and feelings. From Ian’s standpoint, a car other things found outdoors. It also ride can include unexpected: describes how he can tolerate short periods of linear motions (horizontal Noisy horns and loud trucks similar to that of riding in a car). The Bright headlights and street lights case also stated his negative Innumerable different colors, response to a vestibular system shades, and objects out the window overload. Bumps, turns, accelerations and decelerations, and constant vibration of the car itself Ian’s vestibular system will be challenged during a car ride as well. Although mostly consisting of linear movements, riding in a car can also have some angular and rotary movements (e.g.: going around a sharp corner, backing out of a parking spot and turning quickly). The above examples provide a glimpse into why community mobility may be a problematic IADL for Ian. Meal N N Y Preparing a meal and cleaning up Pragmatic - As a 12 year old boy, Preparation afterwards, even if it as basic as cereal or a Ian may be expected to make his peanut butter and jelly sandwich, requires own meals and clean up after FM skills to manipulate the objects involved himself. and it requires touching of multiple different textures and surfaces that Ian may dislike. Narrative – The case describes some of his: Managing utensils without making a mess tactile defensive sensitivities may also be troublesome for Ian because of low tone evidenced by poor his FM issues. posture, UE weakness, and avoidance of trunk rotation. Opening a jar of jelly, especially when new, FM deficiencies may be difficult for Ian because of his low tone and upper extremity (UE) weakness.
and feelings. From Ian’s standpoint, a car ride can include unexpected: Noisy horns and loud trucks Bright headlights and street lights Innumerable different colors, shades, and objects out the window Bumps, turns, accelerations and decelerations, and constant vibration of the car itself Ian’s vestibular system will be challenged during a car ride as well. Although mostly consisting of linear movements, riding in a car can also have some angular and rotary movements (e.g.: going around a sharp corner, backing out of a parking spot and turning quickly). The above examples provide a glimpse into why community mobility may be a problematic IADL for Ian. other things found outdoors. It also describes how he can tolerate short periods of linear motions (horizontal similar to that of riding in a car). The case also stated his negative response to a vestibular system overload. Meal Preparation N N Y Preparing a meal and cleaning up afterwards, even if it as basic as cereal or a peanut butter and jelly sandwich, requires FM skills to manipulate the objects involved and it requires touching of multiple different textures and surfaces that Ian may dislike. Managing utensils without making a mess may also be troublesome for Ian because of his FM issues. Opening a jar of jelly, especially when new, may be difficult for Ian because of his low tone and upper extremity (UE) weakness. Pragmatic - As a 12 year old boy, Ian may be expected to make his own meals and clean up after himself. Narrative – The case describes some of his: tactile defensive sensitivities low tone evidenced by poor posture, UE weakness, and avoidance of trunk rotation. FM deficiencies
ian_otpf_grid.docx