Case Story: Bruce Observations mother reported that Bruce will reach when “gotten started” because the physical act of reaching was difficult for him. Bruce was noted, however, to reach directly for a penlight with a “monster” cap during our evaluation without any assistance. in a sitting position, Bruce sucked on his fingers and brought his head down to his hand rather than his hand to his mouth. once his head was down, Bruce had difficulty raising it displayed understanding of cause and effect- moved his hand repeatedly to bat a favorite toy that made animal sounds when pushed. Case Story: Bruce Observations Bruce smiled when he heard certain sounds stilled as he heard his when she was out of sight on many mother’s voice occasions appeared to be less alert in the supine as opposed to sitting position appeared to display preferences by looking, reaching, or making hand motions. when seizures were under control and medicine did not overly-sedate him, Bruce was alert and interested in people and objects in his surroundings Case Story: Bruce Determine repertoire of behaviors Skills acquired, when/where used, motivators Skills likely to be acquired Skills that need refinement Skills acquired but could be applied to specific tasks or a wider variety of tasks Case Story: Bruce Intervention goals focused on areas of high priority areas to family Infused within daily routines at home Complete meaningful activities as independently as possible Use positioning in which child is most responsive Use activity pace matched to pace child’s Use materials of high motivation Fade to the use of less intrusive adaptations as soon as possible Case Story: Bruce Mother wanted him to follow her visually when she was in the room Functional goal to follow an object of interest from left to right Wanted to try to encourage Bruce expand his skill to reach for objects Functional goal was to reach for favored object (Mardi Gras beads) within arm’s reach and directly in front rather than an object he did not favor. Beginning step
Case Story: Bruce Observations mother reported that Bruce will reach when “gotten started” because the physical act of reaching was difficult for him. Bruce was noted, however, to reach directly for a penlight with a “monster” cap during our evaluation without any assistance. in a sitting position, Bruce sucked on his fingers and brought his head down to his hand rather than his hand to his mouth. once his head was down, Bruce had difficulty raising it displayed understanding of cause and effect- moved his hand repeatedly to bat a favorite toy that made animal sounds when pushed. Case Story: Bruce Observations Bruce smiled when he heard certain sounds stilled as he heard his mother’s voice when she was out of sight on many occasions appeared to be less alert in the supine as opposed to sitting position appeared to display preferences by looking, reaching, or making hand motions. when seizures were under control and medicine did not overly-sedate him, Bruce was alert and interested in people and objects in his surroundings Case Story: Bruce Determine repertoire of behaviors Skills acquired, when/where used, motivators Skills likely to be acquired Skills that need refinement Skills acquired but could be applied to specific tasks or a wider variety of tasks Case Story: Bruce Intervention goals focused on areas of high priority areas to family Infused within daily routines at home Complete meaningful activities as independently as possible Use positioning in which child is most responsive Use activity pace matched to child’s pace Use materials of high motivation Fade to the use of less intrusive adaptations as soon as possible Case Story: Bruce Mother wanted him to follow her visually when she was in the room Functional goal to follow an object of interest from left to right Wanted to try to encourage Bruce expand his skill to reach for objects Functional goal was to reach for favored object (Mardi Gras beads) within arm’s reach and directly in front rather than an object he did not favor. Beginning step
Presentation3_CVI_Lueck_IAER2016.docx