Feels so good to be caught up on all of these posts. I was starting to get anxiety, because I was so far behind. Now, I can relax and enjoy these posts more. Dean has had a fantastic week and I just found out that I’m having another interview for a claims position if I don’t get my preferred one. Not sure I would take it if I got it, but it is good to have options. I like having options and it pays more than what I’m getting now.
1/8/18 – Speech
Dean is off today. New tilting of head and toe walking. Dean was seen with Mike after a session with HMEA. Mike reported that it was a tough session today. Dean was not interested in choices today. He enjoyed turning pages in books and pulling apart duplo blocks. Dean was happy and calmed when swung slowly. Dean smiles and complains to let others know his feelings.
- Continue to model word for book, ball, eat
1/9/18 – OT
Mike responded that he has been tippy toe walking as well as tilting his head and spinning. Spoke about that both are signs of seeking vestibular stimulation. Dean did excellent today. We interspersed swinging today between “time to work” activities. He was able to pull apart pop beads independently exerting enough pressure 100% of the time with minimal assistance. He attempted to push beads together 90% of the time. He calmed very well and was still when swinging which was nice to see. He was able to stack items into stacker with moderate assistance to independently.
- Try to keep manipulatives like stackers, ball drop out of reach until 1:1 working with him.
- Try to swing him in a sheet or a blanket when 2 people around him to do this every two hours.
1/10/18 – OT
Dean had ABA this am and it went well. Dean had a great session. He continues to make improvements with manipulating toys appropriately. He was able to stack all shapes and star stacker and all wooden shapes onto pegs. He made more of an attempt to place shapes into shape sorter. He continues to pull apart pop beads and he tried pushing shapes together. He continues to love swinging.
- Continue to intersperse “time to work” sitting in booster seat with sensory play – rice bucket, bean bucket, swinging in blanket between two people.
1/12/18 – OT (Make-up for 1/5 missed session)
Mike reported that toe walking and spinning less over past few days. He also has not been walking backwards. Less jumping noted today. Dean did amazing today. Great eye contact upon arrival. He sat in his working chair was able to place all stars on stacker and all wooden pieces onto stacker. Also worked on attending to name. Mike had pieces to stacker and I had pieces. We took turns calling his name. He did very well looking towards his name greater than 60% of the time, about 25% he needed visual cue of holding up shape. He loved taking swinging break. He responded to prompt for high five and came to sit in chair 1 time.
- Continue to do 1:1 work
- Encourage pointing to desired items
- Sensory play throughout the day
I learned that he really loves to swing this past week. His OT is making him a custom swing for his doorway. It usually costs around $500, but she is making it for us and charging it to her work. That is great that essentially the state is paying for him to have a calming swing. It will make it easy for 1 person to swing him in it. Today is a bit of a sad day for me. This is the first time I’ve touched him and he freaked out. He wouldn’t go near me for a minute or two. The longest minutes of my life. I couldn’t why he reacted that way. I wasn’t yelling or upset. I was trying to see if he was okay after falling. I guess, that could have been his way of saying that he was fine. It still hurt nonetheless. He just wants me to know that he’s a big boy.