Nicholas was visibly sick today. He was sneezing many times, had watery eyes and a runny nose, and was extremely tired and unable to concentrate. Despite this, I encouraged him to try to make an effort on his math homework, adding that we could move to another location to work on spelling; his spelling test is this Friday, 4/5/19, and there are 7 words for him to study. We began working on the math assignment, which Nicholas found challenging. He was tasked with combining values of money in cents up to the dollar, working with different units of currency (pennies, nickels, dimes, and quarters). We practiced adding by tens and fives to help facilitate his computation of the different denominations. Nicholas had difficulty remaining focused and often arbitrarily guessed answers. While he's made some gains in coin identification and their value, he needs more practice, especially when adding amounts to a total (e.g., adding pennies, nickels, and dimes to 2 quarters, or 50 cents). Nicholas then asked to lie down and rest, but I was able to refocus his attention and we moved to a different location to practice spelling. This, too, proved challenging for Nicholas, but I offered him various strategies to improve the recall of certain words by putting them to tunes. For example, the word, 'going' was put to the tune of "BINGO ('g.o.- ing'), and so forth. I also asked that Nicholas write the words down so that there would be other modalities involved in reinforcing the spelling recall. Nicholas enjoyed this strategy and it helped facilitate his short-term recall; however, when queried later, his recall diminished and he required prompting reminders. The word, "what,' was explained as starting with the letter "w", with a hat on top of it; however, Nicholas needed help and repetition. It is anticipated that more practice, when he is feeling better, will improve his recall and performance. There are 7 words for this Friday's test. We will resume practicing the words when we meet again on Wednesday, 4/3/19. Nicholas's dad was informed that he had a cold. He said he had become aware of it when he picked him up form school. I told him that we did two days of math homework, but it should be reviewed, and that we practiced our spelling words, but that they, too should be reviewed at home to maximize results.