Richard continued to work on fine motor coordination and strengthening. Began with Pencil pushups 10 times with visual and verbal cues for positioning and speed. Noted an improvement in his ability to isolate finger movement from his wrist while shading in areas in a diagonal pattern. Right to left pencil movement patterns continue to be challenge. Ended the session completing 2 sessions in his typing program, focusing on home and top row. Richard continues to work slowly to try and avoid mistakes but is good about trying to use the correct finger for each key.