Luke was seen in his room for a 45-minute occupational therapy treatment session. Focus of treatment was on improving his bilateral integration/hand usage, fine motor development, graphomotor skills, postural control and sensory processing/organization for improved general performance in various environments. Continued treatment with beginning vestibular input provided via the "Spooner". Luke was able to stand on the board and make it spin in both directions demonstrating good balance and trunk rotation strength. This type of input seems to give him energy and may be too excitatory. He would benefit from this maybe when tired or in blue zone. He fished for sight words to continue practice with reading them, putting them in a sentence and writing practice. He enjoys this style of multi-sensory learning. Good session.