Below are some of the best practices they each recommend for us to work on with Max.
For the first and second quarter so far;
SI
We love Pam, she is terrific with Max, very fun, outgoing and clear. I learn a lot from her! She will sing songs to him all the time and it's paying off, he's starting saying 'row row row' Now, when I am playing with Max my voice often sounds like Pam's now, she is an excellent role model for Max to have. She visits Max on Tuesday's.
- Make requests during daily routines ( e.g Do you want more puzzle pieces, snacks, blocks, drink, are you all done?
- Put a sign to as many words as you can when talking to Max
- Continue to give Max something to bite on, redirect when he slaps, hits, bites etc
- Introduce - flutes, bubbles, microphones - find at a dollar store
- Download nursery rhymes
- Putting 2 actions together, putting blocks in truck then "Go"!
- Continue to encourage him to use basic signs "all done" "More" "Eat" etc.
- Playing back and forth games,use exaggerated hand movements for "Go!"
- Use toothbrush, electric best/fingers to massage cheeks and lips to help wake up his mouth, this will make him more aware of his mouth
- Practice "where is?" cup, baby, body parts etc. Can also do this when reading books.
- When outside, use sights, sounds and smells
- Encourage Max to start reaching, pointing to what he wants.
- Place preferred objects out of reach and encourage him to imitate you and give light physical prompt if needed.
- Continue to focus on comprehension skills when @ home / outside (there's the car, tree, flowers etc.)
OT
Tina is terrific too! She usually visits after Anthony comes and just in time for snack time. Tina sometimes teaches Max to eat with a spoon or fork, drink from a cup without a lid, and usually gets food all over her!
Max has learned so many things from her, being that this is an important area for Max to work. We are thankful for Tina. She may make a post in the blog later on.
- Have Max attempt drinking from cup without lid
- Encourage use of spoon/fork
- Have Max play with cups in the bathtub (pouring water in and out of them)
- Continue to encourage to open boxes and containers
- Have Max squeeze a washcloth and demonstrate washing face or belly
- Encourage coloring
- Prop to sit/stand for fine motor tasks/block play
- Continue to encourage cup drinking and use of spoon
- Have Max manipulate toys by placing toys in tube or box to retrieve
- Continue encouraging Max to sit/stand vs. lay down to play with toys
- Push/pull activities
- Encourage Max to lift larger items with some weight to them (e.g. Pillows, containers filled with blocks)
- Standing at the wall to play with crayons on paper OR sticky notes for stability challenges.
- Explore new objects/activities with varying textures
PT (stands for pain and torture for Max!)
Poor Anthony, he has a tough time getting Max happy to work out. In the beginning, before Max was walking he was doubling his steps every week. It was amazing to see the speedy improvements because of Anthony's help. I think in a matter of 3 weeks Max was up and walking about . Now that Max is walking, Anthony is continuing to work on strengthening his core and introducing other exercises, using a seat, holding a 3lb ball and teaching him to squat down. Max doesn't enjoy the work outs very much but it's definitely paying off.
- Run with Max with both hands held and one hand held
- Keep backing Max up a little every time he walks to you
- Let Max crawl up the steps, help him crawl down. Help him put Left foot up every couple of steps.
- Keep Max on his feet as much as possible (walk with one or both hands holding push toy)
- Do exercises on the ball (sitting, on belly, sit ups)
- Do some wheel barrow walk
- Help Max stand up by getting to his hands and feet, pushing up from there
- See if Max will crawl down the bottom 5 steps on his own
- Hold a snack or something he wants just off the floor, so Max squats down to get it. Lift it back up so he stands up.
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