Cerapalsy

RileyA new student has been referred to Occupational Therapy. Riley is a 7 year old male child who will attend the in” rel=”nofollow”>integrated Grade 2 classroom at this neighborhood elementary school. He has a diagnosis of moderate Cerebral Palsy, Spastic Quadriplegia type. Riley is cognitively on par with his classmates, but is wheelchair bound and cannot speak clearly enough to communicate easily with them. He is able to convey ‘Yes’ and ‘No’ verbally, and is begin” rel=”nofollow”>innin” rel=”nofollow”>ing to learn to use a sin” rel=”nofollow”>ingle panel switch at his head to control a Dynavox communication board. The latest Occupational Therapy evaluation states that Riley has gross, directed reach bilaterally, is able to utilize a gross grasp and release bilaterally, and can grossly isolate his left in” rel=”nofollow”>index fin” rel=”nofollow”>inger for poin” rel=”nofollow”>intin” rel=”nofollow”>ing. He can utilize a thick pencil for gross movements, but cannot form letters with control or speed to make writin” rel=”nofollow”>ing an academic option at this time. He also presents with moderate deficits in” rel=”nofollow”>in VP skills in” rel=”nofollow”>in the areas of position in” rel=”nofollow”>in space and figure ground awareness. Riley has a one to one Teacher Assistant, who was recently hired to be with him in” rel=”nofollow”>in the classroom, and to provide assistance with feedin” rel=”nofollow”>ing and toiletin” rel=”nofollow”>ing needs. http://www.youtube.com/watch?v=4-FgffVaNv4
His Occupational Therapy IEP Goal is:
Given assistive technology, Riley will demonstrate improved VP and VPM skills to allow completion of academic tasks on target with his peers.
Objective 1: Riley will demonstrate improvement in” rel=”nofollow”>in quality of keyboardin” rel=”nofollow”>ing skills through his ability to in” rel=”nofollow”>independently complete a five sentence daily journal entry with < 10 typin” rel=”nofollow”>ing errors usin” rel=”nofollow”>ing his adapted computer within” rel=”nofollow”>in the 20 min” rel=”nofollow”>inute writin” rel=”nofollow”>ing circle session.
Objective 2: Riley will demonstrate improvement in” rel=”nofollow”>in VP skills through his ability to review and edit his written work for errors given <5 verbal cues.
Objective 3: Riley will demonstrate improvement in” rel=”nofollow”>in his use of adaptive equipment through his ability to complete a multi-step art project usin” rel=”nofollow”>ing a variety of classroom tools (glue stick, stapler, pain” rel=”nofollow”>int brush, etc.) given set up and min” rel=”nofollow”>inimal physical assist.
1. What further assessments, observations, and/or in” rel=”nofollow”>information is needed to begin” rel=”nofollow”>in plannin” rel=”nofollow”>ing treatment, and how will you get this in” rel=”nofollow”>information. List 5 and justify . (10 pts)
2. The Teacher Assistant is fin” rel=”nofollow”>indin” rel=”nofollow”>ing it very difficult to put on Riley’s pants after his diaper change. What is the primary cause? Explain” rel=”nofollow”>in and justify. (5 pts)
3. The OT has decided to order splin” rel=”nofollow”>ints for Riley’s wrists and hands for daily use. What features should be in” rel=”nofollow”>incorporated and why. (5 pts)
4. Riley’s mother would like to start toilet train” rel=”nofollow”>inin” rel=”nofollow”>ing. Keepin” rel=”nofollow”>ing in” rel=”nofollow”>in min” rel=”nofollow”>ind the issues due to his diagnosis, what are the areas of concern that must be considered to promote safe and successful toiletin” rel=”nofollow”>ing. Usin” rel=”nofollow”>ing on-lin” rel=”nofollow”>ine catalogues as a base, specifically describe and justify the equipment you will recommend. Cite all examples as needed. (10 pts)
5. Riley’s teacher is concerned because his readin” rel=”nofollow”>ing skills are not progressin” rel=”nofollow”>ing as quickly as those of his classmates. What are the issues associated with CP that may be in” rel=”nofollow”>interferin” rel=”nofollow”>ing with his progress? Be specific. (10 pts)
6. In thin” rel=”nofollow”>inkin” rel=”nofollow”>ing about the areas of occupations that will be affected by spastic quadriplegia type CP, what would should the focus be for a student in” rel=”nofollow”>in High School? Be specific and justify. (5pts)
7. Ana has the same profile as Riley, except she has athetoid CP. In thin” rel=”nofollow”>inkin” rel=”nofollow”>ing about the areas of occupation important to Ana, consider the issues of athetoid CP that may in” rel=”nofollow”>interfere with her in” rel=”nofollow”>independence. State one area of occupation and give one specific example of an activity that will be a great challenge and justify. (5 pts )
8. Typically developin” rel=”nofollow”>ing two year old Abigail recently experienced a left CVA as a result of an accident at daycare. Specifically describe the physical manifestations you expect to see as she begin” rel=”nofollow”>ins out- patient rehab? (10 pts)
9. In thin” rel=”nofollow”>inkin” rel=”nofollow”>ing about her age and the specific challenges Abigail’s condition, which area/s of occupation will you focus on? Give two specific examples of affected performance skills (OTPF S25) within” rel=”nofollow”>in the area of occupation and justify. (10 pts)
10. Ali is a 13 year old student with Down Syndrome who is functionin” rel=”nofollow”>ing at moderate level of cognitive impairment. What are the issues, precautions, and/or concerns typical of her diagnosis that should be considered in” rel=”nofollow”>in treatment plannin” rel=”nofollow”>ing. List 5 activities important to Ali that will be impacted and justify. (10 pts)
11. Andrew is a 7 year old student with Fragile X who will be join” rel=”nofollow”>inin” rel=”nofollow”>ing a fully in” rel=”nofollow”>integrated class for art. What are the precautions and/or issues that will affect success in” rel=”nofollow”>in plannin” rel=”nofollow”>ing for his participation? List 5 and justify each. (10 pts)
12. Alex is a 16 year old young man with a diagnosis of CP, spastic quadriplegia type, and profound in” rel=”nofollow”>intellectual disability. Based on his diagnosis, what do you expect to see physically and what are 2 questions you have as you go to his classroom to observe him for the first time. How will you get the answers? (10 pts)

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