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GED 661!

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Case Study #1 Lela: 4 years old Point Loma Nazarene University !

Fall!2012

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GED$661$

Analysis and Program Plan

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Health: • Rubenstein*Taybi!Syndrome! • Aortic!valve!is!bicuspid!versus!tricuspid! • History!of!urinary!tract!infections! • Has!subglottic!stenosis!grade!II!and!silent! gastro*esophageal!reflux! • Federal!Handicapping!Condition:!Mental! Retardation/Intellectual!Disabilities! • Strengths!and!Interests:! • Loves!playing!with!telephones!and!cause!and! effect!toys! • Attends!well!to!activities!that!have! music/rhythms! • Orients!books!correctly!and!turns!pages.!


GED$661$

Analysis and Program Plan

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Present Levels: • Imitates!some!movements!(head*shoulders* knees!and!toes)! • Performs!simple!actions!in!environment!to! experiment!how!things!work! • Responds!in!different!ways!to!different! situations!depending!on!mood! • Repeats!actions!that!have!an!effect! • Alternates!between!objects!for!brief!periods! • Relates!differently!to!familiar!vs.!unfamiliar! people! • Matches!puzzle!pieces!and!picture!to!picture!at! home! $


GED$661$

Analysis and Program Plan

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$ • Communication:$ • Signs!“more”,!“me”,!“I!want”,!“music”!and! raises!arms!for!“up”!at!school! • Signs!“please”!,!“thank!you”,!“all!done”,!and! “give!me”!at!home.! • Claps,!smiles,!vocalizes!to!show!pleasure! • Not!yet!vocalizing!when!imitating!oral! movements! • Intentional!vocalizing!when!playing!with!phone! • Independently!hands!picture!to!adult!to! request!or!continue!an!activity! • Travels!one!foot!to!picture,!and!two!feet!to! communicative!partner! !


GED$661$

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Analysis and Program Plan

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Gross Motor: • Engaged!in!warm*up!activities!with!

moderate!assistance! • Crawls,!walks,!and!explores!room!

independently.! • Jumps!with!2!hands!held!5*10!times! • Mimics!“table”!position!for!5!seconds! • Follows!obstacle!course!with!physical!

assistance,!and!needs!to!be!guided!from! task!to!task! • Tracks!tossed!or!rolled!ball!and!returns!to!

partner!with!assistance! • Can!log!roll!on!her!bed!at!home!


GED$661$

Analysis and Program Plan

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Fine Motor: • Can!use!pincer!grasp!to!pick!up!small!

objects.! • Holds!writing!utensil!with!a!4*finger!grasp! • Needs!full!assistance!for!cutting!with!

scissors! • Makes!horizontal!and!vertical!lines!on!

paper,!and!forms!a!continuous!circle! • Upper!body!strength!has!improved!


GED$661$

Analysis and Program Plan

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Lela’s Goals: 1. Articulation/Phonology:!Produce!CV!or!VC! sequences!(ma,!mo,!up)!given!maximum!prompts!and! models!during!play,!8/10!opportunities.!

2. Augmentative/Alternative:!Use!voice!output! device!that!depicts!8!available!icons!to!communicate! intent!in!various!natural!contexts!with!80!%!accuracy.!

3. Social$Skills:!Will!engage!in!4!different!social! interactions!(rolling!ball,!pushing!car,!talking!into!phone! or!microphone)!using!gestures,!signs,!words!or! vocalizations!to!indicate!whose!turn!with!a!peers,!3! exchanges!each!over!2!trial!days.!

4. Word$Analysis:$Recognize!pictures!for!specific! activities!when!transitioning!between!activities!by! going!to!the!next!activity!on!her!picture!schedule!with! 80%!accuracy.!


GED$661$

Analysis and Program Plan

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5. Balance:!Will!balance!independently!by!mounting! beam!or!stepping*stones!and!walking!forward!5!steps! with!80%!accuracy!over!2!trial!days.!

6. Playground/Ball$Skills:!Increase!eye!hand! coordination!by!catching!a!large!ball!with!arms! extended,!arms!trapping!object!against!body!tossed! from!3!feet!given!visual!and!verbal!cues!4/5!trials!over! 2!trial!days.!

7. SEECAGeometry:!When!presented!with!a!variety!of! 2!dimensional!shapes,!will!match!sort!or!verbally! identify!4*6!shapes!and!complete!a!6*piece!inset!shapes! puzzle!at!80%!accuracy!on!4!of!5!occurrences.!

8. Penmanship:!Will!copy!horizontal,!vertical!lines,!a! circle!and!an!X!with!80%!accuracy!in!several!medias! (said,!paint)!4/5!trials.!

9. Mealtime:!Will!increase!proficiency!in!eating! independently!by!using!a!spoon!to!eat!appropriate! foods!80%!of!the!time!over!3!of!4!trial!days.!


GED$661$

Analysis and Program Plan

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10. Restroom$Skills:!Will!indicate!with!a!sign,!gesture! or!picture!the!she!needs!toileting,!assisting!in!pulling! down!pants,!sitting!on!the!toilet,!and!voiding!on!他! trials!over!他!trial!days.!


GED 661 Case Study: Lela