Lifting/Positioning
Give 3 reasons why a student with a physical disability may need to be positioned.
(1)To prevent contractures
(2)To strengthen existing bones
(3) To prevent pressure sores
(4) To improve the respiratory system
(5) To increase appetite and prevent impaction
(6) To prevent deformities by minimizing influence of pathological forces on body posture and skeletal alignment
(7) To set the stage for performance and function thus promoting greater independence
(8) To maintain health by improving physiological functioning of the body
(9) To improve access for social, vocational, and recreational activities
(10) To promote learning through the provision of a range of sensory experiences
(11) To increase physical comfort and reduce fatigue
Name 2 kinds of AT you can use for feeding/eating.
Weighted spoons, grips, scooper bowels, wider bowls, stability/suction bowls
What are the two methods of toilet training we discussed in class? We might you use one or the other?
1. Child-Centered (Or Child-Oriented)
-Requires initiation on part of the child
-Younger children who are attempting toileting for the first time
-Children who may possess more of the skills helpful
for toileting success
2. Structured/Behavioral Method
-Older students who may have been unsuccessful with toileting in the past
-Students who need more intensive supports
What do you think that “partial participation” means? Provide a definition or an example.
To the manner and extent possible, the student will partially participate in the activity
This might mean completing some steps and not others. This will look different for all students!
Name one of the positions you may put a student in and 2 activities the student can do in that position.
(1) Sidelying
(2) Sitting,
(3) Prone,
(4) Prone on forearms,
(5) supine,
(6) quadruped on forearms,
(7) standing
Name 2 reasons why a student might struggle with feeding.
(1)Discomfort,
(2) immature motor,
(3)oral-motor or swallowing skills,
(4)temperament,
(5)oral aversion,
(6) sensory issues,
(7)lack of attention span,
(8)no positive reinforcement/modeling,
(9)force feeding,
(10)punishment at meals,
(11)lack of exposure to food,
(12)grazing,
(13) lack of structure,
(14)chaotic household, and
distractors during meals.
Name 3 logistical considerations to think about related to toileting.
Scheduling
Instructional time
Staffing, training
Gender considerations
Communication with caregivers and families
Which related service provider would you consult first if your student needed support with walking, jogging, or jumping?
Physical Therapist (PT)
What is the first thing you do with the wheelchair before lifting the student?
Lock the breaks
Students with ______ muscle tone may need increased calories in their diet.
Name 3 ways students may participate in their toileting.
Partial Participation
Communicating/giving directions
Gathering supplies/materials
Which related service provider would you consult first if your student required catheterization?
Nurse
When lifting a student, always bend at the...
Knees
What are the three methods of administration for tube feeding?
Gravity, syringe, pump
What are the 3 types of catheterization? Which one can only be performed by a medical professional?
Clean intermittent catheterization (CIC)
External Urinary Catheters
[Indwelling Catheters]
Describe the difference between a task analysis and an ecological inventory.
A task analysis breaks down a task into smaller, more manageable steps.
An ecological inventory is used to identify skills necessary to participate in a natural environment.
Describe the steps of performing a one-person lift from the wheelchair to chair.
1. Tell the child what you are about to do
2. Check for understanding
3. Put the wheelchair brakes on
4. Place one hand under thighs and one around their back.
4. Count to 3
5. Conduct the lift
6. Make sure student is comfortable in chair
Name 2 kinds of sensory readiness activities you may do before feeding a student.
(1)shaving/whipped cream,
(2)bath foam,
(3)sand box,
(4)pressure input,
(5)heavy work,
(6)vibration,
(7)movement,
(8)music, and
breath work.
Name 3 things you should consider when supporting a student who requires catheterization or an ostomy bag.
Location
Position of the student
Where to put the equipment
Responsibility of the student
How to make student aware of the procedure
How did the Norman Kunc article influence your teaching and the way you think about working with individuals with disabilities?
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