Y N Y N Y N I believe that social skills are required for Pragmatic – Knowing Ian’s and social social participation, but specifically the case multitude of issues, it is obvious that skills mentions eye contact as a being children will consciously or for Ian. This is a basic social skill unconsciously place him in another that can impact the communication and category than other “normal” interaction between Ian and his peers. children. This may result in Another social aspect that is highlighted in stereotyping or teasing which Ian the case is his pattern of getting excited and probably cannot deal with in an “revving” up when other children are loud acceptable or functional way. and having fun around him. Narrative – The case mentions the Negative social implications can easily stem eye contact and the excitability from Ian’s problems including aggression aspects of Ian’s social skill deficits. and his sensory integration issues. If his peers point out his differences and tease him or put him on the spot, Ian may not know how to handle the situation and it could turn into an outburst or aggressive behavior. Client factors Tone Y N Y Ian is low tone and it was evidenced by: Narrative - All aspects were described in case Difficulty maintaining position in chair Crossing midline was inconsistent Minimal Rotation of body during movements (strength related also). Strength Y N Y Ian’s strength is lower than what is expected Narrative – All aspects were as evidenced by his difficulty maintaining described in case posture (and other items stated above in the Tone section), as well as: Difficulty sustaining arms/shoulders against resistance Weak core – instability on mat while being bounced Extension is weak
and social skills Y N Y N Y N I believe that social skills are required for social participation, but specifically the case mentions eye contact as a being for Ian. This is a basic social skill that can impact the communication and interaction between Ian and his peers. Another social aspect that is highlighted in the case is his pattern of getting excited and “revving” up when other children are loud and having fun around him. Negative social implications can easily stem from Ian’s problems including aggression and his sensory integration issues. If his peers point out his differences and tease him or put him on the spot, Ian may not know how to handle the situation and it could turn into an outburst or aggressive behavior. Pragmatic – Knowing Ian’s multitude of issues, it is obvious that children will consciously or unconsciously place him in another category than other “normal” children. This may result in stereotyping or teasing which Ian probably cannot deal with in an acceptable or functional way. Narrative – The case mentions the eye contact and the excitability aspects of Ian’s social skill deficits. Client factors Tone Y N Y Ian is low tone and it was evidenced by: Difficulty maintaining position in chair Crossing midline was inconsistent Minimal Rotation of body during movements (strength related also). Narrative - All aspects were described in case Strength Y N Y Ian’s strength is lower than what is expected as evidenced by his difficulty maintaining posture (and other items stated above in the Tone section), as well as: Difficulty sustaining arms/shoulders against resistance Weak core – instability on mat while being bounced Extension is weak Narrative – All aspects were described in case