Productivity can include but is not limited to, school, work, household chores, or contributing to the community.Play is included as a productive occupation as it is often the primary activity for children. If play becomes difficult due to a disability, like CP, this can cause problems for the child. These difficulties can affect a childs self-esteem. In addition, the sensory and motor problems experienced by children with CP affect how the child interacts with their surroundings, including the environment and other people. Not only do physical limitations affect a childs ability to play, the limitations perceived by the childs caregivers and playmates also affect the childs play activities. Some children with disabilities spend more time playing by themselves. When a disability prevents a child from playing, there may be social, emotional and psychological problems, which can lead to increased dependence on others, less motivation, and poor social skills.In school, students are asked to complete many tasks and activities, many of which involve handwriting. Many children with CP have the capacity to learn and write in the school environment. However, students with CP may find it difficult to keep up with the handwriting demands of school and their writing may be difficult to read. In addition, writing may take longer and require greater effort on the students part. Factors linked to handwriting include postural stability, sensory and perceptual abilities of the hand, and writing tool pressure.Speech impairments may be seen in children with CP depending on the severity of brain damage.
A placental site nodule (PSN) is benign remnant from a previous pregnancy. Presentation
They are typically asymptomatic and found incidentally. Pathology
PSNs are intermediate trophoblastic remnants. Diagnosis
PSN are diagnosed by examining the tissue under a microscope, usually obtained with a dilation and curettage. Typically, they consist of pink (hyaline) material using the standard stain and contain few cells. Bizarre multinucleated cells may be present; however, there is no mitotic activity. The differential diagnosis includes (cervical) squamous cell carcinoma, gestational trophoblastic disease, and exaggerated placental site. Prognosis
PSN are benign. Once removed, they do not require any treatment and do not recur. See also
Gestational trophoblastic disease
Placental site trophoblastic tumour

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