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回復 souiew 的帖子
首先你要比佢知道你好錫同関心佢和了解佢既需要就容易入心好多,4至8月私人S位有埋 ST 25分鍾,9月返全日 N 班,請假去做訓練,除左上服務機構D 訓練,每天家居訓練,大肌肉 PT,公園玩至少一個鍾,OT一個鍾,ST一個鍾,佢唔肯睡或唔使訓練就加碼至5個鍾,他不是每次連續一個鍾都同你合作,有時要車輪戰要佢做,但也有很多不合作的時候,星期六星期日及假期日就去公園玩足三個鍾,落雨或天氣太凍就在屋企同佢玩跑步機或到坑口政府綜合大樓室內遊樂場比佢玩,除非係好不當行為,如打人,推人,大叫,很影響人D野,如果唔係我都會包容佢,在一些不當行為如未發生前不斷同佢講唔好做及後果,要簡短清楚,如火好熱,會辣情,痛痛,我個仔會入廚房睇我煮飯但绝唔會攪煮食爐,ST 比玩具爐佢玩佢都會講,火好熱,會辣情,痛痛.List of all daily routines and favourite activities
Monday :7:45 take him to Kindergartens by walk, 15:00 take him to ST, always by Bus, and tell him what is outside of the Bus , sometimes ask him what is outside e.g. what kind of car is running on the road, Building, Shops, Traffic light and what things of people to do. If time and weather is O.K. take him to playground to play Slide, swing, and climbing games, and try to let him modeling play with other kids. This is such as PT and Social contact and Behavioral goal. The ST training will do at 17:00 to 18:00 leave about at 18:15, go to home by MTR. GET back to home about 19:45 to 20:00. Dinner time at 20:00 to 21:00, ST training with toys at home at 21:00 to 21:30,Bubbles blowing, Teeth bush training ,Bath training and Dressing training at 21:30 to 22:15.IF he do not want to sleep ,will enhance the ST Training. Sometime, the ST and PT training held on same day, will take him to PT by Taxi at 14:00 .Take him to ST on foot and then by MTR at 15:30, there should no time to go to playground. The S T training have complete, the same procedures as every Monday.
Tuesday :7:45 take him to Kindergartens by walk, 16:30 take him from Kindergartens if the weather is O.K. Take him to playground to play Slide, Swing, Spinning climbing games, and try to let him modeling play with other kids. This is such as PT and Social contact and Behavioral goal. Go to Supermarket to take him to queue to buy one things, let him to know the procedure of buying things and patience. OT training with toys and pens to do with him at 19:00, make dinner at 19:30, let him to watch TV , sometime let him to see me how to cook and tell him the name of kitchen tools and utensils. Dinner time at 20:00 to 21:00, ST training with toys at home at 21:00 to 21:30,Bubbles blowing, Teeth bush training ,Bath training and Dressing training at 21:30 to 22:15.IF he do not want to sleep ,will enhance the ST Training. Sometime he go to OT training, will take him from Kindergartens at 14:30 by Taxi, the same procedures as every Tuesday.
Wednesday: 7:45 take him to Kindergartens by walk, 16:30 take him from Kindergartens if the weather is O.K. Take him to playground to play Slide, Swing, Spinning climbing games, and try to let him modeling play with other kids. This is such as PT and Social contact and Behavioral goal. Go to Supermarket to take him to queue to buy one things, let him to know the procedure of buying things and patience. OT training with toys and pens to do with him at 19:00, make dinner at 19:30, let him to watch TV, sometime let him to see me how to cook and tell him thename of kitchen tools and utensils. Dinner time at 20:00 to 21:00, ST training with toys at home at 21:00 to 21:30,Bubbles blowing, Teeth bush training ,Bath training and Dressing training at 21:30 to 22:15.IF he do not want to sleep ,will enhance the ST Training.
Thursday: 7:45 take him to Kindergartens by walk, 16:30 take him from Kindergartens if the weather is O.K. Take him to playground to play Slide, Swing, Spinning climbing games, and try to let him modeling play with other kids. This is such as PT and Social contact and Behavioral goal. Go to Supermarket to take him to queue to buy one things, let him to know the procedure of buying things and patience. OT training with toys and pens to do with him at 19:00, make dinner at 19:30, let him to watch TV, sometime let him to see me how to cook and tell him the name of kitchen tools and utensils. Dinner time at 20:00 to 21:00, ST training with toys at home at 21:00 to 21:30,Bubbles blowing, Teeth bush training ,Bath training and Dressing training at 21:30 to 22:15.IF he do not want to sleep ,will enhance the ST Training.
Friday: 7:45 take him to Kindergartens by walk, take him from Kindergartens to Behavioral Goals by MTR at 14:45 .when the Behavioral goals is complete if the weather is O.K. Take him to playground to play Slide, Swing, Spinning climbing games, and try to let him modeling play with other kids. This is such as PT and Social contact and Behavioral goal. Go to Mac Donald to take him to queue to buy one things, let him to know the procedure of buying things and patience. Let him say what he need, pay and money exchange. OT training with toys and pens to do with him at 19:00, make dinner at 19:30, let him to watch TV, sometime let him to see me how to cook and tell him the name of kitchen tools and utensils. Dinner time at 20:00 to 21:00, ST training with toys at home at 21:00 to 21:30,Bubbles blowing, Teeth bush training ,Bath training and Dressing training at 21:30 to 22:15.IF he do not want to sleep ,will enhance the ST Training.
Saturday: he will wake up at 10:00, then take him to teeth brush and wash training, give different drinks to try, play toys with him.11:30 lunch time. 13:00-15:00 took him to a more facilities playground to play by MTR, and try to let him modeling play with other kids. This is such as PT and Social contact and Behavioral goal. Go to Mac Donald to take him to queue to buy one foods and say what he need and pay, money exchange. let him to know the procedure of buying things and patience. OT training with toys and afternoon sleep.18:00-19:00 free time for him to do what he like. OT training with toys and pens to do with him at 19:00, 19:30 Make dinner for him and let him watch TV, some time let him see me how to cook what kind of food I 20:00-21:00 dinner time.ST training with toys at 21:00, 21:30 Bubble blowing, Teeth bush, Bath, dressing Training to 22:15.
If he do not want to sleep, will enhance the ST training.
Sunday: he will wake up at 10:00, then take him to teeth brush and wash training, give different drinks to try, play toys with him.11:300 lunch time. 13:00-15:00 took him to a more facilities playground to play by MTR, and try to let him modeling play with other kids. This is such as PT and Social contact and Behavioral goal. Go to Mac Donald to take him to queue to buy one foods and say what he need and pay, money exchange. let him to know the procedure of buying things and patience. OT training with toys and afternoon sleep.18:00-19:00 free time for him to do what he like.19:00 OT training with toys and pens to do with him at 19:00 Make dinner for him and let him watch TV at 19:30, some time let him see me how to cook what kind of food I make.20:00-21:00 dinner time.ST training with toys at 21:00, 21:30 Bubble blowing, Teeth bush, Bath, dressing Training to 22:15.
If he do not want to sleep, will enhance the ST training.
What are the expected procedures?
Try to let him to walk to Kindergartens and let him see facilities of the street, what kind of things people to do. Let him tell me. Take him to ST, always by Bus, and tell him what is outside of the Bus, sometimes ask him what is outside e.g. what kind of car is running on the road, Building, Shops, Traffic light and what things of people to do. If time and weather is O.K. take him to playground to play Slide, swing, and climbing games, and try to let him modeling play with other kids. This is such as PT and Social contact and Behavioral goal. Go to Supermarket to take him to queue to buy one things, let him to know the procedure of buying things and patience, let him
say what he need pay and money exchange. Go to Mac Donald to take him to queue to buy one things, let him to know the procedure of buying things and patience. Let him say what he need, pay and money exchange. OT training with toys and pens to do with him at 19:00, and let him say what is he doing.
What are his need and wants during those times? What does he dislike?
He need more encourage during this time, such toys and food, and speech. He dislike with not encourage and some of training he feel hard to do and he ever do.
Start with one routine, make a list of the phrases that he can learn to say
Turn off the light, he can say the environment is dark, turn on the light, the switch is near the door. Take his chair for him to urinating, he can say go to kitchen to take the chair. Hide some part of his toys, he can say lost the parts. Hide his toys always to play he can ask me find out for him.
Respond enthusiastically when he vocalizes, especially with eye contact.
Play Train and Tracks with him and let him count trains and tracks with me near my face, alternate to play with trains and tracks, alternate to blow bubbles, bath with him and let him to see me how to use the towel. Take the thing he like to bath with him and put it near my face, then let him ask me to take.
E.G. Lunch time
a. He can ask different food and utensils.
b. Request different actions (e.g. pour water or juce, cut up veggies)
c. Unexpected events (e.g.no utensils, no water in cup)
E.g. Playdough stamping
a. Take out the playdough, some time he cannot open he can say cannot open,BA BA help
b. Roll the playdough ,he can say roll the playdough.
c. Press shapes onto playdough ,he can say what shape is on the surface.
d. naming the shape ,showing to others. He can say the shapes only
Prompt: by modeling, not by question-asking or forcing child imitate verbally.
2. Play skills Behavioral goal: he will be able to enage in constructive play independently.
Example of age –Appropriate play
Playdough, can making shapes but no food.
He can building train tracks and push the train, refill Battery, and say what parts of the train.
He can complete a little part
He can Building a block tower about 10 blocks.
He can stamping on paper with a frame.
Farm set is doing now, cook set is done, doctor’s kit not done.
Reinforcement: Lavish praise and tangible reinforces.
3. Imitation
Behavioral goal: Pak Kiu will be able to imitate other’s sounds, actions,gestures and movement spontanaeously.
Activities to try:
Singing Songs with hand or fingers movements ,some time can do.
Cannot imitating animals sounds.
Commenting in daily activities. E.g.”yum!”or “I am full” while Patting tummy.
Using musical instruments,e.g. rattle or drums.
He can Cooking food or drinking from a cup in cook set play
以上英文部份是我5月份交予逢星期五上堂的心理學家 |
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發表於 13-10-3 14:38
