Libby was seen in her room for a 45-minute treatment session with the focus of therapy on fine motor skills specifically grasp patterns, ocular motor skills (saccades), self care skills, and handwriting. Libby participated well and was focused throughout her treatment session. Work on refinement of fine motor precision and manipulation skills with activity involving using tweezers, spray bottles and small beads. She completed this activity and followed directions well with her brother Teddy. We continued with alphabet recognition for both the upper and lower case alphabet today. She was almost able to identify all the letters of the uppercase alphabet today she got 23/26 correct. She is able to identify about 1/2 to 3/4's of the lowercase alphabet independently. She is improving with wearing her hair in different ways and not limiting the clothes she will wear. She is making steady gains.
Libby practiced letters and sounds with Twistable markers and magnetic letters. On writing paper, she wrote capital letters. I read Gloria to her while she held the stuffed dog. She did a color by letter page.
Chris wrote his spelling words in sentences. We discussed active and passive voice. We looked up more information about Stephen Hawking. Chris typed his story.
Libby was seen in her room for a 45-minute treatment session with the focus of therapy on fine motor skills specifically grasp patterns, ocular motor skills (saccades), self care skills, and handwriting. Started session with hanging star chart and alphabet in Libby's room. Libby communicated with OT that she wore shorts and her hair up when playing soccer. She received stars on her chart for both. Continued treatment with having her dig through moderate resistive putty with her hands and fingers to find hidden objects within the resistive putty. She was able to find all hidden objects independently.
Libby was able to recognize 23/26 letters of the upper case alphabet today. She needed verbal cues to recognize M and V and was unable to recognize F, N and S. Continued treatment working on manipulation and dexterity skills to make the letter "F" using pegs on Lite Brite board. Lastly, worked on ocular motor skill of "convergence" to make nose on lady bug hung on door. Great session and steady gains seen.
Assignment
Continue to practice recognition of alphabet in everyday play
Luke seen in room for 45-minute treatment session. Focus of treatment on improving and strengthening his emotional intelligence/self-regulation, improved attention/participation in both preferred and non-preferred task, bilateral coordination, refinement of visual motor skills/graphomotor development, fine motor precision, and sensory processing. Talked to Luke about his new school trial and went over acceptable interactions in bigger classroom setting. We played a game "what would you do? -for example - "you want to ask you teacher something" do you raise your hand or blurt out your thoughts? If a classmate takes your pencil what do you do? If someone steps on your foot in line what would you do? For the most part Luke was able to understand the "appropriate" behavior for a traditional classroom setting. He needs to be reminded when things don't go how he likes with a peer to get a trusted adult to help instead of trying to handle it himself. Continued treatment with participating multiple step activity that had Luke follow multiple step directions. He required min to mod assist. Continued with maze worksheet to work on his fine motor control and precision. Lastly, participated in a "magic c" writing worksheet to help Luke with correcting his formation of the letter "o" which he tends to make in a clockwise direction versus counter clockwise. He makes all other of the "magic c" letters correctly. He continues to make steady gains this year and his regulation and participation has shown much improvement.
