Occupational Therapy Goals

LTG: To improve function in FM development, will increase UE strength and stability to complete 10 minute task in prone, 90% of the time.

complete minutes of upper body strengthening activities including animal walks, weighted balls, wheelbarrow walking with % success.

maintain prone prop over supportive device (ball,swing,wedge) for minutes at a time, in of trials.

LTG: demonstrate improved body awareness, bilateral coordination, and motor planning to catch small ball from ft using hands only, of trials with minimal verbal cues.

cross midline during rhythmic task, times with min verbal or tactile cues.

toss ball to target from ft distance, using overhand throwing pattern, of trials with minimal verbal cues.

LTG: demonstrate improved self-regulation, sustained attention, and self-control to improve performance with IADLs, % of the time.

recall/perform 3-4 step obstacle course, __ of times with minimal tactile or verbal cues.

sustain targeted attention to a non-preferred table top task for minutes, with minimal verbal cues % of the time.

LTG: will follow a daily sensory diet with regulatory activities to improve participation at home and school, % of the time.

tolerate therapeutic listening for a min therapy task with % accuracy with the headphones to improve attention, motor and skill performance with tasks.

Caregiver will be independent with HEP of sensory activities to improve Nicholas's self-regulation and modulation.

engage in a table top task for minutes with minimal redirection to task, % of the time.

LTG: To improve fine motor development, will increase UE and core strength and stability to complete 10 minute task in prone, % of the time.

Propel self on scooterboard in prone position, using alternating arm pattern, for distance of ft, __ of trials with min cues.

Perform sit ups with stabilization at feet, within 1 minute, __ of trials.

LTG: will demonstrate improved body awareness, bilateral coordination, and motor planning to catch a medium size ball from ft distance using hands only, __ of trials with min verbal cues.

perform symmetrical and rhythmical jumping jacks independently, __ of trials.

cross midline during rhythmical task, __ of __ times with verbal or tactile cues.

LTG: demonstrate improved motor planning, bilateral coordination, and strength to complete sequence gross motor task, % of the time.

perform symmetrical and rhythmical jumping jacks independently, __ of trials.

independently perform sit ups, without compensation, within 1 minute __ of __ trials.

LTG: will improve visual perception and graphomotor skills to print uppercase manuscript alphabet and numbers 1-10 with % letter legibility using correct directionality and formation.

print /26 uppercase letters with proper directionality/ formation and sizing, __ of __trials.

copy % of numbers 1-10 with correct formation/directionality and legibility, __ of __ trials.

independently complete 1-20 dot-to-dot with success on __ of trials.

LTG: will demonstrate improved manual dexterity, body awareness, and visual motor integration to independently complete tying shoes, __ of times.

successfully manipulate small buttons on shirt while wearing, __ of trials with minimal verbal cues.

demonstrate complex translation with stabilization to place small pegs into holes, of trials with minimal verbal cues.

LTG: will demonstrate improved self regulation, transitional skills, and attention during structured therapeutic activities, % of the time with minimal redirection.

demonstrate improved transition between tasks with minimal upset, % of the time.

engage in an interactive purposeful task for 3-5 minutes with minimal reinforcers, % of the time.

complete 1-2 step obstacle course with mod cues each round, __ of trials.

tolerate therapeutic listening for a 30 minute therapy task with % accuracy with the headphones to improve attention, motor, and skill performance with tasks.

LTG: In preparation for age-appropriate participation in self-care tasks, will demonstrate improved grasping skills by dressing and undressing with minimal assistance in 4 of 5 trials.

demonstrate improved grasping skills by donning socks and shoes independently in 4 of 5 trials.

demonstrate improved grasping skills by doffing and donning pants with minimal assistance in 4 of 5 trials.

LTG: In preparation for age-appropriate participation in preschool-related tasks, will demonstrate improved fine motor and visual-motor integration skills by grasping a crayon with a tripod grasp in 4 of 5 trials.

demonstrate improved fine motor and visual-motor integration skills by stringing __ beads with moderate verbal cues in 4 of 5 trials.

demonstrate improved fine motor and visual-motor integration skills by snipping paper with minimal verbal cues in 4 of 5 trials.

LTG: In preparation for age-appropriate participation in playground tasks, will demonstrate improved sensory processing and modulation by completing 3-step obstacle course independently in 4 of 5 trials.

demonstrate improved sensory processing and modulation by going to supine to sit over ball 10 times with minimal compensation in 4 of 5 trials.

demonstrate improved sensory processing and modulation by completing 3-step obstacle course with moderate verbal cues and no more than 2 falls in 4 of 5 trials.

LTG: will feed self % of each meal

use spoon % of each meal with min spillage.

drink from a small dixi cup with no spillage % of the time.

LTG: will increase sensory processing to increase his/her play skills to age appropriate.

tolerate all imposed movements on play equipment and with parent/caregiver % of the time

attend to task at hand for minimum of __ minute with no more than __ redirections

LTG: will increase fine and visual motor skills to complete age appropriate coloring and writing.

place large beads on a string with verbal cues only __% of the time

use a tripod grasp to pick up and place pennies into a bank % of the time

roll and ball back and forth with parent for rotations with min. assistance in __ of trials

LTG: will increase visual perceptual skills to complete simple prewriting forms % of the time.

place simple form board puzzle together % of the time

place features on a face with % accuracy % of the time.

LTG: will improve bilateral integration, UE control, and motor planning to incorporate LUE into functional activities to improve independence with ADL and IADL tasks, % of the time

tolerate weight bearing on LUE for minutes during play and ADL activities with stabilization as needed, % of the time.

use LUE to stabilize objects/paper during play activities and writing tasks with minimal verbal cues, % of the time.

donn shirt overhead with minimal assistance, __ of trials.

LTG: will improve visual-motor integration, FM control and precision, and coordination to replicate 5-6 block structure after demonstration, __ of trials.

demonstrate neat pincer grasp to place small objects into container, of trials with minimal verbal cues.

imitate a circle and cross while holding writing utensil with static tripod grasp, __of trials with minimal verbal cues.

complete paper and pencil maze successfully with no more than deviation from boundaries,__ of trials with min verbal cues.

cut out a square with inch border with minA for stabilization of paper, __ of __ trials.

write letters of first name with proper formation and directionality, with min verbal and visual cues __ of __ trials.

LTG: will demonstrate improved self-regulation, transitional skills, and attention during __ structured therapeutic activities, % of the time with minimal redirection.

demonstrate improved transition between tasks with minimal upset, % of the time.

engage in table-top tasks for minutes with minimal reinforcement, % of the time.

Caregiver will incorporate calming and behavior regulating sensory acitivites on 5/7 days of the week with adjustments from therapist as needed, % of the time.

engage in table top task for minutes with minimal redirection, % of the time.

tolerate headphones for Therapeutic Listening program for minutes of a therapy task with % accuracy, % of the time.

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