Casey JonesProjected Evaluations

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Rehabilitation /Long-Term NeedsAssessment

Assess HandicappingConditions

Per Year

Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)

Ending

1 X already accomplished during6/27/05 evaluation. Re-eval needed toassist with transition from schoolprogram to long term planning. $4,500 -$5,000 excluding expenses.

Beginning Per Unit2 X Only at ages8 and 16.

1

8 6/27/05

16 2012

Neuropsychological Assess cognitive levelsand educationalattainment for schoolplacement andadjustments to theteaching methodology.

$1800 - $3200

Per Year

Ellen Jansen, Ph.D.(6/7/04) and Dr.Kallan, Neurologist(7/7/04)Ending

Beginning Per Unit

Multiple factors are associated with increased risk of behavioral problems in children with epilepsy. Additional neurological impairment, neuropsychological deficits, intractableseizures and problems within the family have been found most consistently. Studies have shown that children with epilepsy plus additional neurological impairment haveapproximately twice the rate of behavioral problems as children with uncomplicated epilepsy. Since behavioral disturbance occurs in both new-onset seizures and epilepsy,monitoring for emotional difficulties should begin as soon as the diagnosis is made and should be a part of ongoing care for the child with epilepsy. Source: Dunn, David W.;Review Neuropsychiatric aspects of epilepsy in children. Department of Psychiatry and Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.Received 29 January 2003; accepted 29 January 2003. Epilepsy & Behavior 4 (2003) p. 101-106.

1 X / 3 years toage 16

2

8 7/2005

16 2012

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 1

Casey JonesProjected Evaluations

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Psychological Evaluation Evaluate family’s need forcounseling & instructionon disability managementand parent effectivenesstraining with the specialneeds child.

$150 - $200

Per Year

Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)

Ending

Addressing behavioral & psychologicalissues before they become significantproblems reduces costs and long termconsequences.

Beginning Per Unit

Multiple factors are associated with increased risk of behavioral problems in children with epilepsy. Additional neurological impairment, neuropsychological deficits, intractableseizures and problems within the family have been found most consistently. Studies have shown that children with epilepsy plus additional neurological impairment haveapproximately twice the rate of behavioral problems as children with uncomplicated epilepsy. Since behavioral disturbance occurs in both new-onset seizures and epilepsy,monitoring for emotional difficulties should begin as soon as the diagnosis is made and should be a part of ongoing care for the child with epilepsy. Source: Dunn, David W.;Review Neuropsychiatric aspects of epilepsy in children. Department of Psychiatry and Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.Received 29 January 2003; accepted 29 January 2003. Epilepsy & Behavior 4 (2003) p. 101-106.

Children with brain damage (CP) are four to five times more likely to have behavior disturbances than non-disabled children (Rutter, et al, 1970). This is due to a myriad of issuessuch as the pressures and stress put on the family and the child who has CP, which may affect behavior. There is often a lack of adequate counseling, information and practicalassistance when it is required in the early stages of diagnosis and thereafter. Many families feel unsupported and ill-informed by the numbers of professional team members whocan be involved in the child’s care. The child, also, feels frustrated by lack of mobility and muscular movements. All of these factors may contribute towards the development ofbehavioral disorders. Thus, counseling and education for the parents, and counseling for the child (developmentally appropriate) will greatly aid both the child and the family.Source: The Cerebral Palsy Handbook. A Practical Guide for Parents and Carers. Marion Stanton, Vermilion, London, 2002.

1 X Only

3

8 7/2005

8 7/2005

Speech Therapy Monitor therapy programin early years andcommunication needsthrough life.

$85 - $325

$85 - $325Per Year

Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending

Beginning Per Unit

NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.

1 X / Year (Inaddition to theschool systemsannualevaluation.)

4

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 2

Casey JonesProjected Evaluations

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Occupational Therapy Monitor and evaluatetherapy program andequipment needs.

$85 - $125

$85 - $125Per Year

Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending

Beginning Per Unit1 X / Year (Inaddition to to theschool systemsannualevaluation.)

5

8 7/2005

65 2061

Physical Therapy Monitor therapy program.$85 - $125

$85 - $125Per Year

Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending

Beginning Per Unit1 X / Year (Inaddition to to theschool systemsannualevaluation.)

6

8 7/2005

Life Exp.

Audiological Evaluation Reprogramming ofCochlear Implant anddevice checks.

$200 - $300

$500 - $1000Per Year

Kara Natane,Audiologist (6/2/04)and Rita Yonit, MS,CCC-SLP (4/12/04)Ending

Beginning Per Unit

NOTE: Estimate two additional times over life expectancy he will require replacement of cochlear implant. At time of failure will need 3-4 sessions to diagnose; then afterre-implantation he will need 11 sessions in first year; then 4 sessions second year; then back to 2-4 sessions per year thereafter. This would be 11 to 12 additional sessions theyear the implant is replaced; and 1-2 additional sessions the second year after re-implantation.

NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.

2-4 X / Year

7

8 7/2005

Life Exp.

Vocational Rehabilitation Assess avocationalpotential, supported workplacement or shelteredwork placement.

$300 - $1250

Per Year

Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)

Ending

Beginning Per Unit1 X Only

8

18 2014

18 2014

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 3

Casey JonesProjected Therapeutic Modalities

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Play Therapy, IndividualCounseling (As ageappropriate)

Aid in PsychosocialAdjustment $130 - $150

Per Year

Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)

Ending

$1,690 - $1,950 for 13 sessions at ages8, 10, 12, 14, 16, 18 and 21; thereafter$280 - $560 / year.

Beginning Per Unit

NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.

Treatment of behavioral problems should begin with education. Once behavioral problems become established, individual, group or family therapies may be needed. Ziegler et al.suggest ongoing psychosocial assessment and treatment coordinated with neurological care. Psychopharmacology may be another option for therapy of behavioral problems inchildren with seizures. Source: Dunn, David W.; Review Neuropsychiatric aspects of epilepsy in children. Department of Psychiatry and Department of Neurology, IndianaUniversity School of Medicine, Indianapolis, IN, USA. Received 29 January 2003; accepted 29 January 2003. Epilepsy & Behavior 4 (2003) p. 101-106.

Children with brain damage (CP) are four to five times more likely to have behavior disturbances than non-disabled children (Rutter, et al, 1970). This is due to a myriad of issuessuch as the pressures and stress put on the family and the child who has CP, which may affect behavior. There is often a lack of adequate counseling, information and practicalassistance when it is required in the early stages of diagnosis and thereafter. Many families feel unsupported and ill-informed by the numbers of professional team members whocan be involved in the child’s care. The child, also, feels frustrated by lack of mobility and muscular movements. All of these factors may contribute towards the development ofbehavioral disorders. Thus, counseling and education for the parents, and counseling for the child (developmentally appropriate) will greatly aid both the child and the family.Source: The Cerebral Palsy Handbook. A Practical Guide for Parents and Carers. Marion Stanton, Vermilion, London, 2002.

1 X / week for 3months at age 8,10, 12, 14, 16, 18and 21; thereafter2 - 4 X / year forsupport.

9

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 4

Casey JonesProjected Therapeutic Modalities

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Family Counseling &Education

Aid in disabilitymanagement $130 - $150

Per Year

Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)

Ending

$780 - $900 for 6 sessions at ages 8,10, 12, 14, 16, and 18.

Beginning Per Unit

NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.

Treatment of behavioral problems should begin with education. Once behavioral problems become established, individual, group or family therapies may be needed. Ziegler et al.suggest ongoing psychosocial assessment and treatment coordinated with neurological care. Psychopharmacology may be another option for therapy of behavioral problems inchildren with seizures. Source: Dunn, David W.; Review Neuropsychiatric aspects of epilepsy in children. Department of Psychiatry and Department of Neurology, IndianaUniversity School of Medicine, Indianapolis, IN, USA. Received 29 January 2003; accepted 29 January 2003. Epilepsy & Behavior 4 (2003) p. 101-106.

Children with brain damage (CP) are four to five times more likely to have behavior disturbances than non-disabled children (Rutter, et al, 1970). This is due to a myriad of issuessuch as the pressures and stress put on the family and the child who has CP, which may affect behavior. There is often a lack of adequate counseling, information and practicalassistance when it is required in the early stages of diagnosis and thereafter. Many families feel unsupported and ill-informed by the numbers of professional team members whocan be involved in the child’s care. The child, also, feels frustrated by lack of mobility and muscular movements. All of these factors may contribute towards the development ofbehavioral disorders. Thus, counseling and education for the parents, and counseling for the child (developmentally appropriate) will greatly aid both the child and the family.Source: The Cerebral Palsy Handbook. A Practical Guide for Parents and Carers. Marion Stanton, Vermilion, London, 2002.

2 X / month for 3months at ages 8,10, 12, 14, 16,and 18.

10

8 7/2005

18 2014

Physical Therapy Assist with muscularstrengthening, balancedeficits, ambulation, etc.

$168 - $232

$9600 - $19200Per Year

Dr. Kallan,Neurologist(7/7/04), BrodyCort, M.D. (8/3/04)and AndreaZotovas, M.D.

Ending

Beginning Per Unit1-2 X / week (48weeks / year).

11

8 7/2005

16 2012

Occupational Therapy Address activities of dailyliving, right hemiparesis,etc.

$168 - $232

$9600 - $19200Per Year

Dr. Kallan,Neurologist(7/7/04), BrodyCort, M.D. (8/3/04)and AndreaZotovas, M.D.

Ending

Beginning Per Unit1-2 X / week (48weeks / year).

12

8 7/2005

16 2012

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 5

Casey JonesProjected Therapeutic Modalities

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Speech & LanguageTherapy

Address communicationneeds and languageskills.

$168 - $232

Per Year

Dr. Kallan, Neurologist(7/7/04), Brody Cort,M.D. (8/3/04), EllenJansen, Ph.D. (6/7/04)and Andrea Zotovas,M.D.

Ending

$16,128 - $22,272 / year to age 21;then $800 - $1,200 every 3 years to age65.

Beginning Per Unit

NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.

2 X / week for 48weeks per year toage 21; then 4-6X / 3 years towork with newtechnology to age65. 13

8 7/2005

65 2061

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 6

Casey JonesDiagnostic/Educational Testing

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Educational Testing Monitor educationaldevelopment for specialeducation needs and toassist therapist.

$250 - $300

$250 - $300Per Year

Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)

Ending

Beginning Per Unit1 X / Year

14

8 7/2005

21 2017

Special EducationProgram

Educational program forstudents with hearingimpairment.

$0 - $0

$0 - $0Per Year

Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)

Ending

No cost associated with specialeducation services.

Beginning Per Unit

NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.

Regular schoolyear.

15

8 7/2005

21 2017

Tutor Provide one-on-onetutoring of class work witha specialist trained towork with CochlearImplants.

$25 - $35

$1800 - $2520Per Year

Paul M. Deutsch,Ph.D., C.R.C. CCM.CLCP, FIALCP Lic.Mental Hlth. Couns.(Chptr. 491 Psych.Pract. Act.)

Ending

Beginning Per Unit2 hours / week(36 weeks withinthe school year).

16

8 7/2005

21 2017

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 7

Casey JonesWheelchair Needs

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Manual Wheelchair Mobility for longerexcursions due tobalance deficits andhemiparesis.

$1200 - $1400

Per Year

Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending

Unit cost reflects basic transport chairand not customized wheelchair.

Beginning Per Unit1 X / 5-7 Years

17

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 8

Casey JonesWheelchair Accessories and Maintenance

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

MAINTENANCE:Manual Wheelchair

Maintain equipment$120 - $140

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Maintenance to begin 2-3 years afterpurchase of new equipment.

Beginning Per Unit1 X / 2-3 Years

18

10 7/2007

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 9

Casey JonesOrthotics/Prosthetics

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Right Ankle Foot Orthosis Foot positioning due toright hemiparesis. $500

Per Year

Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending

Beginning Per Unit1 X / 1-2 Years toage 18; then 1 X /3-4 yearsthereafter.

19

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 10

Casey JonesAids for Independent Function

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Prescription Eye Glasses Improve vision.$125 - $175

Per Year

Dr. Davis,Ophthalmologist(4/19/04)

Ending

Beginning Per Unit1 X / Year to age16; then 1 X / 2-3years thereafter.

20

8 7/2005

Life Exp.

Personal FM System Personal hearing systemthat offers FMamplification.

$560 - $671

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

This system supplements theperformance of Cochlear implants.

Beginning Per Unit1 X / 4-6 Years

21

8 7/2005

Life Exp.

Computer Aid in school andavocational pursuits, andmaximize development inthese areas.

$900 - $1000

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Although helpful to any student it is acritical part of this plan for education,reinforcing task focus and improvingskills with visual cueing.

Beginning Per Unit1 X / 4-6 Years

22

8 7/2005

65 2061

Computer Maintenanceand Software Update

Maintain equipment andupdate computerprogram.

$100 - $150Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit1 X / Year

23

9 7/2006

70 2066

Good Vibrations DeluxeReceiver Kit by Silent CallCommunications

Alert system whichreceives signals from thetransmitters in thehousehold environment.

$586

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Kit comes with receiver, telephonetransmitter, doorbell transmitter, soundmonitor transmitter, smoke detectorwith transmitter, sleep alert charger andbed vibrator.

Beginning Per Unit1 X / 4-6 Years

24

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 11

Casey JonesAids for Independent Function

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

TDD/TYY Telephone Telephonecommunication system. $339

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit

NOTE: Many states offer a telecommunication relay system, free of charge, which provides a Communications Assistant to act as a link between people who usestandard telephone equipment and those who use TDD/TYY.

1 X / 4-6 Years

25

8 7/2005

Life Exp.

Compact PortableTTY/TDD

Portable telephonecommunication system. $229 - $329

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit1 X / 4-6 Years

26

8 7/2005

Life Exp.

Environmental SignalingDevices

Accessibility and safety.$401 - $500

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit

These are examples of additional equipment available to assist the person with hearing impairment: Knock Sensor - $35; Portable smoke detector - $175; Sonic Boom travel clock- $35; Battery backup - $125; Battery Charger - $16; Rechargeable 9V battery - $15 / each; etc.

Allowance foradditionalequipment andnew technology 1X / 4-6 Years

27

8 7/2005

Life Exp.

Cochlear ImplantProcessor

Process speech.$6000

Per Year

Rita Yonit, MS,CCC-SLP (4/12/04)

Ending

Beginning Per Unit2 over lifeexpectancy

28

18 2014

38 2034

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 12

Casey JonesAids for Independent Function

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Cochlear ImplantProcessor Repair

Maintain equipment

$700Per Year

Rita Yonit, MS,CCC-SLP (4/12/04)

Ending

Beginning Per Unit1 X / Year

29

8 7/2005

Life Exp.

Cochlear ImplantProcessor Insurance

Replace processor if lostor stolen.

$380Per Year

Rita Yonit, MS,CCC-SLP (4/12/04)

Ending

Beginning Per UnitAnnual cost

30

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 13

Casey JonesSupplies

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Cochlear ImplantSupplies

Maintain and operateimplant.

$1710Per Year

Rita Yonit, MS,CCC-SLP (4/12/04)

Ending

Beginning Per Unit

The supplies used with the implant device consists of AA batteries ($540 / year), Cables ($480 / year); Headpiece ($250 / year); Miscellaneous supplies i.e. ear hooks, testers($100 / year); Battery pack ($340 / year).

Annual allowance

31

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 14

Casey JonesMedications

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Prescription Medications Anti-seizure medicationsand occasionalrespiratory problems.

$7801Per Year

As prescribed bytreating physicians.

Ending

Trileptal - $96.02 / month; Lamictal -$550.86 / month; Albuterol - $18.99 (2 X/ year)

Beginning Per UnitAnnual allowance

32

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 15

Casey JonesHome Care / Facility Care

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

PRE-AGE 21:Respite Care - PrivateHire

Prevent parental burnout.$11.28

$6723Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Hiring an attendant through an agencywould cost $15.75 to $24 per hour or$9,387 - $14,304 / year.

Beginning Per Unit

HHAs in Casey’s geographical area earn a mean hourly wage of $9.03 (Source: U.S. Department of Labor, Bureau of Labor Statistics, Occupational Employment Statistics, May2004, State Occupational Employment and Wage Estimates, Florida. www.bls.gov.) We must also add in an additional 25% factor to that hourly rate to cover matching socialsecurity, quarterly unemployment compensation, worker’s compensation and appropriate accounting/administrative costs. Therefore, the total hourly rate would be $11.28 perhour.

1 night / week for 4hours 50 weeks /year (200 hours /year) and 1 weekend/ month 11 months /year for 36 hours(396 hours / year)596 total / year

33

8 7/2005

21 2017

Case Management Offer support and assistin coordination of care. $79 - $125

$3672 - $4896Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit3 - 4 hours permonth (36 - 48hours / year)

34

8 7/2005

21 2017

POST AGE 21Option #1Attendant Care - PrivateHire

Home Care. Casey willnot need awake careduring the night, but hewill require someone to bein the home and availablein case of need.

$11.28

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

From age 22 to age 65 annual hourswould be 7,200 per year to avoidoverlap with work program at an annualcost of $81,216. From age 65 throughlife expectancy the annual hours wouldbe 8,760 at a cost of $98,813 / year.

Beginning Per Unit

An option to privately hiring an attendant would be to hire a live-in through an agency, provided one would be available. A live-in will provide 10 hours of direct patient care and willsleep in the home eight hours at night for emergencies. The remaining six hours per day would have to be covered by a work program and supplemental attendant care. A Live-Inwill cost $188 to $230 per day or a total of $68,620 to $83,950 per year. Supplemental attendant care hired through an agency would cost $9,923 to $15,120 per year to age 65,based on 105 days per year at $15.75 to $24 / hour. After age 65 when he is no longer in the work program he would require an additional 2,190 hours of attendant care at anannual cost of $34,493 to $52,560, based on $15.75 to $24 per hour. This would be a total of $78,543 to $99,070 / year to age 65; then $103,113 to $136,510 / year thereafter.

24 hoursupervision. Seecomments.

35

22 2018

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 16

Casey JonesHome Care / Facility Care

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Skilled Nursing Visits -Private Hire

Medication setup andpatient monitoring. $20.7

$2153Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

$55 to $90 per visit through an agency,or $2,860 to $4,680 / year.

Beginning Per Unit1 X / Week(Estimate 2 hourseach visit, 104hours / year.)

36

22 2018

Life Exp.

Sheltered Work Program Avocational pursuit$45

$11700Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit260 days per year(6 hours / day) toage 65.

37

22 2018

65 2061

Interior/Exterior HomeMaintenance

To include house cleaning(assumes own home). $65 - $85

$3380 - $4420Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per UnitRegular weeklyservice.

38

22 2018

Life Exp.

Case Management Assist with coordinatingservices and offersupport.

$79 - $125

$9792 - $12240Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit8-10 hours /month (96 - 120hours / year)

39

22 2018

Life Exp.

POST AGE 21Option #2ICF/MR or Group Home

Residential care$271

$98915Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

This includes room, board, andattendant care. An economist wouldneed to calculate an offset for theseitems which would normally come out ofwages.

Beginning Per Unit24 hourresidential care.

40

22 2018

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 17

Casey JonesHome Care / Facility Care

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Case Management Coordinate and overseecare. $79 - $125

$2448 - $4896Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit2-4 hours / month(24 - 48 Hours /year)

41

22 2018

Life Exp.

Sheltered Work Program Avocational pursuit$45

$11700Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit260 days per year(6 hours / day)

42

22 2018

65 2061

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 18

Casey JonesFuture Medical Care Routine

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Neurologist Monitor neurologicalcondition. $68 - $143

$211 - $422Per Year

Dr. Gi, Neurologist(5/4/05), Dr. Kallan,Neurologist (7/7/04) andAndrea Zotovas, M.D.Ending

Beginning Per Unit

The Pediatric Health Encyclopedia indicated that oral anticonvulsants prevent or minimize the number of future seizures. Response is individual, and the medications used anddosage may have to be adjusted repeatedly. Follow-up for re-evaluation should occur at least yearly. Monitoring of plasma drug levels is important for the continued control ofseizures and the reduction of side effects. Seizure disorder (epilepsy) is a chronic, usually lifelong condition. Source: Epilepsy; Pediatric Health Encyclopedia;http://www.healthcental.com/peds/top/000694.

1 X / 3-6 months

43

8 7/2005

Life Exp.

Neurosurgeon Monitor shunt function.$67 - $171

$134 - $342Per Year

Dr. Kallan, Neurologist(7/7/04), Brody Court,M.D., Neurologist(8/3/04) and AndreaZotovas, M.D.

Ending

Beginning Per Unit

In the pediatric age group, the diagnosis of hydrocephalus is based on head circumference and CT scanning which shows ventriculomegaly with enlarging head, or in patients withclosed sutures, symptomatic ventricular enlargement. The initial management of this is placement of a shunt diversion system (generally from the ventricles to the abdominalcavity). Alternatively, the shunt can be placed into the atrium of the heart or the pleural cavity, but these are much less common. Once a shunt is in place, yearly follow-up andexamination by the PCP is recommended. These patients should also be examined by a neurosurgeon every 2 years primarily to make sure the child is not outgrowing the lengthof the shunt tubing. The primary objective in a patient with a VP shunt is to ensure, on a regular basis, that the shunt continues to function. In general, this is a clinical diagnosisbased on the patient's complaints and shunt dynamics at the time of testing the shunt. In some severely impaired patients, the diagnosis of continued shunt functioning must becorrelated with CT scan. Source; Madigan Army Medical Center. Ventriculoperitoneal Shunts Referral Guideline. Developmental Pediatrics, Neurosurgery.www.mamc.amedd.army.mil/referral/guidelines/dev_ped_ventricul.htm.

Shunting is one of the basic neurosurgical procedures, and also has the highest failure rate. It has a relatively high complication rate and is probably the most common operation,which has to be redone for either malfunction or infection. These children will require close follow-up to recognize at an early stage some of the complications of shunting, and topick up on subtle signs of shunt dysfunction. A close working relationship needs to exist between the pediatric neurosurgeon and the families, as well as the child's pediatrician,to provide the best comprehensive evaluation of a shunt problem and recognize at an early stage. Source: Fried, Arno H., M.D., Epstein, Mel H., M.D. Childhood Hydrocephalus:Clinical Features, Treatment, and the Slit-Ventricle Syndrome. Treatment of Hydrocephalus: Shunts. http://virtualtrials.com/shunts.cfm.

2 X / Year

44

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 19

Casey JonesFuture Medical Care Routine

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Otolaryngologist Monitor Cochlear Implantand hearing impairment. $99 - $100

$99 - $100Per Year

Brody Court, M.D.,Neurologist (8/3/04);Kara Natane,Audiologist (6/2/04),Rita Yonit, MS,CCC-SLP (4/12/04) and

Ending

Beginning Per Unit

NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receives the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.

1 X / Year

45

8 7/2005

Life Exp.

Ophthalmologist Assess and monitorstrabismus and vision. $65 - $140

$65 - $140Per Year

Dr. Davis,Ophthalmologist(4/19/04) andAndrea Zotovas,M.D.

Ending

Beginning Per Unit1 X / Year

46

8 7/2005

Life Exp.

Orthopedist Monitor bonedevelopment. $70 - $300

$70 - $300Per Year

Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending

Beginning Per Unit1 X / Year

47

8 7/2005

Life Exp.

Physiatrist Monitor rehabilitationneeds. $60 - $155

$60 - $155Per Year

Dr. Kallan,Neurologist (7/7/04)and AndreaZotovas, M.D.Ending

Beginning Per Unit1 X / Year

48

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 20

Casey JonesFuture Medical Care Routine

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Dentist Provide additional oralhygiene care andmonitoring of teeth due tomedications.

$74 - $87

$148 - $174Per Year

Paul M. Deutsch,Ph.D.,C.R.C. CCM. CLCP,FIALCP & AndreaZotovas, M.D. based onpractice guidelines.

Ending

Beginning Per Unit

Practice Guidelines for Dental Care: Medications used for the treatment of systemic diseases can also influence risk for oral problems due to various side effects. Somemedications can cause adverse oral effects such as salivary gland hypofunction (SGH), xerostomia, gingival overgrowth, lichenoid reactions, tardive dyskinesia (oralmusculature movents) and problems with speech, swallowing and taste. Medications such as antipsychotics, antidepressants, tranquilizers, sedatives, diuretics,antihypertensives, anti-Parkinsonian agents, narcotic analgesics, anticonvulsants, antihistamines and antiemetics have the most severe dry mouth and SGH side effects. Lowlevels of saliva result in the oral environment becoming more acidic and together with decreased buffering capacity, result in dental caries.Source: Oral hygiene care for functionally dependent and cognitively impaired older adults. Research Dissemination Core. Oral hygiene care for functionally dependent andcognitively impaired older adults. Iowa City (IA): University of Iowa Gerontological Nursing Interventions Research Center; 2002 Nov. 48 p. www.guidelines.gov

2 X / year inaddition to 2times everyoneshould be seen.

49

8 7/2005

Life Exp.

Podiatrist Monitor and treat chronicingrown toenail. $35 - $70

$70 - $140Per Year

Andrea Zotovas,M.D.

Ending

This recommendation is based on themother’s report of chronic ingrowntoenail.

Beginning Per Unit2 X / Year

50

8 7/2005

Life Exp.

Audiogram Monitor implant$135 - $204

$270 - $408Per Year

Kara Natane,Audiologist (6/2/04)and AndreaZotovas, M.D.Ending

Beginning Per Unit

NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.

2 X / Year

51

8 7/2005

Life Exp.

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 21

Casey JonesFuture Medical Care Routine

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Pathology LaboratoryWork

Monitor medication levelsand side effects. $176

$352Per Year

Brody Cort, M.D.,Neurologist(8/3/04), Dr. Gi,Neurology (6/18/04)and AndreaZotovas, M.D.

Ending

CBC with Diff - $33; Comp MetabolicPanel - $50; Trileptal and Lamictallevels - $78 and Draw Fee - $15

Beginning Per Unit2 X / Year

52

8 7/2005

Life Exp.

Electroencephalogram Evaluate and monitorseizure disorder. $918 - $1150

Per Year

Brody Cort, M.D.,Neurologist(8/3/04), Dr. Gi,Neurology (6/18/04)and AndreaZotovas, M.D.

Ending

Beginning Per Unit1 X / every otheryear

53

8 7/2005

Life Exp.

Spinal X-Rays Monitor for scoliosis.$258 - $363

Per Year

Brody Cort, M.D.,Neurologist (8/3/04)and AndreaZotovas, M.D.Ending

Beginning Per Unit1 X / 2-3 Years

54

8 7/2005

18 2014

Scanogram Check for leg lengthdiscrepancy. $135 - $201

Per Year

Brody Cort, M.D.,Neurologist (8/3/04)and AndreaZotovas, M.D.Ending

Beginning Per Unit1 X Only

55

8 7/2005

8 7/2005

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 22

Casey JonesFuture Medical Care Aggressive Treatment

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Repeat StrabismusSurgery

Repeat surgery to realigneyes. $7580 - $9297

Per Year

To be determined bytreating physician.Recommendationadded based onreport by Mrs.Jones.

Ending

Beginning Per Unit

When strabismus surgery is recommended, the earlier in life it is done the better the chance of your child achieving normal binocular vision. Despite having the appropriatesurgery, some patients may require further eye muscle surgery in the months or years following their initial operation to further refine their ocular alignment. Source: StrabismusSurgery. Copyright 1992-1999 Pediatric Ophthalmic Consultants. http://www.pedseye.com/StrabSurg.htm.

1 X Only

56

8 7/2005

8 7/2005

Repeat Right Heel CordLengthening

Prevent contracture offoot and facilitateambulation.

$11038 - $11387

Per Year

To be determined bytreating physician.Recommendationadded based onreport by Mrs.Jones.

Ending

Beginning Per Unit1 X Only

57

8 7/2005

8 7/2005

Shunt Diagnostics Monitor shunt$876 - $1076

Per Year

Dr. Kallan,Neurologist (7/7/04)

Ending

CT of head ($700 - $900) and shuntseries x-rays ($176).

Beginning Per Unit

In most cases of shunt malfunction, the diagnosis is obvious because of the overt signs of elevated intracranial pressure, including headaches, vomiting and lethargy. This modeof presentation occurs in approximately 70% of shunted children. The other 30%, however, may present with more subtle signs of deterioration, with neuropsychologic, cognitiveand behavioral symptoms heralding their shunt dysfunction. When a shunt malfunction is suspected, the first step is to determine the site of the malfunction. Workup shouldbegin with a CT scan or MRI scan to compare the ventricular size and show the most definitive signs of a malfunction: interval enlargement of the ventricles. A shunt series shouldalso be done to look for continuity of the shunt, optimal placement of the shunt catheter or a distal shunt problem such as a short distal shunt. Source: Fried, Arno H., M.D.,Epstein, Mel H., M.D. Childhood Hydrocephalus: Clinical Features, Treatment, and the Slit-Ventricle Syndrome. Treatment of Hydrocephalus: Shunts.http://virtualtrials.com/shunts.cfm.

2 X over courseof life with failureof shunt.

58

18 2014

38 2034

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 23

Casey JonesFuture Medical Care Aggressive Treatment

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Shunt Revisions Replace or revise VPshunts. $19355 - $30404

Per Year

Dr. Kallan, Neurologist(7/7/04), Brody Cort,M.D., Neurologist(8/3/04) and AndreaZotovas, M.D.

Ending

Beginning Per Unit

Shunting is one of the basic neurosurgical procedures, and also has the highest failure rate. It has a relatively high complication rate and is probably the most common operation,which has to be redone for either malfunction or infection. These children will require close follow-up to recognize at an early stage some of the complications of shunting, and topick up on subtle signs of shunt dysfunction. A close working relationship needs to exist between the pediatric neurosurgeon and the families, as well as the child's pediatrician,to provide the best comprehensive evaluation of a shunt problem and recognize at an early stage. Source: Fried, Arno H., M.D., Epstein, Mel H., M.D. Childhood Hydrocephalus:Clinical Features, Treatment, and the Slit-Ventricle Syndrome. Treatment of Hydrocephalus: Shunts. http://virtualtrials.com/shunts.cfm.

2 X over courseof lifeexpectancy.

59

18 2014

38 2034

Replace Cochlear Implant Hearing implant$45000 - $55000

Per Year

Kara Natane,Audiologist (6/2/04) andRita Yonit, MS,CCC-SLP (4/12/04) andAndrea Zotovas, M.D.

Ending

Beginning Per Unit

NCDS advocates that cochlear implant teams working with children, and others should: ensure a true multidisciplinary approach; provide parents and children with effectivecounseling and support, whether or not the child receives an implant; ensure that children with an implant receive the highest possible standards of life long care, with smoothtransition to the adult cochlear services. Source: The National Deaf Children’s Society. (2003). Cochlear implants and children. Retrieved fromhttp://www.ndcs.org.uk/about_ndcs/ndcs_policies_campaigns/ncds_policies/cochlear_implant.html on December 9, 2004.

2 X over courseof lifeexpectancy.

60

18 2014

38 2034

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 24

Casey JonesLeisure Time/Recreational

Life Care Plan

Item / Service Age Year Purpose Cost Recommended ByCommentFrequency/

Replacement

DOB: Oct 7, 1996Sep 23, 1997Jul 14, 2005Developmental Delay/Hearing Impairment

D/A:

Primary Disability:Date Prepared:

Paul M. Deutsch & Associates, P.A.10 Windsormere Way, Suite 400Oviedo, FL 32765(407) 977-3223 Fax (407) 977-0311

Summer Camp for SpecialNeeds Children

Summer camp for childrenwith multiple handicaps. $500 - $1050

Per Year

Paul M. Deutsch,Ph.D., CRC, CCM,CLCP, FIALCPbased on medicalinformation andclient interview

Ending

Beginning Per Unit2 weeks, onceper year.

61

8 7/2005

21 2017

Growth Trend To Be Determined By Economist. Table 2 Copyright ©1994. page 25