kept talking to the other "clients." After that she went to more of a fun-like school for adults, where she had art class, music class, life skills, etc. It was much better. Too often, the focus in special ed teacher training is to make the disabled person as self-sufficient and useful to society as possible, and this is often fine for higher functioning individuals. When you get to the people who function on an 8 year old level or below, the repetitive work situations just seem like torture.
 
momof2inPA said:
That's just it. I think there should be more fun programs for the severely disabled, not just those that teach life skills or require repetitive work. My sister went to a workshop for awhile where they didn't have enough work, so they would just string beads-- all day. She couldn't keep on task and kept talking to the other "clients." After that she went to more of a fun-like school for adults, where she had art class, music class, life skills, etc. It was much better. Too often, the focus in special ed teacher training is to make the disabled person as self-sufficient and useful to society as possible, and this is often fine for higher functioning individuals. When you get to the people who function on an 8 year old level or below, the repetitive work situations just seem like torture.

I completely agree, when they are younger they have school and most of the programs at schools are wonderful. When they are older the only programs are more job oriented. My friend would love a program like you've described for her son and it would really be more appropriate but they just aren't around and we live in a large metro area. It is really sad that there are so few choices for adults who will always be children.
 
Hedy said:
What if her parents die? What if they decide that she's too much work? What if they think a group home would be the better environment for her in fifteen years.
Why couldn't she go into a group home as a small person? Children are put into institutions every day.
 
The people I've known with working disabled children it's usually more about routine / schedule just something for them to do that gets them out of the house.
Good point. also for many it is so that the child is supervised while both parents work too. You can't exactly put a 200 lb 18 yr old with the mental ability of a 2 yr old in a daycare or leave them home all day alone.
 
momof2inPA said:
In my opinion, it's cruel to force someone with the mentality of a six year old (or in my sister's case, a 3 year old) to sit around and perform the same task over and over again, day in and day out, for the sake of making them "productive citizens." Would you make your three or six year old child shred paper or unwrap batteries all day, day after day? It isn't right.
At the high school where I work, the severely handicapped students have "jobs" working in the cafeteria. They wipe the tables and put up all the chairs after breakfast and lunch. Some of the more capable students bake all the cookies and rolls (frozen dough -- a pretty easy job) sold in the cafeteria.

They also clean the fire department twice a week.

At the Christian school my daughters used to attend, most of the cleaning staff was made up of mildly handicapped adults. They lived (probably for free) in the attached retirement center, so they could just walk to work.

ALL these people have had one thing in common: A HUGE SMILE ON THEIR FACES WHILE THEY WORK. They love doing their simple jobs. I don't work with them directly, so I don't know if it's the routine, the productivity, or what, but they are HAPPY while they work. I think it'd be cruel to deny them the chance to do what you and I take for granted.

I'm sure each person's abilities must be weighed individually, and I'm sure they need lots of help learning their jobs, but I have to believe it's good for them to work.
 





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