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Jason 2.5 years old (30months) (Occupation Based Problems (Persistent Gag…

- - - - G-tube & accepts a sippy cup with thin liquids
    - - -Ability to tolerate brushing teeth
      - Work on feeding himself with utensils
      - -Expand the foods Jason is willing to eat
    - - Drinks from sippy cup
      - Scoots in supine
      - Rolls
      - Manipulates preferred toys
      - Palmer & raking grasp
      - Can eat thick purees & soft solids
- - - - Grade up-Introduce something that is more complex in texture for Jason (1 step removed on the food map)
      - Grade-down Serve a food that Jason is known to be able to eat
  - - - Grade up- Have Jason lie in prone (consider precautions for G-tube) and have him reach for toys
      - Grade down-have Jason lie in supine and reach across midline for toys
  - - - Grade down-Utilize an activity like a fishing game to work on the grip in a different engaging way
      - Grade up- Provide weighted utensils to work on strength while eating
  - - - Grade up- select smaller toys have him pick them up and place them inside a container
      - Grade down- Select larger toys that are wide and easy to grip