Guest guest Posted March 31, 2001 Report Share Posted March 31, 2001 -----Original Message-----From: Holly Bortfeld Current Level of Performance Language vocalizes attitudes other than crying - joy, anger vocalize to bye-bye when prompted say dada or mama specifically will consistently vocalize or approximate word when prompted gesture spontaneously to indicate needs (pointing, "miming" for adult what he wants) after waving, greet with verbal cues practicing "no no" and shaking head no give toy to adult on request name 30-40 familiar objects, actions, people and pictures use voice in conjunction with pointing produces the following sounds clearly: p, b, m, k, g, w, h, n, t, d Auditory Comprehension anticipates an event or signal follows line of regard responds to "no-no" understands a word or phrase other than "no" maintains attention for two minutes follow simple directions with cues and without gestures identifies familiar objects (ball, sock, spoon) identifies pictures (dog, baby, house, key, train) indicates body parts understands verb in context (eat, drink, sleep) understands spatial concepts (in, off, on) Expressive Communication combines sounds to form syllables approximates sounds or words made by another person communicates nonverbally produces at least four consonant sounds has a vocabulary of 30-40 words initiates a game or social routine varies the sounds produced in the syllable strings reads and says 20 of 26 alphabet letters and 1-14 in numbers produces successive single word utterances names pictures (book, car, banana, fish) Fine Motor marks paper with crayon Builds tower using 9 cubes places 15 round pegs in pegboard places 18 shapes in shape sorter strings 1/2" beads Social distinguishes self as separate from parent responds playfully to mirror shows likes/dislikes for certain people, objects, places explores environment needs and expects rituals and routines expresses affection shows a wide variety of emotions holds parent’s hand outdoors says no, but submits anyway shows independence separates easily in familiar surroundings respond to hi and bye Self Help holds spoon and feeds self for some foods can dress and undress himself with shirt, underwear elastic-waist shorts drinks from cup without lid can use potty with clothing assistance opens doorknobs can remove own shoes, socks, pants, shorts, shirts, jacket brushes teeth with assistance Cognitive has great object permanence distinguishes between angry and friendly voices can do 6 piece formboard puzzles with or without pegs enjoys looking at books turn book pages 1 at a time retains 2 and looks for 3rd object overcomes obstacle to obtain object responds to simple verbal requests recognizes several people in addition to family members understands pointing matches 3D to 3D matches 2D to 3D matches 2D to 2D knows body parts identifies self in mirror recognizes self in photos matches sounds to animals rights familiar picture matches colors enjoys nursery rhymes, finger plays sorts by color explores cabinets and drawers attempts then succeeds identify objects from group of familiar objects on demand Gross Motor Walk and run unassisted Sit and Stand up unassisted walks with assistance on 8" board walks backward climbs and descends a flight of stairs unassisted goes up and down slide climbs jungle gym and ladders jump on trampoline without holding adults hands Goals for school year 1999-2000: Language vocalize to own name two-word sentences say bye without prompting use exclamatory expressions "oh-oh" and "no-no" attempt to sing to music name 100-200 familiar objects, actions, people and pictures use self-centered pronouns (I, me, mine) answer basic questions about present events find detail in favorite picture book by pointing ("point to the dog on this page") engage in simple make believe activities (cooking, doll play) select pictures involving action words listen to stories point to larger or smaller point or put object on/under, in/out Auditory Comprehension understand several pronouns (me, you, him, my) understand concept of one recognize action in pictures understand use of objects understand descriptive concepts (big, wet, little, heavy, empty, same) understands part/whole relationships understand pronouns (they, he, she) groups objects understand negatives identifies colors Expressive Communication use pronouns (my, mine, you, I, he, she, they) combine 3-4 words in spontaneous speech use a question inflection use plurals answers what, where, yes/no questions use verb + ing produces basic sentences use possesives tells how an object is used answer questions logically answer when questions Fine Motor point to item out of reach with verbal cue touch point an item he wants without physical assistance manipulate new object each day (tactile books, art materials, taste, temperature, texture, sound) imitate circular scribble imitate cross imitate horizontal stroke snip using scissors hold crayon or small pencil with thumb and fingers fold paper in half copy a circle Social begin to obey and respect rules participate in circle games, plays interactive games such as dancing, marching, duck duck goose, patty cake, hot potato take pride in achievements by bringing projects to teacher or parent’s attention value own property, uses word mine interact with peers using gestures, like high five, smiling pointing, nodding, shaking no, waving engage in parallel play attempt to comfort others in distress play catch cooperatively imitate housework - symbolic play with realistic props wave to greet mom upon departure and arrival look when name is called Self Help give empty dish to adult unzip and zips large connected zipper dry hands after washing button and unbutton large buttons use fork use napkin potty training - will void on toilet understand and stay away from common dangers help put things away blow nose with assistance pour liquid from small container (juice into cup, water table) put outerwear or other belongings away in cube assist in setting table Cognitive use gluten-free playdough and paints properly imitate gestures and respond to "do this" by imitating dramatize using a doll bring objects from across room upon request shares and takes turns paint within limits of paper blow bubbles through wand understand concept of one demonstrate awareness of class routines know own sex and sex of others Gross Motor Throw ball under and over hand jump forward 12 inches kick ball avoid obstacles in path make sharp turns around corners when running hop on one foot walk on balance beam catch ball move to rhythms Behavior planstop Max from urinating and defecating on floor stop Max from touching genitalia stop Max’s tantrums when told no, tantrums consist of kicking, screaming and throwing self on floor stop Max hitting and prying open of Mom’s mouth when told no Dietary Concerns Due to Max’s extreme allergies, all foods given to him, both for meals and snacks as well as used as reinforcers for any therapies, must be cleared with Max’s mother. Max’s mother will supply lists of OK foods and send lunches and snacks with OK foods. Max must be watched at meal and snack times as he will grab other persons food. Mom will provide snacks for all occasions when notified of special events. We have found that sensory input serves several functions for Max. First, certain types of sensory integration have a focusing effect enabling Max to benefit from instruction. Second, certain types of sensory integration are a reinforcer for correct responses. Third, certain sensory integration are aversive to Max and will interfere with instruction, such as being confined in a Rifton chair which in the past has resulted in Max demonstrating self-injurious behavior, therefore, use of a Rifton chair with straps will be prohibited with Max. Max will not be placed in a "time-out" room at any time. No aversives will be used on Max. Max is not to be left alone with any male; teacher, aide or staff; at any time, for any reason. If there are staffing concerns that might cause this, please contact Max’s mother and she will remove him until staff is available. All incidents of other children physically accosting Max in school will be in writing in his communication log on the date of occurrence. All goals are amendable as therapists and teacher gets to know Max as what is standard for some kids, may not fit Max.Visit the ARN Homepage! http://www.geocities.com/ARNFL Quote Link to comment Share on other sites More sharing options...
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