Thursday, June 21, 2007

6 Month Review

Cameran had her 6 month review on Tuesday where we learned she is making great progress in some ares! Cameran is 28 months old. Here are her reports.

Physical Development-Gross Motor
*Developmental Age in this area is 17-19 Months
~Her strengths- She can go up and down a slide with assistance. She can back into a small chair. She can squat during play.
~She needs to be able to Catch a ball, ride a tricycle and walk up and down stairs by holding onto the rail.

Fine Motor-
*Developmental Age she is at 11-13 Months
~Her Strengths- She can remove pegs from a pegboard, mark paper with a crayon and can invert a small container to obtain a tiny object
~She needs to be able to place one round peg in a pegboard, to scribble spontaneously and point with her index finger.

SPEECH/LANGUAGE
*Developmental Age she is at 13-15 months
~Her strengths- Cameran can sign "More" and "Play". She repeats sounds or gestures if laughed at(sometimes), She shows understanding of words by appropriate behavior or gesture
~She needs to say "no" meaningfully, to name one or two familiar objects and imitate environmental sounds.

COGNITIVE DEVELOPMENT
*Developmental Age is 14-16 months
~Strengths- Cameran can use play dough and paints-with help, she can explore cabinets and drawers and can identify herself in the mirror.
~Needs to indicate two objects from a group of familiar objects, bring objects from another room on request and needs to match sounds to animals.

SOCIAL/EMOTIONAL DEVELOPMENT
*Developmental Age is 18-20 Months
~Strenghts- Cameran enjoys solitary play for a few minutes, she hugs and kisses her parents and she displays dependent behavior.
~Needs to experiment with adult activities, needs to separate easily in familiar surroundings and to participate in circle games.

ADAPTIVE DEVELOPMENT
*Developmental Age 17-19 Months
~Strengths-Cameran can open a door by turning the knob, can unwrap food and plays with her food.
~Needs to sit on a potty chair with assistance, to distinguish between edible and inedible objects and needs to help with bathing herself.


This is the report from her Physical Therapist
Cameran has made moderate gross motor progress this past re certification period. She is ambulating independently, however she continues to demonstrate decreased safety awareness, evident by frequently falling over surface changes. Attempting to have Cameran propel a tricycle via pedaling, however she is not expressing interest in the activity. Also attempting ascending stairs with single HR, Which she is doing better at, however she still demonstrates great difficulty with descending with B HR.
The goals they are setting for her are
1.To be able walk a taped line with one foot on the line for 4 feet
2.Walk on even and uneven surfaces for 50' w/ no loss of balance
3.To be able to ambulate up an down 4-4" steps with 1 hand on wall/rail and 1HHA
4.Be able to navigate over & under various obstacles, visually attending to obstacles and appropriately traversing through obstacles
5. Visually attend to kick a ball 3 feet
6. Orient to and catch a large ball when thrown to her, independently.

Occupational Report:
Cameran is showing more interest in toys and is signing more to get more toys. She is consistently taking objects to her mouth or throwing the objects. She has pulled apart pop beads with her hands during 1 session but has not done it since then but will place in her mouth and then pull on the other one. Her attention to toys is improving with some maintaining for 30 seconds.
The goals set for Cameran are:
1. That she will demonstrate improved fine motor skills to grasp a toy with an open web space %50 of the time for 2/3 the sessions
2. Be able to demonstrate improved visual motor skill to turn 2 pages in a book with min assist 2/3 times
3. Demonstrate improved visual motor skills to place 1/3 objects into a container with min assistance.
4. Demonstrate improved visual motor skills to pull apart 2 pop beads with verbal cues 2/3 tries
5. Demonstrate improved play skills to play with a toy for 30 seconds with minimal verbal cues 5-% of the session

SO THERE YOU HAVE IT, SOUNDS EASY ENOUGH RIGHT.....NOT QUITE FOR CAMERAN THOUGH! MAIN THING IS THAT SHE IS MAKING PROGRESS. NOW IF WE CAN JUST GET THE GIRL TALKING! I HAD THE MOST WONDERFUL DREAM LAST NIGHT THAT SHE WAS REPEATING EVERY WORD I SAID AND SHE HAD THE SWEETEST VOICE YOU HAVE EVER HEARD. OH HOW I CANT WAIT FOR THAT DAY TO COME!!!!!
CAMERAN IS STILL VERY SICK TODAY AND VERY TIRED. BUT THE WEANING PROCESS OF THE KLONOPIN IS GOING GREAT, NO SEIZURES YET!

1 comment:

JSmith5780 said...

You'll get there...have faith. The day will come when she won't stop talking and she'll run her cell bill through the roof and you and Dad will say remember when we couldn't get her to talk!!!

Glad the klonopin wean is STILL going well, esp. since she is sick!