#4 A. PRIORITIZED PROBLEM LIST Rachel shown has sensory problem which affect when she engaging in any occupations such as:
⮚ Difficulty in Social Participation such as:
● Social skills due to low registration which is specific to turns toward, and looks. ● Does not seek interactions with other children specific to gesticulates and speech
⮚ Difficulty in ADLs such as:
● Dressing and hair brushing due to tactile defensiveness which is specific to easily frustrated, and distressed. A. PRIORITIZED PROBLEM LIST
⮚ Classroom Environments such as:
● Difficulty adapting to transitions in another place due of too much sensory input and not familiar in place. B. (1) LONG TERM GOAL, (2) SHORT TERM GOALS ⮚ LTG: By the end of 6 months, Rachel will be exposed and able to adapt in any sensory input in any environment transition during various of sensory activities including also improving self-care activities and social skills without any sensory problem. ● STG (1): The therapist will provide some facilitation techniques for Rachel such as brushing by using any types of fabric from clothes also hair comb and hair brush. The therapist will brush to the child’s arms and hands in 3 times each side of the body in order for child to familiarize the texture of clothes, hair comb and hair brush within 3 months of OT sessions. ● STG (2): Rachel will demonstrate turns toward, looks, speech and gesticulate as her name was called at least 3 times, and enable for her to interact and communicate with other people using some simple language, words and gestures within 3 months of OT sessions. C. EVALUATION Sensory Profile - Recognize a child's sensory processing patterns in everyday scenarios such as assists in gathering vital sensory information about home and school. Observation - Analyze a child's occupational performance using clinical judgment to the child's behavior and performance when participating in certain activities Initial Evaluation - Interviewing with the child's parents or caregiver by asking questions about the child's lifestyle at home and at school D. PLAN OF ACTION PREPARATORY S E N S O RY TEXTURE STOP DA S B A L L O O N NCE o lo r s o f ba llo o n s w ith ● The child will d ● 5 a s so rt e ed c a ch 5 b all oon s s uc h as children ance wit h other insid e , S o a f lt , C orn s ta rc h , Ma r b le s , P lay ● The child can danc Sand m e . the musi e freely w e, a n d S li c is on th hile Do ug h, R i c to u c h and en the ch h il d w ill stop to d ild will ● T h e n th e c ance wh en the m usic stop t s squeeze i PURPOSEFUL FABRIC BOX BALL THROWING AND CATCHING ● Will use two boxes, the one box has ● The child will play ball catching with 3 something inside such as any kinds piece children while OT will guide them of fabric(such as cotton, silk, chiffon, and ● Introduce 1st names to each other for the wool) while the other box is empty. able to child remember her 3 playmates ● The child will transfer each kind of fabric ● Form a circle on the empty box one by one ● The OT will instruct the child that “can you throw the ball to OCCUPATION-BASED DRESS UP USING SOFT AND COMFORTABLE IMITATION OF SIMPLE GESTURE FABRIC CLOTHES AND BRUSHING HAIR The OT will provide a simple gesture ⮚ For dressing presentation will serve as visual cues The child will wear shirt, pants and socks with situation on it in order for child to w/ OT’s help. know when to use these gestures when ⮚ For hair brushing it comes to communicating.
Brushing the hair of the child carefully
and slowly E. OTHER MANAGEMENT FOR: Sensory Integration BMT: Positive Reinforcement TUS: Active friendliness Education: Parent and teacher education/training THANK YOU! For your attention