Occupational Therapy

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

21 Aug 2013

Muting overhead speakers for sensitive kids

The overhead announcements can be soo loud and painful for our kids with sensitive ears. And people like me who flinch at loud noises. Taping it (with permission) can help.

Category: Occupational Therapy | Comments: none

15 Aug 2013

OT Life Pseudo-Hack: Do what brings you joy. Care more about you.

This is kind of a random post, but it has a reason, thanks to a conversation I had today. I took this picture for you all because of the super gaudy gold necklace that I was wearing during my errands. While people who know me would say I was never that great about fitting in in any sense, including clothes wise, I did used to be more cautious about what others would think. A super crazy gaudy necklace in daytime? That’s not normal. But now I do it, because it makes me happy. 
I wear roughly 30 “hair tinsels” in my hair year round so that my hair sparkles, because it makes me happy. I wear sparkle glitter eyeliner almost every day. Because it makes me happy. If I have manicures/pedicures (rare because of expense/time), they are probably glittery. My iphone has a mod-podged Otterbox glitter case that I modified. Because it makes me happy. Some of my shoes and most of my necklaces and most of my earrings have glitter and/or sparkles on them and/or are gaudy. Because it makes me happy. Are you noticing a trend here? 
Today I commented to a wise friend that “The older I get, the less I care about what people think. If I want to wear this super gaudy necklace during the day, I’m going to do it.” And she sagely responded, “It’s maybe not that you care less, but that you care more, about doing what resonates with you.”  I was struck by this response. I felt like it was a great re-framing, showing the positive, that I do what makes me happy, rather than the negative, of ignoring what others think.
Of course this is not and should not be the case in all areas of life, that we ignore what others think. But in relatively harmless situations, why not? So many of us forget how to play, be creative, and/or make ourselves happy, as we get older. I know for some people it’s a matter of dress code or other good reasons. But my elementary schools don’t mind if my hair and nails sparkle, and my OT kids are drawn to them.  
And most importantly of all, when I look in the mirror and see my sparkles, I smile. It’s the cheapest therapy I have. I’m officially, as a super profound 30 year old (haha), ready to feel good about doing small and harmless things that bring joy. 
For me, joy is in sparkles/glitter, crazy gaudy necklaces, lots of deep beautiful peacock colors, hula hooping (hoop dance), looking for rocks on the beach and searching tidepools, visiting with friends, holding babies as a hospital cuddler, slacklining, reading, laughing, spinning around with bubbles, etc. Like when I feed Stray Cat and have to watch him so the real stray cat doesn’t take away his food (don’t worry, he gets food too), I will spin around in circles with bubble wands, or read something fun, or practice twirling a baton through my fingers, or a new off-body hoop trick, or even do yoga poses that will make me a better hoop dancer. I’m doing a functional and necessary activity but bringing the joy in. 
Maybe I’m dancing while I spend the two horrid minutes brushing my teeth. Maybe I’m reading a report for work while lying on my back practicing twirling the hula hoop on my foot (I do occasionally smack myself in the face but it’s worth it). Maybe I’m working with a kid but we are exchanging silly jokes to help us both laugh while working on something frustrating. Maybe you are feeding your kids eggs with ketchup and you use the ketchup container to make a smiley face on the eggs. Whatever you are doing as a functional and necessary task, how can you make it more fun while not adding time or effort to the task? 
Eventually it becomes part of you. I no longer have to think about adding joy during those tasks, I just do it. It’s part of my routine/patterns, to vaguely bring in some OTPF terms… 😉 Or I take 10 minutes a month getting my sparkles put in to be enjoyed daily all month. Maybe I’m organizing my bajillion OT toys but while doing so, happily thinking about creative ways to use them. Whatever works. These are all things that work for me. (Most of the time. We all go through rough moments/spells!!!)
I hope you think about this for yourself – what can you do in your daily life that brings you joy in a playful, creative, fun, harmless way? Blow bubbles? Spin in circles? Watch clouds? Play a game, or draw in a coloring book? (There are some great adult ones out there). Can you call someone, write something, make something? Can you wear something? 
Think about what resonates for you. What have you abandoned that used to bring you joy? It can be so simple. It doesn’t have to be a new car. It can be silly putty. We all deserve joy on a daily basis, no matter who we are, no matter how busy we are, no matter how OLD we are.We all deserve to laugh, smile, and see beauty in the smallest details of life. Don’t forget your childlike curiosity, wonder, and joy with the world around you. Embrace this and I promise your life will improve. 🙂 And so will the life of those around you! 
*A post is coming soon about “Joy Lists” with specific instructions on how it works…
*School starts back soon so things are going to get busy! :O Catching up on e-mails, comments, etc…and having trouble reading other OT blogs because of Google Reader being gone. I got Feedly but I’m so perplexed with the layout. Anything out there just like Google Reader? 
Category: Occupational Therapy | Comments: none