Navkshitij

Case Study: Ajinkya Goundaje

Introduction

Intellectual disability affects many families globally, with approximately 1 in 50 families having at least one child with such a condition. These families face numerous challenges, especially as the child grows older. Behavioral issues become more pronounced, particularly after the age of 18, when mental development lags behind physical growth.

Ajinkya Goundaje, at 33 years old, embodies such challenges. His journey from a boy with significant behavioral issues to a confident individual contributing to his community is a story of patience, care, and targeted rehabilitation.

Background

  • Name: Ajinkya Goundaje
  • Age: 33
  • Condition: Intellectual disability with behavioral challenges
  • Admitted to Navkshitij: 2023

Initial Challenges

Ajinkya’s parents were anxious when they brought him to Navkshitij in 2023. He struggled with several issues that hindered his independence, including:

  • Lack of training in activities of daily living (ADL), specifically in toilet training
  • Digestive problems that impacted his overall health
  • Over-dependence on his mobile phone, which led to aggression when removed
  • Balance difficulties, affecting his physical coordination

His name, meaning “the one who can never be defeated,” seemed ironic at first due to the behavioral hurdles he faced.

Rehabilitation Plan

Upon his arrival, the Navkshitij team initiated a one-month observation period to assess Ajinkya’s strengths and weaknesses. This allowed the team to design a customized intervention plan targeting his core challenges:

  • Toilet Training and Dietary Adjustments: Ajinkya’s digestive issues were closely linked to his toileting challenges. After observing which foods were easily digestible for him, the team created a specific diet plan. Within two months, 90% of his digestive and toileting issues were resolved.
  • Behavioral Management and Reducing Mobile Dependency: The team worked on reducing his reliance on his mobile phone by involving him in engaging activities. Gradually, this dependence decreased, and his aggression diminished.
  • Physical and Motor Skills Development: Ajinkya had balance issues, so the team incorporated his love for dancing into his daily routine. He participated in one-hour dance sessions and trampoline exercises, which helped improve his physical coordination.
  • Engagement in Meaningful Activities: Ajinkya developed an interest in gardening, and the caregivers encouraged him to spend more time working in the garden. This engagement gave him a sense of purpose and helped him form social bonds with his peers.

Results and Progress

  • After three to four months of consistent therapy, Ajinkya’s transformation was evident. He was no longer dependent on his mobile phone and had become more independent in his activities of daily living. He enjoyed spending his free time working in the garden and socializing with his friends.
  • Ajinkya’s involvement in agricultural activities expanded when he became part of a nursery project at the Talegav units. His efficiency in filling soil bags surpassed his peers, and his skills earned him the position of nursery supervisor. He embraced this leadership role with pride and dedication.

Parental Observation

When Ajinkya’s parents visited him after a few months, they were pleasantly surprised by the changes in their son. He proudly showed them the tasks he was responsible for, demonstrating his work ethic and commitment. The progress they witnessed was beyond their expectations.

Conclusion:

Ajinkya’s journey from dependency and behavioral challenges to a confident, independent individual highlights the importance of personalized rehabilitation programs. His case shows that with targeted intervention, even severe behavioral and intellectual challenges can be managed effectively. Ajinkya’s transformation serves as an inspiring example for families and caregivers, proving that intellectual disabilities can be managed with the right care, patience, and support.

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