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Flynn (Occupational Profile (Hypotonia throughout, No sensory processing…
Flynn
Occupational Profile
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Inconsistently walks with either hand held assist or use of a Kaye walker. Can scoot across the floor and up/down steps
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Sits unsupported on the floor, unable to sit on elevated surface without close supervision/CGA
Non-verbal, points and vocalizing to communicate: attempt at communication device
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Working on toilet training, but constipation is an issue
Caregiver concern: Prefers finger feeding, but is resistant to utensil use
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Diagnosed micrognathia, obstructive sleep apnea, and clubfoot
Interventions
OT will present Ian with games where he reaches above his head to improve strength and range of motion
OT will help Ian prep for the task of grooming by setting up his utensils before beginning the tasks
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OT will help establish mealtime routines using the scheduling of events to promote mealtime routines
OT will provide Ian with adaptive equipment such as weighted utensils to promote self feeding for proprioceptive input
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Grading
OT will present Ian with games where he reaches above his head to improve strength and range of motion
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Model & FOR
PEOP
PEOP recognizes the interaction between the person, environment, and occupational performance in dynamic and reciprocal movements.
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Goals
LTG
Within 12 weeks, Flynn will self-feed with a utensil, independently, for all mealtimes, for 5 consecutive days, as observed by preschool teacher, for increased independence with mealtime.
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STG
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Within 6 weeks, Flynn will drink from an open cup, with verbal encouragement for 2 mealtimes, for 5 consecutive days, as observed by preschool teacher/ caregiver, for increased independence with mealtime.
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References
Morris, S.E., & Klein, M.D. (2000). Specifics of oral motor treatment. In Pre-feeding Skills, (2nd ed) (pp. 402-410). San Diego, CA: Therapy Skill Builders.
Beckman, D.A. (2007). Beckman oral motor and assessment. In Beckman Oral Motor
Assessment and Intervention.(pp, 8-11). Maitland, FL: Beckman & Associates, Inc
