21 Sep 2013

Sweet moments even in frustrating therapy sessions…

Recently I had a 2nd grade boy who was reaching the limits of his and our patience at the end of a day. The speech therapist and I were checking in with him. 

He was stamping and the speech therapist asked him “Which stamp do you think is my favorite?’ He promptly handed her a butterfly. 
She asked him, “How did you guess it was my favorite?” He often has trouble expressing himself and using his words, but his answer was immediate: 
“Because it is beautiful.” 

Category: Occupational Therapy | Comments: none

19 Sep 2013

What’s the Magic Word? OT Kids Say Awesome Things :)

 
Being an OT can be so funny/fun sometimes. I’ve really been amused lately by the “magic word” answers I’ve been getting….I think I’m going to ask all my kids and write down their answers. Most know the answer is “please”, but the ones that don’t always crack me up.
 
Story 1, School Occupational Therapist and student. 

Young child, ie 6ish: Open this for me?

Me: What’s the magic word?
Child (tentatively): iPad?
Story 2: 

Young child, ie 5ish: Open this for me?

Me: What’s the magic word?
Child: Open?
Me: Not qui—-
Child: Open sesame?
Category: laughs, Occupational Therapy | Comments: none

17 Sep 2013

snaps/buttons and how to modify for child after toileting, in school OT…?

I have a 7 year old needing help with snapping or buttoning his pants after toileting. 

Yes, they can aim for elastics or easier versions when possible. Yes, we can work on the skills using easier methods. But for right now, my question is modifications while still keeping the snaps or buttons. Full fine motor control overall, but perhaps some strength/positioning/need for visuals, etc, affecting his ability. 

I read some modifications on http://askville.amazon.com/Helping-kids-snap-jeans/AnswerViewer.do?requestId=17969460 in terms of using baby oil/wax etc to try and make the snapping easier so that can be a start. I haven’t seen him do it yet as it was reported so I’m not sure where exactly the problem lies. 
For buttons, I keep feeling like I’ve seen a very cheap/easy/genius way of doing it for jeans, something to do with looping the button rather than actually buttoning it. But I did a bunch of searches and didn’t find an easy answer. I’m sure I could eventually find one but in the interest of time I thought maybe somebody could comment on either a thought or experience.
Thanks!! 
Karen
Category: Occupational Therapy | Comments: 4

12 Sep 2013

OT rule 4,230: stamps are magical

My kids will do so many things to play with stamps in occupational therapy. We can do sequencing and patterning and counting and colors and matching lids and spatial orientation etc. :). I do tons of things but never knew the stamps were so powerful. And I’m focusing a ton on classroom tools this year over all. Staples and tapes and backpacks etc.

Category: Occupational Therapy | Comments: none

12 Sep 2013

Classroom seating

Experimental in classrooms at one of my four schools. Love those wobbly stools!

Category: Occupational Therapy | Comments: none

8 Sep 2013

Parent/Teacher Conferences + Crazy Hair Day = Awesomeness

I wrote this a while ago on a blog….

Today was crazy hair day at one of my schools. The principal was wearing these massive, blatant, birds in her hair. We had a kind of intense parent/teacher conference and the principal left the meeting after a while. I leaned over and said to the mom, “It’s crazy hair day” and she looked relieved and said ‘I was wondering why she had birds in her hair, but I wasn’t going to say anything” ahahahahahahaha
Category: Occupational Therapy | Comments: 2

6 Sep 2013

“Hold your balls while I’m talking to you….” Wait….whoops. OT/ball bloopers.

I want to talk about balls. Balls are super awesome and we use them all the time in occupational therapy. Yesterday I got a pamphlet for a “Therapeutic Balls” course and while I can totally see its value and importance, I still snickered.

I am so sad that we can’t use the word balls in sentences without it sounding dirty. For example, I gave my 3 little boys Yuk-E balls the other day, which are funky balls with weird stuff in them so they feel fun. I was going to be talking for a few minutes and wanted them to have something to hold onto while listening. I said to them, “Okay guys, you can continue to hold your balls as long as I can tell you are listening.”
The boys were too young to realize what I said, but I realized it after I said it and felt mortified. I also had to keep from laughing hysterically.
I’ve also done it with a boy who kept picking out a blue colored ball. I exclaimed, “You really like blue balls, don’t you!” and once again, realized what I said. I think that time I had an aide with me and we did a sideways glance and tried not to laugh out loud but our vital organs were bursting with amusement.
I truly, 100%, do not do it on purpose but when it comes out and I hear myself I cringe. I am so glad I almost never work with the older ones that would understand the implications.
The worst one was this child who enjoyed having this spiky ball rubbed on his back, it calmed him. During the IEP meeting a few years ago I discussed that the child could potentially go to the LRC and ask for a “ball massage”. As soon as I said it I was like AUGH and everyone laughed as they realized what I had just said and how horrible it sounded. Then the dad chimed in, “I wish I could have a ball massage!” At least the IEP team and family had a sense of humor, although that last part was a little much for a meeting. AHAHAAHHA
I thought it was hilarious. I love balls (the kind we use with kids!!). But I wish it wasn’t so easy to mess up when talking about them.
Category: laughs, Occupational Therapy | Comments: none

2 Sep 2013

"Follow My Fingers with Your Eyes"

This is a lovely poem by Adam Possner that came in my daily Writer’s Almanac from NPR. It refers to a person who has had a stroke. Repetitive in a poignant way. Somewhat desperate.

Here is a short excerpt:
Follow my fingers with your eyes

Index and middle, side by side
To and fro, watch them fly
Follow my fingers with your eyes”

Category: Occupational Therapy | Comments: none

1 Sep 2013

Patience is a virtue when dealing with our OT kids

http://www.huffingtonpost.com/rachel-macy-stafford/the-day-i-stopped-saying-hurry-up_b_3624798.html

I enjoyed this article about trying not to rush our children so much as they work on exploring and enjoying their lives. This is true for our “neurotypical” children but I think even more poignantly applies to our OT kids where everything takes a little longer. It’s so hard to bite or tongues or sit on our hands, but sometimes it’s worth it. 

Category: Occupational Therapy | Comments: none

28 Aug 2013

Hickies for OT: Cool shoelaces for kids/adults who can't tie shoes

I was wandering around Brookstone when I stumbled across “Hickies” which are essentially really cool looking shoelaces that turn your shoes into slip ons so you don’t have to tie them. They come in many different colors and you have the ability to tighten them. The link for them: http://www.hickies.com/pages/turn-your-shoes-into-slip-ons
and I believe they are sold on Amazon and many other sites as well if you do a google search. I’m not a fan of the name, I would probably end up referring to them as loopies or hoopies to our little ones. They are mildly expensive but I believe worth it for a child who really struggles. The main reason I love them is because they look mainstream and so they only stand out in a fun way. As occupational therapists we want to give our kids tools to be able to fit in regardless of their ability (if that is something the child wants as well, and it often is). 
I know we want many of our kids to be able to tie shoes as it gives more shoe options and independence and also allows them eventually to do drawstrings, bows, etc. It’s often addressed on in private occupational therapy clinical settings and occasionally in OT school settings as well. But sometimes it’s too much and/or shouldn’t be a focus point depending on what else is going on at the time. 
I didn’t buy them, haven’t tried them, but I love the look and I think it’s worth a try.

I looked up some reviews and most were positive, some complained about tightness. My understanding is that A) you can adjust that and it explains on website and/or packaging and B) that you can leave off the top lace or two if too tight. And C) Check return policies in case it doesn’t work for you. One set is for one pair of shoes. Try at your own risk! 🙂

I also like http://www.tyingisasnap.com/product/ where you can get two different colored sides for one shoelace so its easier to figure out how to loop it when teaching. Plus they look cool, and you can do different combinations. Check out the website – I liked them a lot, just be careful with the snap in the middle as you lace up the shoes so you don’t pull the lace out of the snap, although I bet you could super glue it back in if so. I asked for some free pairs to review and I will put up some pictures, the kids enjoyed them. 

Category: Occupational Therapy | Comments: 1