Rosemary was observed on October 12th, 2016. Rosemary, Ms. Emily Alardro, her sisters, her brother, as well as the B.A.T clinical team were present to conduct a descriptive functional assessment, which consisted of direct observation of behavior and an Antecedent-Behavior-Consequence (ABC) narrative recording in the family home.
Upon arrival, the B.A.T. clinical team greeted Mom at the door. Mom led the clinical team to the family room where Rosemary was playing with her baby brother on the floor. Rosemary smiled at the clinical team. The clinical team engaged Rosemary with a ball. Rosemary labeled the ball. Then the clinical team took out a 32 piece-puzzle. Rosemary was observed to easily transition from playing with ball too puzzle without
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Throughout the puzzle, the clinical team verbally reinforced Rosemary for trying and connecting the puzzle pieces. Rosemary sat nicely and stayed engaged with the puzzle until it was complete. Rosemary also talked throughout the activity, her language was appropriate for the situation and or actions. When iRosemary was asked who was the character on the puzzle twice, she correctly answered Miles from Tomorrowland. Rosemary labeled actions correctly; such as you kick the ball when Mom kick the ball. In addition, the clinical team observed that Rosemary was successful at listener responding. For instance, when the clinical team called Rosemary's name she turned and looked after the third time. Mom also told the clinical team that Rosemary likes toys that vibrate. The clinical team then presented Rosemary with a singing vibrating light up ball. Rosemary played with the ball for three minutes. Mom added that Rosemary used to have a ball like that. Rosemary's baby brother reached for the ball, mom told Rosemary to share the ball. Rosemary refused to share the ball after mom told her to share three times. Rosemary,
Intervention: Ms. Smalls (MHP), Mrs. Clark (MHS) and Taliana discussed Taliana adjusting to the home. MHP encouraged Taliana to ask questions if she does not understand something. MHP praised for willing to communicate with MHS and family. MHP, MHS and Taliana discussed Taliana’s emotions about family visits and no contact with biological mother. MHP praised Taliana expresses her feelings. MHP explained to Taliana and MHS that the DSS case worker will visit next week. MHP provide an update from DSS worker about clothing and eyeglasses. MHP administrated the Casey Life skills. MHP allowed Taliana to share stories about her biological mother and family.
The art therapy session is held every Tuesday at a small space in the gym. When the intern picked her up from her class, she did not look the intern and walked fast to the art therapy room. At the room, she stated that she had a “worst day at everywhere.” The intern checked in with her, but she did not share in detail. A sample of a doll and art materials were provided. Cindy asked the intern if she can take it to home, and the intern reminded her the rules. She did not respond and began to make the doll without words. Cindy appeared to be unmotivated to do art but followed the direction. In the process, Cindy required an assistance of the intern because of her clumsy hand movement. While the intern helped her, she expressed the feeling of frustration. She often mentioned “you do it… you are much better than me... you make it
The B.A.T clinical team met Mrs. Vasquez (mother), on September 9th, 2016, at their home located in Riverside, CA. On this date the clinical team conducted an indirect functional assessment, which consisted of a parent interview and a review of ABA services in relation to David. The clinical team gathered information regarding David’s history (as outlined in the section above) and inquired about the challenges they encounter, including and behaviors that are of concern.
While Brandi prepared luncch the children continued their activies. Jarred played on the computer and Zoey played with the cat. During lunch preparation Brandi continued to talk about the case. Brandi talked about all the systems she had in place to assist the children with the barriers they were experiencing. When the children came into the kitchen to get their pizza Brandi changed the subject to a more positive tone. The children retreived there food and went intot the room to continue thier activities. Brandi also went tinto the room and laid in the bed with Zoey as she played on the phone.
Talin displayed a visibly positive and social affect when he arrived this morning. He smiled often and was socially appropriate when interacting with staff and peers. I went over Talin’s schedule with him for today and then allowed him to choose an activity for some independent leisure. Talin spent some time writing in his notebook, and putting together a puzzle. Before heading out for the day, Talin was given a couple of visual options to choose from to determine what activity he preferred to do first. Talin first chose to go to Bowling. I assisted Talin with obtaining his shoes and bowling ball. I then showed Talin what lane he would be bowling on. Talin was visibly excited bowl, needing redirection to put his shoes on before starting the
A 65 year old resident is admitted to a Skilled Long Term Care Facility for a hip fracture. The resident has a Wound Vac and open wound upon admission to the Nursing Facility. The resident is due to receive Physical therapy and rehabilitation and go home. The resident must also receive wound care once per shift from the wound nurse or floor nurse depending on the shift. The resident is an alcoholic and is married with four children. The resident comes from a low income housing area with multiple flights of stairs and the housing area does not have handicap accessible apartments. Resident has Medicaid and Medicare at the time of admission the resident has not had a 60 day well stay and cannot use his Medicare to pay for
Jackson is a happy, outgoing, and a caring little boy. He communicates well and has excellent language. Jackson shows pride in accomplishments and has strong problem solving skills. Jackson loves to swim, enjoys fishing with his dad, running shopping errands with parents, and setting the table in the home environment. He likes to play with toys. His favorite toys include cars, trucks, planes, Legos, and anything else can build with. He likes playing on the IPAD. He tends to be very busy most of the time. He is cooperative in preferred activities and often interacts comfortably with familiar adults. He sometimes complies with simple directions, after negotiations and adult support, when engaged in an preferred activity and non-preferred activities. Jackson has strong play schemes skills that have advanced his cognitive, communication, and social skills. He prefers one on one instruction, clear expectations, and routines as well as social stories.
In the classroom during the playtime when Leo; aged 16 months and Mateo; aged 18 months started argument about a truck. Leo had the truck first; Mrs. Gail started to move near them. She told Mateo, Leo Had it first. Let’s take turns, it’s nice to share. Let Leo finish with the truck and come with me, I can help you find something else. Mateo went with Gail to see what does she has. Gail said to Mateo, I have something special for you, let us see, do you want to play Bubble or water table. Mateo picked Bubbles. Gail started to play with Mateo, Ella; aged 16 months,, and Sofia; aged 17 months, when Leo saw Gail playing bubbles with the other kids; He left the truck and came to play with them. While they are playing all together, Leo tried to
The Ultrasound technician will facilitate the abdominal ultrasound to produce images of the organs for interpretation.
In the pediatrician’s office that I work, there is a playroom for the children of parents that came to bring a sibling to the office. I work there at this playroom taking care of the children in this playroom. I often observe how the parents, usually the mother, interact with their children, and also how the children act when the mother needs to leave the room and when they come back. It was not until this week that I was able to name the interactions and to understand what is behind the children reactions. This week, in my developmental psychology class I learned about an experiment developed by Mary Ainsworth called ‘Strange Situation’ (Belsky, 2013, p. 115). In this experiment, a mother and a child enters a play room like the one that I work, and after the child is playing with the toys, a stranger comes in and interact with the child; after a while the mother leaves the room, the same way the mothers at the pediatrician’s office leave the playroom; after some minutes the mother returns and the stranger leaves the room; a couple of minutes after the child is situated again and playing, the mother leaves again leaving the child alone, and returns after another couple of minutes (Belsky, 2013, p. 115). While the researchers observed the children, their interaction with their mothers, and their reactions to the situations through a one-way mirror (Belsky, 2013, p. 115), I observed as the stranger that is in the room interacting with the child.
There are different articles that review the “team nursing care model” approach .For the purpose of this paper I would like to begin with the article “championing a team: reviewing the role of team composition, context and trust on nursing team performance,” as stated in Australian Journal of Sustainable Business and Society “In order to successfully perform tasks, there needs to be a proper mix of team composition in terms of team knowledge and team skills. Also, the team must work in a good surrounding through a positive team context.(2016, p, 50). In this article the roles of the team members are described and elaborated on discussing the makeup of the team and the how it applies to patient outcomes. As stated in AJSBS,” team nursing allows better communication and enhances accuracy in decision-making processes” (p, 51). The team as a whole have different attributes and skills that develop an efficient team. There are four factors that are addressed , team performance, team composition, team context, team trust. Each factor expands on the roles in the team. Team performance being one factor is as stated in AJSBN “. Team performance is a result of team members’ engagement in task work and teamwork processes that involve activities in completing a task, through collective integration, synthesis, and sharing of information” (p, 51). Team composition is required to have a blend of team members that have collective knowledge, expertise and skills, as stated
Brenda and April found dolls and kitchen items to play with. While Codi found different hats to try on. All of their play changed because they interacted with different materials. Ms. Brittany provided more than enough props for them from the mirrors, dolls, stroller, cash register, flowers, and so much more. Because of this large variety, the children were able to keep playing and their play was not interrupted.
Charlie builds the relationships with his educators in the Nursery room. He likes to join his educators and friends in the activities that he is interested in. He sits side-by-side his friends, enjoys the good times together such as singing a song, moving along the music and looking at the animal pictures and naming them. He especially loves to look at the pictures in the books and listen to his educator names each picture. He often pulls on his educator's arm and leads her to the book corner to read a book to him as to initiate and communicate his needs to his trusted educator (EYLF 1.1). He confidently makes his own choices in play and exploration of his surroundings. He is often seen exploring something in one corner of the room and loves to share his discoveries with his educator by getting her attention and pointing to what he finds, such as new toys or books in the corner, bird and airplane in the sky.
A reflecting team is a technique used in therapy that has been a widely used in collaborative therapy models. This technique is used by clinicians working alongside families and therapists. Observers watch sessions with families and their therapists. While observing they record notes that could be useful to the therapist and family. After coming from behind the mirror, observers have a discussion with the therapist and family on their impressions.
In the first stage of the experiment, children were brought to the experimental room by the controller and the model, who was in the hallway outside the room and was invited to come in and join in the game. The room was set up for playing and the activities were selected because they had high interest for nursery school children. One area was arranged was a child’s play area, where there was a table and chair, potato prints and stickers. After settling the child in its corner the adult model was brought to the other side of the room where there was a small table, chair, tinker-toy set, a mallet and a big inflatable Bobo doll. After the model was seated the experimenter left the experimental room (Diessner, 2008).