Will this scare off a nurse?
Daily Schedule
Always be aware of pain issues. Learn the signs! 6:00 AM Oral Therapy
Oral therapy consists of gum massage and chewing exercises.
Meds Prevacid/miralax/pain meds
Feeding and Dressing
Feeding consists of wet ground and self feeding exercises/tube feeding
Personal Care teaching, wash hands, brushing teeth, make bed and clean up
Utilize color train and choose color of day
7:00AM Breathing treatments
nebulizer treatments with pulmicort, albuterol as needed while utilizing Baby Can Read Vidoes and reading time
8:00AM School Time
Puzzles with focus on completing task, Letters and Phonics, Numbers incorporating OT.
BJU
Follow curriculum or Special Ed teacher visit. Independent completion of task goal/ increase attending skills
Ty moves through the curriculm in 15 minutes increments with breaks.
9:00AM Various Therapist visits
9:30AM Creative Play
Sand and Water, Soft Touch, blocks, paint, animals, Play dough Focus on OT, sensory and cognitive development according to recent instructions from supporting staff. Incorporate color of the day and animal of the week.
9:45AM Water 4 ounces of water
10:00AM Outing and Snack
Summer: Usually cool in the AM so a walk, visit to zoo, Park (two days a week) or back yard play focus on elements, surroundings, social skills and communication also incorporating PT
Use maginifing glass to examine bugs, plants and explore.
Winter: visit to Kids museum, local Aquarium or Mall for walk (social skills in public)
11:30AM Personal Care and Lunch
Meds and nebulizer as needed
teaching wash hands and face and clean up
Oral therapy: consists of gum massage and chewing exercises.
Feeding / table play Feeding consists of wet ground and self feeding exercises/tube feeding/brush teeth
12:00N Nap Time
Audio with classical music or Love and Learning
Water 4 ounces of water
1:30pm Wake up soothing music, interactive play time with focus on transition to activities
2:00PM Outing and Snack
Winter: If weather permits Walk, visit to zoo, Park (two days a week) or back yard play with focus on elements, surroundings, social skills and communication also incorporating PT
Summer: If too hot for TLSO brace, local museum or library, local Aquarium or Mall
3:30PM Personal care
teaching wash hands, face
Water 4 ounces water by tube
4:00PM independent free play
encourging free choice incorporating OT and PT
Use V tech or leap frog electronics, musical insturments, bubbles. Offer activities such as bouncy room, swing, rocking horse.
5:00pm Oral Therapy Oral therapy consists of gum massage and chewing exercises.
Meds Prevacid/miralax/pain meds
Signing Times Sign Language
6:00pm Dinner
Feeding consists of wet ground and self feeding exercises/tube feeding
7:00pm Breathing Treatments
nebulizer treatments with pulmicort, albuterol as needed while utilizing
Baby can read vidoes and reading time
7:30PM Personal Care
teaching, Bath time, brushing teeth, prepare bed and clean up
8:00pm Bed Time
Now...the index~
Oral TherapyOral Therapy consists of
1. Gum massages using the index finger. Starting at the upper right gum, using a song or counting to help him understand it is a limited exercise, massage across the gums moving to the front and to the left upper gum. Repeat on bottom gum. Rest and repeat exercise at least twice.
2. Chewing exercises using tubing or a chewy toy. Placing the tubing between his back teeth, encourage Ty to chew with steady firm bites. Pace the chewing to a song or counting. Encourage him to chew 10 times on the right side and then move to the left side repeating the exercise. Rest, allowing him to hold a favorite small toy, then tell him “it’s my turn now” and repeat the exercise.
3. Using a Z Vibe, place it in his mouth and use to stimulate cheeks and allow him to explore. Encourage him to move it with his tongue.
Medslisted
TLSO Brace Must be worn 23 hours out of the day!!!
FeedingFeeding consists of up to 4 bottles of pediasure per day by tube. He can take wet ground consistency by mouth if he is not congested or coughing. Ty has silent aspiration. His recent swallow study indicates he aspirates on anything that is not pudding thick. He has aspiration pneumonia twice in the past 7 months and it is recommended that he only have up to 1 oz of honey thick at beginning of meal and then pudding thick for the remainder due to fatigue. Ty is tube fed to take in the extra calories so his metabolism can keep up with healing required for frequent surgery.
DressingTy is encouraged to explore putting on his clothes and to assist in dressing himself
Personal CareThis includes life skills of washing hands and face, brushing teeth and hair and picking up pillows and toys. Currently we are utilizing hand over hand to teach him but also allow him to try himself. We focus on a few tasks at the time.
Breathing TreatmentsUsing a nebulizer, Ty receives two Pulmicort treatments per day. He also receives up to 6 Albutrol treatments per day.
BJUCurriculum designed by Bob Jones University and modified for children with Down syndrome.
Creative PlayActivity to mimic life and incorporate OT activities such as playing with textures, using play dough and blocks to create items, using toy animals and stuffed animals to interact.
Water intakeNeeded for proper hydration. By tube because aspiration prevents Ty from drinking more than a sip at the time.
Outing Needed for social interaction. It is necessary that Ty come to know and interact with others in local area in different settings. Encourage proper behavior in public settings. Less populated settings are necessary prior to surgery due to reduced immune system.
Nap TimeAt least 1 ½ hours at mid day. If he sleeps more, he does not well sleep a night. Exceptions are when he is sick or had recent surgery.
Wake upTransition from nap to play time is hard for Ty
Baby Can Read,Love and learning, Signing TimesVideos and books used for entertainment and beneficial for education