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. Upon arrival to Luke's room he tried to go outside with permission. As the school year nears the end task compliance is fair. Worked on the first step of shoe tying during today's session. Worked on writing with concentration on refinement but Luke's effort was minimal and attention was fair to poor today.