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New IPAD and new Skills

Thanks to generous donations for friends and family, we were able to get Katie a new IPAD and case. This is a great early Christmas for her as I search for a new job. I wanted more video of her getting IPAD, but she was so excited to have it it, the video was blurry and bouncy. I cannot even tell you how touched and humbled I was at everyone's help to get this for her. Thank you. 

Her progress report:

Katie has come so far!  Katie uses a Vantage for communicating her wants and needs. She received this device in April 2012 and has quickly learned how to use it and is making progress communicating her wants and needs with others. She has made great gains in this area and she is able to follow 1-3 step routine directions. She enjoys singing and is beginning to imitate the hand movements (like asking for help- which is not the exact sign- but close- you will see it in a couple videos her shaking her hand up and down). With highly motivating activities she will look towards the person if they pause. We would like her to work on expanding her communication, gaining a person’s attention, increasing her joint attention, decrease her running, consistently use a fork and spoon (she is horrible about this!), following directions, and playing with others – sharing/turn taking.

 Cooperation and Reinforcer Effectiveness

Katie will readily respond to a reinforcement offered to her. She will look towards other for social reinforcement such as “Yahoo” and “Yeah.” Katie has increased her time on task, on most days she can work up to 15 minutes before she needs to have a motivator. She enjoys cause and effect toys such as musical/ light up toys, interactive books, and interactive applications on the iPad. For highly motivating activities like - tickles, singing songs (twinkle twinkle little star, wheels on the bus) she will look towards the person if they pause and sometimes touch their hands to continue the activity. She is not yet looking towards the instructor for instruction.

Visual Performance

Katie enjoys completing puzzles on her iPad. She can do simple single piece puzzles. She is able to do a variety of matching skills such as matching objects and pictures. She is able to copy an AB pattern and is sorting non-identical items. She is not yet sorting by category or matching associated pictures.

 Receptive Language/Requests

Katie can follow familiar 1-3 step routine instructions. She is beginning to bring items to people when asked - especially if it is something motivating. She is beginning to get her Vantage when she wants to request or tell someone something (this is huge to us!). She is selecting one of two objects when offered to her.  Katie is using her Vantage to request items. She needs some reminder to use “I want” and is starting to use a person’s name to gain their attention. She is able to request highly desired items (swing, playdoh) without the item in sight. She is able to request without prompting highly desired items that are placed in front of her.  She is asking others to perform the actions up, open and is beginning to request others to remove or stop an activity - all done, let’s go, move (for moving hand on an item) , tickles. She is able to label over 20 favored and common items and pictures - book, trampoline, swing, doll, blocks, etc. She is beginning to label familiar people - dad, mom, Uncle Michael. She is not yet labeling actions or using a carrier phrase. She enjoys looking and labeling pictures that she sees in books and picture cards.(as seen in video) Katie uses her Vantage to communicate. She is able to produce a 2-4 words sentence when requesting. “I want puzzle please” or “[name] I want crackers please.”

 Motor Imitation

Katie is starting to imitate!! She will roll a car, bang on a drum, feed the baby, give the baby a drink, and is expanding on these skills. She is also starting to discriminate using the objects ex when asked to feed the baby - she will take the correct item. Katie enjoys singing songs (Twinkle Twinkle Little Star, Wheels on the bus, and Itsy bitsy spider)and is beginning to imitate the hand movements (opening and closing her hand, arms up and down, touching eyes for baby crying, tapping right hand on left fist for beeping horn, etc) - she is even trying to use her other hand. She also touches each of her fingers and opens and closes her hands - especially when playing back and forth with dad. She is beginning to make fishy faces. She can also 'clap' (need to get this on video but she pats her left hand with right) 

 Social Interactions

Katie shows interest in her peers and is beginning to have brief interactions with them with help from an adult. Recently she has begun to show interest and approach peers. Example at G6 – a jumping/trampoline place, she will go towards other peers her age and wants to jump next to them and/or watches them. She is beginning to say hi to others when prompted. She will take motivating items offered to her from a familiar peer or adult. She will bring an item to a person, take them to the item that she wants, or use her Vantage. She will look for a person if they leave with a highly desired item – iPad, playdoh. She is not yet approaching or engaging with peers if they do not have a motivating item/activity or imitating her peers, although with a familiar adult in a small setting she will imitate familiar hand movements for songs. With a familiar adult she will take turns with games – rolling the ball back and forth, playing connect 4 – by taking turns putting the checkers in.

Reading/Spelling

Katie is interested in letters and books. She is beginning to work on matching the word to a picture. She will use her Vantage to read familiar words from books with an adult. She is able to pick out the correct letter from the alphabet cards when asked “give me X.” (Seen on video). Katie is able to match letters and fill in 3-8 letter familiar words on her iPad application. She is showing an interest in words and we will be expanding on this. She is not doing other spelling activities.

Math

Katie is able to rote count with her Vantage. She has an interest in numbers and can match them. She will point to items while we are counting. We have just started having her use her Vantage while counting to tell us how many. She is not yet able to count objects, sequence numbers, or match number to objects.

Dressing

Katie is able to take off her socks and shoes. She is beginning to help take her shirt off. During toileting she will help push down and pull up her pants. When asked to get her shoes she is trying to get her foot into the shoe. She will also help with the straps on her brace. She will help unzip a zipper that has been started for her. She is not able to fasten or unfasten buttons or snaps. These are difficult tasks because of her mobility on her left side.

https://picasaweb.google.com/104271621128373560466/KatieUpdate?authkey=Gv1sRgCNeMsL_Z9sSIswE


Videos and pics are still uploading- may take an hour to upload them all (7am Pacific Time)