Megan had her first appointment with her new Neurologist yesterday. He is wonderful and was wonderful with Megan. His first plan of action is to get Megan sleeping again. It has been 9 months since Megan's sleeping issues started and he is going to help her get back to sleeping. I am very excited about this - excited that he is trying something new for her right now and if this doesn't work he will try something else until she is better.
Megan has several new skills. She is able to stand still for 10-15 seconds at a time. She can walk sideways and backwards as well. All three of these items were next on the agenda for her PT in NC. Today while walking around Megan bent down and pushed a ball and then followed it and repeated the behavior several times. She was doing this with a large ball so she only had to bend down part of the way but she was showing great control and balance.
Friday, November 8, 2013
Monday, November 4, 2013
Following directions
Megan started really following directions several months ago. If we asked her to bring something to us or to not/stop touching something she would stop, etc. Today she followed directions given to her by her toys.
This morning she was standing up, holding onto the sit-n-spin trying to get on it when she pushed the button and it said "Elmo says SPIN" and Megan got a look on her face, stood back up and turned in a circle. She then got on the sit-n-spin and started playing.
Tonight she was playing with a toy that said "Can I have a hug please?" and she would squeeze it as tight as she could each time it asked.
This morning she was standing up, holding onto the sit-n-spin trying to get on it when she pushed the button and it said "Elmo says SPIN" and Megan got a look on her face, stood back up and turned in a circle. She then got on the sit-n-spin and started playing.
Tonight she was playing with a toy that said "Can I have a hug please?" and she would squeeze it as tight as she could each time it asked.
Friday, November 1, 2013
Walking up the driveway and progress report
Yesterday morning after school the kids and I were playing in the front yard. I was holding Megan's hand while she walked down the driveway because it is a pretty steep incline. When it was time to walk back up she let go of my hand and took off by herself. She walked all the way to the front door by herself. I was so impressed.
I received Megan's 9 week progress report today. To say that things are different from her previous school would be an understatement. All of the goals listed below have a target completion of the end of school, however as she masters them new ones will be created. There are a couple of goals that she hasn't started yet so I am not including them since there hasn't been any progress. Below is a run-down of her progress.
- Follow 2-step directions with 80% accuracy: 50% Megan is able to follow familiar two step directions (pick up the napkin and wipe your face) but she struggles with unfamiliar two step directions (touch your head then touch your toes).
- When provided with cues and prompts Megan will use verbalizations, signs and/or pictures to request activities with 80% accuracy: 10% with maximum cues and prompts (they just started introducing pictures)
Three of the next four Megan does at home all the time so it is a little frustrating that she is still not doing them at school, but at least she is starting to do them.
- When given a hand rail and close adult stand-by assist Megan will ambulate up 3 steps with a non-alternating pattern with 80% accuracy: 42%.
- When given a hand rail and close adult stand-by assist Megan will ambulate down 3 steps with a non-alternating pattern with 80% accuracy: 15%
- When given access to the preschool setting and adult supervision and no more than 2 verbal cues Megan will independently ambulate to transition from one learning center to another with 80% accuracy: 35%
-When given access to the preschool playground and close adult supervision Megan will independently ambulate up and down the crossing bridge with 80% accuracy: 40%
- String a minimum of 4 beads on a dowel rod or pipe cleaner decreasing in size as tolerated with 70% accuracy: Megan is able to place large beads on a dowel rod when given assistance for object orientation and occasional physical prompts. Progress is at 25%
- Complete a 4-5 piece inset puzzle with 70% accuracy: Megan is able to complete simple shape inset puzzles with large knobs when given prompting for choice limiting and visual cues. Progress is at 25%
- Stack a minimum of 4 items decreasing in size as tolerated with 70% accuracy: Megan is consistently able to stack large blocks on the floor when given a demonstration. She requires physical assistance to stack cups or smaller items at this time. Progress is at 25%
- Imitate vertical and horizontal pre-writing strokes with 70% accuracy: Megan has made great gains with this skill. She is able to imitate lines after a hand over hand demonstration and assistance to initially position her hand. Vertical: 30% Horizontal: 30%
- Squeeze scissors to snip paper with 70% accuracy: Megan is currently in the teaching phase of this skill. We are working on squeezing items to improve hand strength and increasing tolerance for hand over hand assistance. Progress is at 10%
I received Megan's 9 week progress report today. To say that things are different from her previous school would be an understatement. All of the goals listed below have a target completion of the end of school, however as she masters them new ones will be created. There are a couple of goals that she hasn't started yet so I am not including them since there hasn't been any progress. Below is a run-down of her progress.
- Follow 2-step directions with 80% accuracy: 50% Megan is able to follow familiar two step directions (pick up the napkin and wipe your face) but she struggles with unfamiliar two step directions (touch your head then touch your toes).
- When provided with cues and prompts Megan will use verbalizations, signs and/or pictures to request activities with 80% accuracy: 10% with maximum cues and prompts (they just started introducing pictures)
Three of the next four Megan does at home all the time so it is a little frustrating that she is still not doing them at school, but at least she is starting to do them.
- When given a hand rail and close adult stand-by assist Megan will ambulate up 3 steps with a non-alternating pattern with 80% accuracy: 42%.
- When given a hand rail and close adult stand-by assist Megan will ambulate down 3 steps with a non-alternating pattern with 80% accuracy: 15%
- When given access to the preschool setting and adult supervision and no more than 2 verbal cues Megan will independently ambulate to transition from one learning center to another with 80% accuracy: 35%
-When given access to the preschool playground and close adult supervision Megan will independently ambulate up and down the crossing bridge with 80% accuracy: 40%
- String a minimum of 4 beads on a dowel rod or pipe cleaner decreasing in size as tolerated with 70% accuracy: Megan is able to place large beads on a dowel rod when given assistance for object orientation and occasional physical prompts. Progress is at 25%
- Complete a 4-5 piece inset puzzle with 70% accuracy: Megan is able to complete simple shape inset puzzles with large knobs when given prompting for choice limiting and visual cues. Progress is at 25%
- Stack a minimum of 4 items decreasing in size as tolerated with 70% accuracy: Megan is consistently able to stack large blocks on the floor when given a demonstration. She requires physical assistance to stack cups or smaller items at this time. Progress is at 25%
- Imitate vertical and horizontal pre-writing strokes with 70% accuracy: Megan has made great gains with this skill. She is able to imitate lines after a hand over hand demonstration and assistance to initially position her hand. Vertical: 30% Horizontal: 30%
- Squeeze scissors to snip paper with 70% accuracy: Megan is currently in the teaching phase of this skill. We are working on squeezing items to improve hand strength and increasing tolerance for hand over hand assistance. Progress is at 10%
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