6 Nov 2013

Sometimes our OT kids don't know what they don't know!

Fictional yet real-life typical scenario:
Jack is in the first grade and he is having a lot of trouble with letter formation. He is left-handed and his right-handed teacher always sits to his left-side when teaching, because of how her chair and his desk are situated. She carefully shows him how to make the letters, how to hold the pencil, and the sequence of strokes. Jack tries, but can’t seem to get it right. He grows frustrated with his inability, and she does as well, because she JUST SHOWED HIM. What she doesn’t realize is that all her careful work means almost nothing, because she is blocking his view the entire time and all he sees is the back of her hand doing some random/vague moments. This provides him with no useful information he can copy. Since Jack doesn’t realize there could be a better vantage point, he just assumes he is failing to understand. Both Jack and his teacher are unhappy with the outcome, because neither realize what the other is missing. Neither of them “know what they don’t know”. 
*Common sense rule #1: Common sense is not common. I have super amazing problem-solving genius engineers/rocket scientists parents not know which side to sit on when their kid is writing. 
If any of you have ideas or thoughts on how to best sit with the child depending on handedness or other factors (as maybe I’m missing something huge!) please share 🙂 
========================
Longer version (after I processed here, I went back up and wrote the minier version)

I’ve read stories about people who get glasses for the first time and are so shocked to realize that the individual leaves on the trees are something that everyone else has always seen. It’s not like a kid will realize that the “green fuzz” of a tree isn’t what everyone sees, if that’s all the kid has ever known.

I’ve noticed that a lot of our OT kids either “don’t know what they don’t know”, or are too scared to say something, or know something is wrong but don’t know how to make it right.
For example, if I am working with a right-handed child, I sit on their left-side since I’m left-handed. That way the child sees what I am doing with my fingers, and I can see what the child is doing. If I work with a left-hander, I sit on their right side, and when it’s time to write, I’m going to figure out whether it’s best for me to write with my right-hand for that child, or to write “around them” (like standing behind them and wrapping my hands so they are at the same angle as the child’s), or to write “above them” in a somewhat upside down stance for me. 
Luckily, most of my kids are right-handers, and so as a left-hander I just always stay on their left. I prefer to always be by their side rather than across from them, because I too have spatial issues and find spatial rotations challenging. It pays to practice handwriting with both hands. It’s fine if your non-dominant hand isn’t great, as long as it’s good enough. It’s like when you watch an expert do something on Youtube and it seems like it will never be achievable, but if you watch an amateur do it you are like oooh I can get there. So if your handwriting isn’t PERFECT with your non-dominant hand, that’s fine! 
You can also just switch back and forth depending on what you are doing, ie show the child on his left, then watch the child on his right, etc. 
The reason I went into this diatribe is because sometimes right-handed parents sit to the left side of their right-handed child without even thinking about it. The parent can see what the child is doing, but the child can NOT see what the parent is doing. The parent is saying “Do it like I do” and from the child’s vantage point, they see the back of a hand vaguely moving. Many higher executive-functioning “neurotypical” kids may complain “I can’t see anything!” but many of our OT kids will just know that they never seem to understand when someone shows them “do it like I did”. 
The kid doesn’t know what they don’t know, and since we aren’t mind readers, we often don’t realize the basic issue a child is missing, and assume it’s something graver.  
Category: Occupational Therapy | Comments: 1

6 Nov 2013

Because what if the IEP team gets hit by a bus?

I just burst out laughing. The IEP team got a long e-mail from a parent asking us for clarifications in a variety of places, which can be overwhelming of course, especially right before bedtime (coughsleephygienecoughypocriticalOTcough).

Anyways, the mother specifies an area she wants clarified and then writes We all know what this is referring to but just in case the entire IEP team gets hit by a bus.”

I freaking burst out laughing. Often a parent or a IEP team member will request clarification just in case the family moves to a different district or service provider, so that there is not ambiguity. But I’ve never heard it spun as “In case you all die at once”. AHAHAHAHAHAHA
I wrote back to the IEP team (including mom who has a great sense of humor) and pointed out the awesomeness. Makes tackling a long list a lot more fun. 🙂
Category: Occupational Therapy | Comments: none

5 Nov 2013

Goals Gone Wild: OT goal from the Rural South….

I know I’ve shared this before but I just stumbled across it on my old Tweets and had to laugh.

From when I was an OT in rural Georgia, my first year 🙂
This man was asked his long-term goals for OT and he said “To be able to flip a bird, scratch my butt, and slap my wife.”
AHAHAHAHHAHAHA gotta love the rural deep south….he was a hoot. (Definitely joking, I promise, on the wife part!!)
I switched from posting on Twitter as Funkist to posting as MsAwesomenessOT….MissAwesomeness was taken and MissAwesomenessOT is too long.
I also have my pinterest still at www.pinterest.com/funkist/ot-ideas 🙂
Soon I am launching missawesomeness.com with a new look and hoping to get on top of getting out my children’s book once I get my illustrator lined up!
KD
Category: Occupational Therapy | Comments: none

1 Nov 2013

You know how Google+ has circles?

I run around high circles, baby. Or whatever that expression is. You get my point. Not Google+ circles though, that was just my poor analogy. Moving on. 
I did a google image search for occupational therapy for several reasons, including curiosity, and so I am glad I am not a cat for I would have already used ten thousand lives. 
On the very first (very long) page of images, there are multiple people I know in person, which statistically seems unlikely.  One is a picture from St. Jude Children’s Research Hospital showing two of the staff member OTs that were there when I was volunteering. The second is a picture of Karis, one of my best friend PT’s sister (who is an OT), working in a rehab hospital in Chattanooga, and the third is a picture I took of Allison and Emily, two of my classmates, in a supermarket. One of them is leading another, who is blind-folded, to simulate navigating the market as a person with blindness (notice that person first language there). 
Considering like 27 million hits come up when you search for OT, I assume image wise its similar, so YAY I know people in high places, I need their autographs. 

https://www.google.com/search?q=occupational+therapy&rlz=1C5CHFA_enUS503US503&espv=210&es_sm=119&source=lnms&tbm=isch&sa=X&ei=_At0UvX5B6TTiwKCyIH4DA&ved=0CAkQ_AUoAQ&biw=840&bih=449#es_sm=119&espv=210&pws=0&q=occupational+therapy&tbm=isch

Category: Occupational Therapy | Comments: none