AUDITORY Allow the child to have a quiet place to work. Provide touch cues to the child before beginning to speak to ensure that the child is paying attention. Offer slow progress in understanding complex instructions by ensuring the students get it 1 step at a time. ATTENTION AND BEHAVIOR Establish expectations for their performance and work. For example, determine how long a child can focus on the task, and then increase the time needed for a task to keep improving. Learn about the best learning style for your child. (ex. for visual learners, add more colors to tasks.) Offer opportunities for exercise by providing movement breaks and/or movement throughout the tasks. Offer environmental support such as a clutter-free and tidy room to work in, and fewer distractions in the room. Break down difficult activities into easier tasks to prioritize quality over quantity. Make a task checklist to help the child with organization and planning. Recognize what motivates the child to perform and use them as rewards. Give breaks between tasks to help the child reset and return to the task with renewed attention. ORAL MOTOR AND SENSORY To improve child’s eating habits, promote the following: Eating at a regular time and place; Eating with your child; Ensuring your child is sitting and positioned properly; Introducing different flavors and textures; Reduce the amount of distractions so that the child’s attention is on his/her plate; and Give consistent praise or encouragement for the child’s good job. Assist your child in improving and maintaining his/her toothbrushing habits. Use a small toothbrush with soft bristle. Stand behind your child, ideally infront of the mirror to let the child see and copy what you’re doing. Make it fun. Sing a song or make silly noises anything that will make the time enjoyable. If your child doesn’t like the taste of toothpaste, try using with fruity flavors or milder flavors. Offer a reward when they reach a certain goal or the number of times their teeth are cleaned twice a day on a calendar. Prevent your child from mouthing non-food items such as crayons, clay, papers, and the like. To decrease oral tactile hypersensitivity, use a vibrating toothbrush to massage gums and cheeks and provide crunchy foods. DAVAO DOCTORS COLLEGE,INC. OCCUPATIONAL THERAPY PROGRAM INTERVENTION STRATEGIES IN THE HOME VESTIBULAR A sensory function related to position, balance, and secure movement. It provides the sense of balance and information about the body position Provide movement exercises (dancing to action songs) to increase energy and attention. TACTILE The ability to understand information coming from the skin. Decrease tactile sensitivity. Participate in pressure touch activities (ex. firmly toweling off after a bath and brushing on body parts with crayons and then erasing with various textures.) Include sensory play activities in their day (ex. water play, massage, clay, glue, beans, sand play, brushing, and stickers). Allow active involvement. Encourage the child to perform life skills (ex. bathing, brushing, dressing) by himself/herself. Activities involving tactile discrimination (the ability to tell what you are touching with only the sense of touch). For example, provide a mystery box for small items and different textures to match and sort. VISUAL Store or place frequently used items at a convenient eye level. Encourage the child to keep items organized. Put items back where they belong. Print instructions in large print. Label frequently used objects (ex. medications and calendars). Computer and electronic settings for brightness and accessibility settings should be adjustable for low vision. Ensure adaptations such as glasses are used and kept clean. GROSS MOTOR These are abilities required to control the muscles of the body for large movements such as crawling, walking, jumping, running, and more. Learn action songs and perform the actions as you sing them. Play movement games with your child (ex. imitating animal movements). Play ball games with your child that require throwing, kicking, and catching. Let the child participate in household chores (ex. sweeping the floor) to improve balance, upper body, lower body, and core muscles. FINE MOTOR Provide enjoyable activities that allow children to use their fingers, such as playing with tweezers to transfer a cotton ball to another container. Vertical surfaces for coloring and writing, (ex. walls), may be used to promote pencil grasp. Short pencils and broken crayons may be used to promote better pencil grip. Let children help with household chores (ex. sorting malunggay leaves for meal preparation).