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Case Study: Jason, 2.5 year-old (Discharge home (6-months-old (discharge…

- - - - only assists w/ UB dressing by pushing arms through sleeves; does not assist w/ LB dressing or attempts more independence
    - - Resistant to tooth-brushing
    - - will hold sippy cup, but does not attempt to feed self with fingers or utensils
        
        thin liquids
      - will accept thick purees (oatmeal, mashed potatoes), bread, cheese slices, and soft solids like french fries, hot dogs, and bananas
- - - - In 8 weeks, Jason will self-feed with the use of utensils with minimal assistance 2/3 meals a day per caregiver report.
    - - In 3 weeks, Jason will self-feed with the use of utensils with moderate assistance, 1/3 meals a day per caregiver report.
  - - - : : :
      - Increase participation in both UB and LB dressing
        
        Work towards dressing with minimal cuing
        
        Begin by having Jason imitate dressing, such as donning a shirt
        
        Consideration for his G-tube and apparent scoliosis
        
        LB dressing may take longer due to varus knees/ externally rotated knees
    - - work on using existing palmar grasp for use of utensils
        
        Working on developing a three-chuck grasp for utensil use
        
        Development of grasp from palmar to three-chuck will be important and useful in future occupations such as writing
      - Fine motor development
        
        Development of pincer grasp
        
        Pincer grasp is important in picking up and manipulating small objects such as buttons, zippers, and finger food
    - - Help Jason to become familiar with the feeling of a toothbrush
        
        Use of a soft brush to help with over-sensitivity
        
        Allow Jason to play with the toothbrush and explore it
        
        Implement the use of his existing palmar grasp in holding and manipulating the toothbrush
  - - - Does not assist with LB dressing
  - - - Jason's safety is highly important in the development of interventions
        
        Prevent choking hazards
        
        Decrease stress during feeding/eating
      - The main goal is to increase Jason's independence in ADLs and IADLs
- - - - Jason began refusing oral feedings and use of pacifier
- - - - Discharge home at 6 months-old
- - - - Reduce choking hazards
        
        airway stability through positioning
        
        head, neck, and trunk alignment
  - - - Increase sensorimotor awareness
        
        Feeding/eating
        
        Introducing Jason to different textures and food
        
        Currently only eats soft food
        
        Taking into consideration the special diet that Jason must follow due to his kidney disease and prune belly syndrome