14 Jan 2013

Meditating as a NICU cuddler

Census was down in the neonatal ICU so things were very quiet. I spent some time holding a baby who just needed to be held upright for a while after feeding. The nurse said he is always awake in his bed, but when held he falls asleep almost instantly. This baby has his own room and I held him for over an hour as he slept as there was nothing else to do so why not. 🙂 In cases like that it’s a form of meditation, sitting there quietly with nothing to do, nothing to see or interact with besides your own mind. Reminding yourself to just “be” – be present, that the baby benefits from the rise and fall of your breathing, your heartbeat, your warmth, your pressure, even your kind thoughts…



That was the status I just posted on Facebook a few hours ago after I got home from volunteering as a baby cuddler. 
It’s 1040pm and I just finished writing up a report due tomorrow. I forgot about it and wanted to cry when I realized I still had to do it for tomorrow. Ugh. Tomorrow should not be too bad of a day. A few kids at one school, onto another school for a few more kids, onto a third school for an IEP meeting. I find January and February challenging months for me from a purely seasonal-emotional-darkness perspective, but I am trying to do things to keep me sane. I took some pictures of kids (well, their fingers, not their faces) using Dexteria this past week…a kid asked me if they could use “Dexter” this week and my first thought was the serial killer….I was like WHAT and then I realized they meant the app. AHAHHAHAA

Anyway. I made myself smile. That’s good. I’m gonna put all these papers away (I just saw my superman/meatball notes aka prone extension and supine flexion) that I was using to write this report and GO TO BED and try not to rue the fact its ABOUT TO BE MONDAY AUGHHHHHHHHHHH NOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO 
Category: Occupational Therapy | Comments: 2

10 Jan 2013

Heavy clothes, calm bodies? Blast from the past

 

One more picture from the Marie Curie article in Smithsonian 🙂 Look at how heavy their clothes were. I wonder how scratchy they were. I’m guessing that perhaps, if nothing else, the heaviness was calming, even if uncomfortable texture wise! No seamless undies back then!! 🙂

I was recently reading Songs of the Gorilla Nation and she was talking about how she always wore leather and dark sunglasses, because the leather was so weighted and calming, and the sunglasses reduced input, etc. I thought that was fascinating because I know we all have seen people in um, unusual or interesting get-ups, and made assumptions. But we all know what they say, when you “assume” you make an “ass” out of “u” and “me”….lol

I want to write more soon about sensory profiles….we all have them!!

Category: Occupational Therapy | Comments: none

8 Jan 2013

Does music help attention? Does white noise help attention?

 

Something I saw in I think Smithsonian magazine about using music to help your brain. I liked what they noted about people with attention deficits and how they may calm down in a paradoxical way – ie how taking the equivalent of speed calms them while it “speeds” the rest of us up. Very interesting neurologically.

Anyway, the thing about anxiety – that USED to be the case for me, that when I was frequently (severely) anxious, I listened to Enya while lying in a dark room and practicing diagraphagmatic breathing. But eventually when I thought of Enya it made me anxious because the two became so linked. So then I could no longer listen to  Enya without that association of being panicked. So sometimes it turns on you! My new favorite is Native American Indian flutes, the Canyon Trilogy, by R. Carlos Nakai. Many of my kids in special ed also really enoy it.

This reminds me that I want to do a post soon about white noise. Some studies have come out showing that white noise or classical music can be very helpful for concentration for SOME PEOPLE – especially those with ADD. But for those with “regular” concentration, it can actually be harmful to our attention. When I was in 7th grade, we had a history teacher who was big on playing classical music during our tests. He had good intentions and I know there were/are studies showing classical music helps. But it was a novel stimulus and I know for me it actually made it much harder to concentrate. Try white noise apps for your OT kiddos with ADHD to use while working, and see if it seems to help them out. (In our district our 3rd graders and higher have individual iPads so it would be easy for us to implement but maybe not so easy in most districts). But be careful of using classical music/white noise with ALL children. Better to use as a case by case basis.
Oh. Guess I don’t need to write a new post about white noise, I just wrote it. 😉

Category: Occupational Therapy | Comments: none

7 Jan 2013

Volunteering in the NICU :)

Every Sunday afternoon I have my volunteer shift in a neonatal intensive care unit (NICU) pronounced NICK-U. Today I was somewhat of a pacifier fairy…flitting from crib to crib replacing pacifiers. Almost every shift I learn new techniques or new lingo or something about working with the babies. I definitely appreciate my occupational therapy background while volunteering. It gives me a really helpful understanding of the importance of the vestibular, proprioceptive, and tactile systems of these babies among other things.

Some of the medications that the “drug babies” take while weaning can cause hypertonicity, meaning basically that their limbs can feel rigid in certain positions, and can even kind of “tremor” when extended. I recently realized that when trying to transfer a sleeping drug baby from my lap to their bed, that if their legs are allowed to dangle at all, it can lead to a tremor and the baby can wake up just from that. (It obviously depends on the baby’s level of hypertonicity). So if I keep the baby’s legs contained and slightly flexed while transferring the baby, it prevents the tremor and the baby is more likely to stay asleep. Considering how incredibly important sleep is to a sick baby, a little realization like that can be really helpful in allowing a baby more uninterrupted sleep!
I recently got to hold a “typical” baby at a friend’s house – he was so calm and quiet and obviously unconnected to any tubes or monitors. It was insane how easy he was! When all the babies I ever get to hold are in an intensive care unit, it definitely gives me a skewed sense of what “normal” is!
I’ve been on break two weeks. I spent a week in Maui with family and this second week doing a combination of relaxation and some preparatory work.
Tomorrow it’s back to work and this week I plan to do my first app review of Dexteria. 
By the way – Handwriting Without Tears updated their Wet-Dry-Try app and it now has an “Easy” Setting you can set. I now recommend their app because of that change. 🙂 It was too frustrating and hard for the vast majority of my kids before, but now it’s doable with that setting. 
By the way – in the year 2012 I wrote over 300 posts! That’s more than I’ve written since 2008, when I wrote over 600! I’m insane. But you all know that already. 🙂 
Category: Occupational Therapy | Comments: none

4 Jan 2013

Board copying the longest words in the English language :)

The other day I had four of my 3rd graders copy “supercalifrag….ocious” which is 34 letters long, off the board to practice changing their focus near and far and from vertical to horizontal. I used a crazy long word to make it silly and exciting.

I’ll probably occasionally use this list (between 27 and 45 letters) just so the kids have bragging rights of copying off the longest words in the dictionary, but I also like to have them copy names of things they like. One of my kids loves Pokemon and he knows when he sees me on a certain day of the week he can bring his Pokemon book and I’ll use Pokemon characters as his board copying words. 🙂

Updated with a picture: The longest word in the dictionary is seen below, “pneumonoultramicrosilicovolcanoconiosis” which one of my 2nd graders did the other day! I think it’s 84 letters…

Category: Occupational Therapy | Comments: 3

4 Jan 2013

Toys'R'Us has a Differently Abled section

I recently found out via Advance magazine that Toys’R’Us has a “Differently Abled” section where you can find toys suited for children with special needs.

If you click the link above, it takes you to an explanation of the guide for differently abled kids, including where to get paper copies on bulks (ie for therapists) or how to look at it online.
I haven’t checked it out in detail, but until the Advance article I’ve never seen it mentioned, so thought I’d share that it might be a good resource for finding toys for kids with special needs! 
Category: Occupational Therapy | Comments: 1

2 Jan 2013

Top Ten Most Popular Baby Names of 2012: How easy will they be to handwrite? :)

According to BabyCenter.com, the most popular 2012 baby names are:

Male Names, starting at most popular:

Liam, Ethan, Noah, Mason, Jacob, Jack, Aiden, Logan, Jackson, Lucas
Female Names starting at most popular:
Emma, Olivia, Sophia, Ava, Isabella, Mia, Ella, Emily, Lily, Chloe
How does this relate to occupational therapy? Any occupational therapist who has ever had to teach handwriting and teach a young child how to write their name, knows how crucial teaching a name can be. It’s often the first thing the child starts writing, starting in preschool, and has to jot hastily down on every piece of paper for the rest of their lives. 
For ANY child, special needs or not, a short name (or an easy nickname) with primarily vertical lines and at best a few curves will be easiest. Diagonals are the trickiest and require more developmental maturity than vertical and horizontal lines. And some letters are more prone to reversals than others such as b, d, p, q. 

When I look at these top tens from a Handwriting Without Tears standpoint, none of them look too bad for a child with special needs to have to write. For Isabella, I’d vote for shortening it to “Bella” rather than “Izzy” because it is a really challenging one, two z’s and a y! Diagonal city!
If I had to name my child and knew in advance they would have significant special needs, I’d possibly try to find a 3 to four letter name that started with either a capital E, F, T, or L, and then had just a few simple lowercase letters, ideally avoiding b, d, or diagonals. (For example, Ella was a great one! Big line down, little lines across! Little line, little line! Magic c, little line! Even better would just be “Lila”.)
I often come across parents who lament that they would have named their child something differently had they known how much trouble the child would have handwriting! Realistically I’m sure if I truly had a perfect name picked out already then I would just go with the name I want and either give the child a nickname or just work a lot with my child on learning how to handwrite it! I’m not a HUGE fan of nicknames though, because they complicate things a little bit for a child with special needs, having two names to respond to and/or recognize and/or explain.
The most challenging name I ever had to teach (while working as a student occupational therapist in rural Mississippi at a pediatric clinic) was unique enough that I won’t share it, but I’ll give a fake name equivalent instead to explain – Ja-ni’queaL- the child’s name had an uppercase letter both at the beginning and end of the name, plus a dash, plus an apostrophe!
Hope you enjoyed my thoughts on the top most popular baby names of 2012 from a pediatric occupational therapist perspective!
Category: Occupational Therapy | Comments: 1

2 Jan 2013

The American Academy of Pediatrics says recess is really necessary. CONCUR!

Recess is Important

I agree 10,00000000000% (maybe I should have spent more time in math understanding percentages).  Recess is SO IMPORTANT – think back on your life and how valuable that break was to you. I know we have a lot to cover, but if it’s low quality because the kids need a break and aren’t paying attention, then it’s not really helping. 

Giving the kids an unstructured short break outside gives them a way to decompress, learn social skills, be creative, get some sensory motor input, and more. Our schools have a 15 minute morning recess and a 15 minute lunch recess and I am very glad they do. It helps the students self-regulate and get back to class ready to learn. 
Category: Occupational Therapy | Comments: none