Sunday, February 26, 2017

Sensory Friendly Schools

How to create a Sensory Friendly SchoolImage result

In the school world, we are currently using a Multi-Tiered System of Support (MTSS) model to address the needs of students including sensory needs.  We are all sensory beings. We use our senses throughout the day everyday. In school, we need sensory input to help us maintain an appropriate level of alertness in order to learn. 

Tier One 

- Movement Breaks - almost all of my classroom engage in some type of movement break. Many of them use Go Noodle, which is a website that has dance videos/songs for children.



Image result for go noodle images



- Flexible Seating - several of my classrooms are set up in a way that students may complete their individual or small group work in various areas of the classroom with different types of seating. The various types of seating include - sitting on the floor, laying on the floor, kneeling, standing, siting on a therapy ball or a core/stability stool, etc.











Tier two

Consider the needs of the student such as being over-stimulated versus under-stimulated. Provide students with jobs that helps them stay regulated such as taking the library books to the media center, delivering a message or note to a teacher, helping pass out snack, helping clean/wipe down tables, having him/her run a quick lap between subjects, helping move the chairs in the morning, use of a study carrel, etc. This student may also benefit from the use of a calm box with such things as hand fidgets, putty, items that help them calm, cards/visuals for taking deep breaths and counting, etc.

Image result for calm box
Image result for study carrel
Study Carrel
     


Tier Three

Consult with the Occupational Therapist. This student may need sensory supports/strategies such as theraband wrapped around the legs of his/her chair, use of a mov'n sit cushion or dis-co-sit cushion,  weighted lap pad, a chewy topper or chewelry, noise cancelling headphones, potentially use of a weighted vest or pressure vest, break cards and a sensory diet with scheduled breaks throughout the day.  This student may benefit from a group such as the Zones of Regulation as well.
Image result for theraband around chair legs

Image result for chewelry

Sunday, January 8, 2017

Yoga/ Movement Groups in Special Education Classroom

This school year I took on a new adventure and started a yoga/movement group in one of my separate setting special education classrooms.  This classroom has students with a diagnosis of Autism, Down's Syndrome and Intellectual Disability.  I decided to do this because several of the students have sensory issues, difficulty with regulation and behavior, and difficulty with motor planning. This has turned out to be the highlight of my week. The seem to love it too.



Benefits of Yoga


  • Breathwork reduces anxiety, helps kids cope with stress, and behavioral regulation



  • Helps calm the mind, improves concentration, attention-span, memory function, and learning ability



  • Improves balance, body awareness, alignment, strength, flexibility, and posture


As an OT, I have made the experience therapeutic from start to finish. The students assist with rearranging the furniture in the room, which provides some heavy work prior to yoga. Next, the students retrieve their Mats, unroll them, and remove shoes (and sometimes socks), which addresses self-care skills and independence. I have the students begin by checking in and letting me know how they are feeling at the beginning of the group which involves social skills and self-regulation. We turn off the lights and play calming music with a visual on the smart board, which provides auditory and visual input. We start with breathing and stretching. Then move into yoga poses and movement, which provided proprioceptive and vestibular input. We end the session with mindfulness, deep breathing and laying on the mats. Clean-up is similar to set-up in that students provide feedback on how they feel, put shoes back on, roll up mats, and replace furniture.


STUDENT PROGRESS

The progress has been great!  I have one student who wouldn't remove his shoes at the beginning of the year but is finally comfortable with that transition. Several of the students has improved their motor planning and ability to imitate positions which is huge for students with Autism.

Wednesday, July 20, 2016

Virtual work samples?! Yes, Please and Thank you.

           
Let's be honest. I use work samples a lot as a means of keeping records and to accompany my daily note documentation. However, I absolutely dislike keeping a MILLION pieces of paper in a working file. I also almost never took the time to look at or go through working files given to me by other therapist with tons of papers and work samples.

Last school year, a wonderful teacher at my school told me about the app Seesaw. The light bulb came on in my head and my face lit up.  Here is the answer to my work sample nightmare!


SEESAW is an app for making digital portfolios. I am not completely using it as intended. I am using it to keep records and document student progress in Occupational Therapy








To start, you have to set up an account. Next, you add all of your students into your "classroom." Next, let the fun begin!









Here are some of the features:

  • take pictures of students work
  •  take video of your students in therapy or the classroom
  •  students can draw and/or write in the app
  • Therapist can make notes about the amount of support needed to accomplish the final outcome
  • Therapist can also draw on the photo to indicate therapist model vs student work
  • Therapist can import work directly from other apps or camera roll



I like that I can view all work added for a given day for all students or just the items in an individual student's folder. Items can be flagged for later review.   Parents can be given access to view their child's progress from home by logging into the app or individual pictures can be shared with them via email.  I just love this aspect as it gets families involved in OT more and allows for more communication.  A picture or video can be very helpful and worth a thousand words.  It is definitely a great way to share work samples with the rest of the IEP team as well. I have the free version but there are more features with the upgraded/ paid version.




I give the SEESAW app a big three thumbs up! 








Thursday, July 7, 2016

Documentation - using Google Forms

Last school year, I said goodbye to handwriting notes and typing just narratives on word.  My school district doesn't have a standard method of documenting therapy sessions. A colleague of mine switched to Google forms years ago so I decided to give it a try  So far, so good!

Here's how I got started -

1) You have to have a google account. Sign in to your account.  Go to the multiple squared icon. Then scroll down to the purple forms icon and click on it. You may have to click the more button to see the icon.            





2) Select the blank form.

          



3) Next, I recommend to start out with a template. The template has all of the information that you use with all of your students. For each question you have several choices for how you would like the data to be entered. This is what I am currently using: Date (text box),  Location (checkboxes),  if no, OT why? (checkboxes), session length (text box), Progress (checkboxes), Activities and Outcomes (paragraph text), Plan (checkboxes), and signature (text).   I save this and then add the students individual goals by going to file and then make a copy.



Screen shot of the top of my template form



5) Next, making the individual goals as checkboxes is how I usually complete the data for the goals. How you complete this part depends on how you write your goals and how you want the data to appear in the summary.

Example for cutting goal
Example for grasp goal - level of support needed
Example of grasping goal - percentage of accuracy


6) I like to customize the page for each child to go along with my students interest or things that remind me of the student. You can change the color or pick a theme. This is just for fun. :)

7) You can make folders and place students into a school folder or make multiple forms (per quarter) for each student and then make student folders. There is various ways to organize your forms.

8) When you complete a form, the information goes into a spreadsheet. To view the responses, you can go to 'view responses'.  To see graphs, counts and percentages, go to responses and then to summary of responses. These are sometimes nice to share with parents at IEP meetings.

example of summary of responses
MORE GREAT OPTIONS 

9) I  dictate in the paragraph box by hitting the fn key twice after my cursor is in the activities and outcome box (I am currently using a MacBook Air).

10) You can also set it up to use on your iPad.  If you email yourself the form and then open your email on your iPad. Touch the link in your email. Next touch the box with the arrow coming from it in the left hand corner. Then add it to the home screen. Last group them together in a folder.


                                                Hope this helps.  Happy Documenting!

Friday, July 1, 2016

Vacation - My current Occupation


This is where my soul comes alive. The feel of the sun kissing my skin and the gentle breeze floating around my body. The initial chill of the water that quickly becomes comfortable. The smell of the ocean and light fragrant scent of suntan lotion. The roar of the ocean brings such peace to my mind. To see the excitement on my son's face and the joy my parents had playing with him in the ocean that appears to meet the beautiful blue sky. To taste a bit of grit from the sand and any guilty pleasure of the beach such as seafood, ice cream, water ice, funnel cake, salt water taffy, etc. This is where I am inspired, where I am happiest, where ......my soul comes alive. --Tamika

              

As an OT, I realized that I wasn't practicing what I preach. In thinking about Models of Practice and going back to the roots of my practice, I recalled learning the Model of Human Occupation (MOHO) and the Canadian Model of Occupational Performance (CMOP) in school. My OT students have made me aware of the KAWA model. I have been missing balance in my life for a number of years, especially since I became a mother.


Occupational Therapist write goals all the time. I have recently been working on setting several goals for myself.  One of my new goals is to take the time to stop and notice the beauty all around. Slow down and enjoy life. Live and not just survive.

 

CMOP
-  reminds me to include my spirituality.

MOHO 
- environment influences occupation. Therefore, I need to take time to be more aware of my environment and the environments that I create.
- Focus of MOHO - engage people in occupations that restore, reorganize or maintain the motivation, patterning and performance capacity, therefore their occupational lives. (Ramafikeng, 2011).

KAWA 
- Belonging, Being, Doing
- Harmony and balance



                  
         
Vacation provides rest, and renews your being so that you are ready to return to your everyday life ready to fulfill your purpose and be all that you were called to be. It makes me a better mother and therapist. It inspires your life and ideas. I challenge all that read this to work toward balance and harmony and engage in the occupation of vacation. 

Monday, June 20, 2016

Chewy, Chewy, Chewy PENCIL?!! - When chewing at school and home becomes a problem

Do you have a student or does your own child seem to chew on EVERYTHING? Ok, maybe not everything but they have destroyed pencils and shirts galore. Well, the photos you see below are actual pictures of pencils chewed on by one of my students. 



Maybe your student has been chewing all year long or maybe it started at a certain part of the year. For me, my little guy was a chewer most of the year but it got significantly worst as the end of the school year approached.

While I knew my little guy was a sensory seeker anyway. I feel that anxiety truly had something to do with the increase in oral seeking behaviors at the end of the school year. Transitions and the unknown can be very anxiety provoking and stressful for little people. Chewing provided proprioceptive input (heavy work/ deep pressure) into his mouth and the proprioceptive input was calming.

So, what did I do to help my little fella?

1) Experimented with several chewy tools to see which would work the best for him. - This little guy needed something sturdy because he was even biting off pieces of a chewy necklace. He also needed something with a strong lace to attach or a non-cloth attachment as he was chewing on this as well and destroyed a string necklace in one day.

2) Asked his mother if he could have crunchy and chewy snacks and drink from a water bottle that required a straw or sucking.  We also tried chewing gum. - This provided another way to provided extra sensory input into his mouth.

3) I provided more opportunities for deep pressure input during sensory breaks and used a pressure vest. - He typically went for vestibular activities but we saw a difference in him and his ability to calm his body when he was provided with an appropriate amount of deep pressure input.

4) Wrote a social story and made a chew chart. He got frequently rewarded for engaging in expected chewing vs. unexpected chewing behaviors. - My little guy was already familiar with social stories, social thinking, and Zones of regulation. I used all of these approaches and consulted with my speech therapist to come up with his social story and chew chart.

Chew Chart
https://docs.google.com/document/d/16k4cHXKJHSyth5Fnns3r8Rz0OpeXKAmWd2XO5XwNVS8/pub
Social Story
https://docs.google.com/document/d/179-gf31Jo1qjbDge2KWnDjDj2n1C6IBdLpIAfMoMpT8/pub



Well, I wasn't able to stop him from chewy as much before the school year was over, but at least he was doing it in a safer and more socially appropriate manner. His mom was happier as she didn't have to replace as many shirts and his teachers were happier because he wasn't chewing up as many pencils. He was happy too. So, Cheers to the small steps in life!


Saturday, May 7, 2016

Forget March Madness! It's End of the School Year Madness!

I'm back!!!  Sorry for the little hiatus.  April, which was OT month by the way, was very busy for me. I had to move and we celebrated both my son's birthday and my birthday. Now the May/ End of the school year madness has begun. Why do I call it madness?  Well, let's see.  There are transition meetings, ESY meetings, annual reviews, finishing up evaluations, students getting anxious due to end of grade tests and summer coming, looking for summer work, etc. When you are a single mother, trying to keep balance and order in your life is an ongoing task. So, what are some things that I am doing to try to stay sane and keep my feet and head on the ground. Think Mental Health since May is Mental Health Awareness Month.

1)  Read, Pray, Listen - When things start getting wacky, I need to start my day off right. Reading my bible daily helps me keep the peace and find joy. I get up at 4:30 am to get my quiet time. I currently use the Youversion bible app. It has plans on it for various topics. Some plans have guided prayers as well.  Also, I love Jesus Calling devotional by Sarah Young.  In addition, I am reading Fervent by Priscilla Shirer with my bible study group. I have begun to write down my prayers and celebrate answered prayers with a visual prayer box. Listening to worship music on my way to school and while I get dressed has also done wonders.
                    

2) Meditation - I got into meditation approximately a year ago.  I love it.  I sometimes use the www.calm.com or calm app.  I have used this in therapy with my students as well as with my son. You can select various background sounds. Choose between guided or unguided sessions. Other options include - topics with affirmations, programs, and varying length of time.
            

3) Massage - I absolutely love getting a massage. I used to have a membership at Massage Envy.  Now, I go when I can as I am being more conservative with my funds as a single mom. If you are a single mom too, just know there are other options. You don't have to go to a fancy spa to get a good massage.  Look into massage therapist who work out of small offices or even will come to your home.  Also check Groupon and living social for deals.



Chris Curls



4) Exercise - Now, this one is a must but not actually always my favorite. I have been using my son as an excuse as to why I am not consistently working out. Yes, I have limited time.  Yes, in the past, he got in my way.  Is that a good enough excuse though.  NO!!   Recently, I have begun to include him. That was the best decision I ever made. It's a good full body workout too.  He loves it. He actually will request it so that's extra motivation and a great reminder. We also play tag at the park, go for walks, and play sports such as basketball, soccer, and football. Be creative. Get active. Play and have fun.
Lift and Squat
Bridge Planks
baby suicides
Leg Lifts

5) Social/ Friendships - Last but not least, I make sure to fit in time to meet up with my best girlfriends.  Make sure you cultivate and nourish your relationships.  Set up a lunch or dinner with your "bestie".  Choose a relaxing activity to do with a friend like yoga, hiking, gardening or painting.  I recently did a Paint Nite with co-workers. It can be so rejuvenating.