Richard requested to work with the Kanoodle game again. He demonstrated good visual perceptual and fine motor skills copying 2 simple 3-D images but required moderate verbal assistance to complete the medium level challenge cards. Richard completed 2 lessons on the typing.com program with good accuracy and attention to using correct fingers for each top row key with increased time.

Richard began the OT session working on fine motor skills/keyboarding skills, completing three sessions with good attention, finger placement and accuracy with increased time. He ended the session playing Pictionary to work on fine motor and visual perceptual skills demonstrating significant improvements in copying an image from a sample picture.

Richard worked on executive functioning and fine motor skills today while following a a multistep cooking activity. Once Richard was focused on the task he was able to follow recorded verbal directions with repetition. He demonstrated good bilateral coordinating and fine motor skills while pouring, mixing and washing.

Richard demonstrated good attention to task and self regulation throughout the session. He continued to participate in sensory motor activities to work on coordination and ATNR reflex integration. He completed holiday themed mazes with good ability to remain within the lines and needed moderate verbal cues to scan left to right to locate 4 words in a word search. Graphing in order to copy a picture was difficult for Richard and he preferred to guess where to draw the lines. We will continue to work on these skills.

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. Began session with reviewing learned uppercase letters in Print Island. Luke is able to recall and write most of the letters well but some of the letters he forms incorrectly. The letters he forms incorrectly are due to him wanting independence and thinking that he knows how to form them and resists cues and assistance. Continue treatment working on Zones of Regulation. Luke was given/read different scenarios in which he has to say which zone he thought he would be in or another child would be in. He did well with determining the appropriate zone. We also continue to go over strategies for zones. For one scenario - someone taking candy from his room - he said he would be in the red zone but did not have an appropriate strategy to handle this situation. We continue to work on strategies, problem size versus reaction size and appropriate responses/language to use. Improvements being observed. Great session.

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. Began session with Christmas craft OT brought in for Luke. OT brought a wooden Christmas mailbox for Luke to decorate using many fine motor and sensory motor skills. He was asked to paint, color within the lines of given designs, peel backs of stickers and visual scan appropriate placement. Luke was excited about mailbox and was asking for peers and teachers to leave him mail. He was engaged and focused for the entire session.

Richard was seen in his room for a 45 minute treatment session today. Focus of treatment was on improving fine motor skills (hand strength, grip strength, dexterity and manipulation), visual motor integration, ocular motor skills, and graphomotor skills/keyboarding as an alternate means to written communication. Richard was in good spirits today and happy for the holidays coming up. OT brought Christmas craft to complete which involved many fine motor skills. Richard painted and colored and peeled back of stickers to create a Christmas wooden house. The house was very detailed and wasn't completed by the end of session. Can complete at home. Lastly, we worked on the lowercase letter "e" in cursive. He was instructed on this letter yesterday and wrote it well today. Great fun session.

Richard was seen in his room for a 45 minute treatment session today. Focus of treatment was on improving fine motor skills (hand strength, grip strength, dexterity and manipulation), visual motor integration, ocular motor skills, and graphomotor skills/keyboarding as an alternate means to written communication. Began treatment with a hidden message Santa/Christmas activity. Richard had to track and scan vertically to find the letter corresponding to a number to solve the Christmas riddle. He was able to scan top to bottom adequately and was able to figure out the message. He tried reading and showed greater success today with figuring out words. Continue lesson with being introduced to a new group in Script Island called "The Monkeys Eat at the Island Grill". Richard was instructed on the terminology and movements used in this group. He began instruction on the first letter of this group which was lowercase "e". He needed reminders on the beginning movement of this letter because at times he reverts to the previous groups initial movement which is going up and around to Mikey's hut to form the "c" first cursive letters. For the most part, Richard was able to write lowercase letter "e" well in cursive.

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. Began today's session working on bilateral hand skills by making snowflakes with scissors to hang on his ceiling. Luke was able to stay on task and cut well today. He placed his thumb in one whole and index and middle fingers in second hole to cut. He was able to separate his radial side from ulnar side of his hand for cutting. Continued to work on upper case letters in Print Island. He was able to sit and focus on writing several letters today. He was instructed on "T, I, J and we continued with R". Great session.

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. Today Luke and I wrote a letter to Santa. He was provided with visual boundaries for letters and verbal cues for spelling and some formations. He needed assistance to form the lowercase letter "o" correctly - in a counterclockwise direction. Today we continued our work in Print Island. He was instructed on upper case letters "P and R". Today Luke wrote well.