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Jason (Assessments (Care giver Interview (Jason will make himself throw up…
Jason
Assessments
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Care giver Interview
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Jason does not attempt to fed self, his care taker spoon feeds him most of the time
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Caregiver Priority: self feeding, weaning off of tube
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Interventions
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Limitations in ADLs
Head and trunk stability strengthening. Have child supine on lap and slowly weight shift so child begins to engage muscles to control weight shift
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Create home feeding routine that is predictable, consistent and earlier in the evening (for dinner)
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Reduce home sensory input during feeding times, no extra noises, child and caregiver
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At mealtime, the caretaker will put Jason's preferred pureed food on a plate in front of Jason and will demonstrate putting their finger in food and then bringing it to their mouth. Also allow Jason the opportunity to play with food on his own, putting his hands in it and exploring it. Getting used to the texture on his hands and bringing it to his mouth
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Models/FOR
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Sensory Integration FOR
I would use this FOR when addressing Jason's response to 'noxious' stimuli. It seems like it is a sensory processing issue
Goals
problem statement: Jason has difficulty falling asleep at night when he is fed late because feeding tends to be a stressful event for him and causes him to be agitated afterwords.
STG: Jason's caretaker will create a consistent, early feeding schedule for Jason, independently, to address sleep and rest issues, by next session
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References:
Cole, M. B., & Tufano, R. (2008). Applied theories in occupational therapy: A practical approach. Thorofare, NJ: SLACK.
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