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Jennifer Eazell
CCMC Practicum
18 September 2017
Jennifer Eazell
CCMC Practicum
18 September 2017
Activity Plan #2:
School-Age
Concrete Operational
Industry vs. Inferiority
Materials Needed:
Paper
Scissors
Numbered Medical Procedure Images (Access to the internet to search for them and a
printer to print them out)
Laminating Paper
Skills Needed:
Therapeutic Rationale:
Goals:
The goal of the intervention is to help relieve stress and anxiety surrounding an upcoming
Plan:
The plan is to create memory cards specific to the child’s upcoming procedure. Each card
will have a number on it signifying the order of the step in the procedure process. I will
provide the child with the cards and give them the freedom to play it on their own or with
me if they so wish. As the child plays the matching game, I will ask them questions such
as “what do you think is happening here?” or “can you put them in number order?”. I will
let the child guide my questions and answers by gauging how much they want to
hear/know about step in the procedure in relation to their coping. If I child seems more
receptive I may ask more questions or they may ask more questions which I will answer
honestly. If the child is less receptive to answering questions and appears to just want to
process with the visuals that’s ok too. At the end of the activity, the CCLS can check for
processing and understanding by asking questions like “what do you think?” or “can you
tell me about what the steps of the procedure are?” or “do you have anything you’re
confused about?”. Then, I can adjust my activity from there after review of understanding.
Accommodations:
Can be modified for preschool age children with simpler cards or by taking out some of
the cards that are more complex cards. By removing the cards that may not be necessary or not
appropriate for the child, you can avoid overwhelming the child and avoid making the game too
complex cognitively.
Evaluation:
Overall, the intervention went well. I modified the intervention for a 4-year-old patient by
removing certain cards that I found not necessary for the child’s specific situation and/ not
developmentally appropriate in order to simplify the game. The patient appeared to enjoy it
based on his smile and was able to use exploratory play through a game that also helps to teach
him about medical tools and the hospital. The game helped to familiarize him with the hospital
setting and relieve anxieties surrounding the unknown and proved to be a good educational tool.
Additionally, I think it helped mom and dad interact with him too as mom and dad traded off
playing with him as they also attended to preparing his lunch and other things. The game also
helped to assess where the patient was at developmentally in terms of his language, cognitive
skills, and motor skill ability. With each match in the game, the patient demonstrated his
cognitive and language skills were developmentally appropriately in his recognition of pictures
with the use simple words, as supported by Piaget’s preoperational stage, which is guided by
demonstrated by his ability to grasp the cards with ease showing the beginnings of fine motor
skill development typically shown by 4 year olds. When we finished the game, parents
demonstrated their satisfaction through smiles and verbal expressions of thankfulness for my