Fri 17 Feb 2006
Mands=20+ (sorry, I wasn’t on the ball with the clicker)
When I arrived Tony finished his breakfast and then requested to walk. He said “open” but not “door” but after prompting him echoed it. The remainder of the session he was on the ball w/”open door”. Once outside we worked on some “do this” motor imitation. With standing on one foot Tony lifted his leg but then switched legs. I’m not sure if he lost his balance or if he was going to stomp. He did respond but I left the data for this blank. With “do this” Tony also clapped and opened his mouth. We actually went outside three separate times today bc he kept requesting it so much. We had to redirect him away from the direction of the water many times. Once inside the therapy room we worked on tacts w/animals (including sounds), colors, letters, shapes, objects, and objects. Tony tacted “what’s this” to pictures and objects of a cow, dog, sheep, and also animals in maintence. He didn’t tact rooster or it’s sound. He also only tacted on the first try the animal sound for the cow. When I drew letters such as “E” and “U” Tony tacted this quickly along with shapes such as “moon”. W/colors he didn’t tact “purple” or ”black” but he did very well with blue (with multiple objects and drawings). Tony also tacted “tree” both on paper and outside. After having him tact “book” I used both a small and a big book to work on attributes, along with a big and small ball, and a big and small car. I had Tony do different things with the objects calling them small or big such as “throw the small ball into the basket (his grocery cart). I held up both the big and small balls. Tony grabbed the small one and threw it into the basket. He seemed to enjoy doing this. With the cars, he rolled them and made “beep” sounds. He seems to be getting the idea of big vs small. When I went onto long and short, however, I used his tubes again but he said “no” and didn’t want to play with them. Moving onto receptives with body parts, Tony played well w/Mr. Potato Head, tacting the different body parts as he put them on the spud. However, when asked to “touch Mr. Potato Head’s__”, he only did “nose”. As far as touching his own body parts he did touch his ear without prompt but not on the first try. He also didn’t touch his other body parts and said “no” and “all done” to this. He tacted his mouth, ear, and nose with the mirror (he also kept kissing the mirror). Tony had a great time w/Intraverbals, doing well with his songs and with “you cut w/scissors”. He also had a blast playing w/his “head, shoulders,…” dog–doing the motions of touching his body parts w/amazing speed. He loved this and did it several times. All in all today was really productive. I did have to redirect him from the door several times but it was easy to get him back on task.
February 17th, 2006 at 8:05 pm
Sounds like a very productive day Elizabeth! The learning curve continues to rise. Thanks for writing the detail for each objective that is targeted. This is helpful to examine what he is having trouble with and what is is whizzing through. It sounds like the adjectives are a challenge (and this is not unusual). Elizabeth, I like the way you ask him to perform an action and encorporating the adjective (e.g., throw the small ball in the basket). This is something we should try with other adjectives we are working on. It is more meaningful (and more reinforcing) than simply having him touch the small ball, long string, etc. We will examine the program closer on Monday, see where he’s at, add stuff, and put more objectives into maintenance. You guys are doing an awesome job with Tony…….and the product of your work is evident in many of the skills he currently has in his repetroire.
See you Monday.
Jay