Once he feels comfortable, he generally walks in.

Arrives with the following materials:

• Monogrammed Backpack

• AAC Device in Black Bag

• Red Lunchbox w/ Water Bottle + Bag

• Extra neck bandanna's/clothes in striped bag which lives in backpack

• Requires assistance from 2 Indie Adults

Instructions:

1. Fill bag with contents of bottle and shut purple cap on bag

2. Unclamp white clamp on end of tube that goes into body

3. Insert Tube into UPPER ABDOMINAL TUBE (above belly button) by opening portal on body and inserting tube by lining up black lines on tube and portal, pushing and turning tube to lock it into place

4. Slide purple slider on tube, up and Bag should start to drip

5. KEEP BAG ELEVATED

• JuWe greatly benefits from utilizing/strengthening his interest areas while learning, such as counting with Pooh, ABCs with Disney characters, standing on sensory tiles as we spell his name, etc.

• Interest areas are:

  • Winnie the Pooh

  • Snow White

  • Disney

  • Playdough

  • Sensory Tiles

• JuWe also greatly benefits from utilizing a chewy or a pacifier while exploring the classroom scene.

All chewies, bandannas, and pacifiers go home via backpack.

• Once JuWe spots his trusted home adult, you may open the door to dismiss him.

Greatly enjoys cause and effect toys (such as light-up/interactive toys), physical touch from trusted adults, and walking over to the vibration plate (DO NOT TURN ON).

In regards to the Bathroom, enjoys/benefits from being presented with the “Bathroom Button”, pushing the button and then walking with an Indie Adult to the bathroom.

Greatly benefits from a bathroom break prior to entering the Sensory Room.

Greatly benefits from having hand held while traveling to and from different rooms, while trusted Indie Adult communicates orally what is occurring.

AAC (see post below)

Gestures -

• Reaching

• Leaning

• Turning away

• Pushing

• Pulling

Proxemics -

• Moves toward preferred things (e.g. objects, people, locations)

• Moves away from undesired things (e.g. objects, people, locations) 

Vocalizations -

• Grunts & groans

• Cries & whimpers

• Laughter

Facial Expressions -

• Smiles

• Frowns

• Furrowed eyebrows

Eye Gaze -

• Referent glances to people and objects

Body Movements -

• Leg kicks

• Wiggling arms

• Full body wiggles

• Tobii Dynavox - TD Pilot

• Eye gaze & direct select access methods

  • Eye gaze seems to be preferred

• Grid Size: 6x5 (some hidden buttons)

• High contrast page set for CVI

• Personalized pages for:

  • Regulating videos: TV & Movies

  • Preferred books: Reading

JuWe would benefit from direct physical therapy to support

• standing balance for tasks such as dressing & changing

• core and trunk strength for stability in motion without having to rely on momentum

• building endurance for increased mobility with minimal fatigue

  
  

• Preferred Songs/Videos on AAC Device
  Located under the “TV Movies – Video” section (per parent report)

• Assisted Chair
  Using a supportive or familiar chair to feel grounded and calm.

• Pacifier
  Offers oral soothing and comfort, especially during transitions or overstimulating environments.

• Cuddling a Preferred Adult
  Physical closeness with a trusted adult helps JuWe feel secure and co-regulated.

• stroller

• AAC device (stand is by cubbies)

• wet bag

• extra bandanas and chewies

• lunchbox

If it is two syringes and a bottle* current

1. Shake liquid in bottle, Fill one syringe up with liquid in bottle to 60ml.

2. Attach small feeding tube to port slightly above and to the side of the belly button. 

   1. Line the black line on tube to the black line on port, push till it clicks, twist tubes to lock into place. 

3. Screw syringe to the attached feeding tube, unclamp white clamp on tube and push syringe contents quickly. 

   1. Flush tube with small water syringe

4. Fill second syringe with 60 ml

   1. Flush tube. 

5. Wait 20 minutes

6. Complete process with rest of the liquid in the bottle. 

1. "Im going to lay you down."

2. "shorts off"

3. "Diaper off"

4. "It's going to be cold! I'm going to wipe."

5. "Diaper on"

6. "Shorts on"

7. "All done! Thank you for your help!"
   

*May benefit from 2nd support in bathroom when changing on table for safety, can move quite a bit.

Trusted adult will carry him out, pack things into his stroller. 

• Back pack

• Chewies

• Lunchbox (tube, 2 big syringes, 2 little syringes, bottle)

• Wet bag

• Bandanas