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    Megan Goodale 2012 PDF

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    Occupational therapists help children with Turner syndrome develop skills for everyday living. They assess areas of difficulty such as physical, sensory, cognitive, and social skills. Therapists provide treatments to improve motor functions, reasoning abilities, and ability to compensate for lost functions. For girls with Turner syndrome, occupational therapy focuses on developing skills like handwriting, social skills, and adapting to educational needs. Therapists assess areas like motor skills, sensory processing, daily living activities, and cognition to design individualized treatment plans.

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    Megan Goodale 2012 PDF

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    emil
    154 views28 pages
    Occupational therapists help children with Turner syndrome develop skills for everyday living. They assess areas of difficulty such as physical, sensory, cognitive, and social skills. Therapists provide treatments to improve motor functions, reasoning abilities, and ability to compensate for lost functions. For girls with Turner syndrome, occupational therapy focuses on developing skills like handwriting, social skills, and adapting to educational needs. Therapists assess areas like motor skills, sensory processing, daily living activities, and cognition to design individualized treatment plans.

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    Occupational therapists help children with Turner syndrome develop skills for everyday living. They assess areas of difficulty such as physical, sensory, cognitive, and social skills. Therapists provide treatments to improve motor functions, reasoning abilities, and ability to compensate for lost functions. For girls with Turner syndrome, occupational therapy focuses on developing skills like handwriting, social skills, and adapting to educational needs. Therapists assess areas like motor skills, sensory processing, daily living activities, and cognition to design individualized treatment plans.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    154 views28 pages

    Megan Goodale 2012 PDF

    Uploaded by

    emil
    Occupational therapists help children with Turner syndrome develop skills for everyday living. They assess areas of difficulty such as physical, sensory, cognitive, and social skills. Therapists provide treatments to improve motor functions, reasoning abilities, and ability to compensate for lost functions. For girls with Turner syndrome, occupational therapy focuses on developing skills like handwriting, social skills, and adapting to educational needs. Therapists assess areas like motor skills, sensory processing, daily living activities, and cognition to design individualized treatment plans.

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    of 28

    ROLE OF OCCUPATIONAL

    THERAPY WITH GIRLS WITH


    TURNER SYNDROME

    Megan Goodale
    Acting Occupational Therapy Manager
    Cork University Hospital
    Occupational Therapy with Children
    ¨  Occupational Therapists help children to develop
    skills for everyday life in the areas of self care,
    work (school) and play.

    ¤  Assess areas of difficulty in terms of:


    n  Physical
    n  Sensory
    n  Cognitive
    n  Perceptive
    n  Social/emotional
    Definition of Occupational Therapy
    ¨  Occupational therapy is a discipline that aims to
    promote health by enabling people to perform
    meaningful and purposeful activities. Occupational
    therapists work by utilising treatments that develop,
    recover, or maintain clients' activities of daily living.
    The therapist helps clients not only to improve their
    basic motor functions and reasoning abilities, but also
    to compensate for permanent loss of function. The
    goal of occupational therapy is to help clients have
    independent, productive, and satisfying lives.
    Occupational Therapy and Children
    ¨  Occupational Therapists help children:
    ¤  Through understanding the impact of the impairment on
    their development
    ¤  Then design treatment to promote health development,
    establish needed skills and modify environment.
    ¤  Gain an understanding of illness or condition

    ¤  Learn ways to maximise performance in everyday living

    ¤  Promote strengths and improve abilities.


    ¤  Adaptation of environment
    Assessment and Treatment
    ¨  Developmental Milestones
    ¨  Coordination – fine and gross motor skills
    ¨  Social skills training
    ¨  Parental Advice and support
    ¨  Developing play and leisure skills
    ¨  Self care tasks
    ¨  Training in specific functional skills – eg handwriting,
    dressing
    ¨  Sensory Integration Therapy – aims to enhance the
    child’s ability to process sensory information and motor
    plan in order to function
    Occupational Therapy and Girls with
    Turner Syndrome
    ¨  Infancy – Preschool
    ¤  Developmental milestones

    ¤  Play and social skills

    ¨  School Age


    ¤  Specific functional tasks
    n  Handwriting, tying shoelaces, toileting,
    ¤  Social skills

    ¤  Perceptual difficulties associated with Specific Learning


    difficulties
    ¤  Coordination difficulties

    ¤  Resources for school

    n  Resource Teaching, Special Needs Assistants, Laptops


    Occupational Therapy and Girls with
    Turner Syndrome
    ¨  Acute Medical Needs
    ¤  Can affect developmental milestones
    ¤  May require specialised equipment

    ¤  Prolonged illness – may need intervention to regain


    previous abilities
    ¨  Orthopaedic
    ¤  Osteoporosis

    ¤  Short metacarpals


    Affects handwriting, joint stability in hands,
    endurance for fine motor activities
    Occupational Therapy and Girls with
    Turner Syndrome
    ¨  Cardiac
    ¤  Activitylevels
    ¤  Tolerance for exercise and physical activities

    ¨  Educational
    ¤  Memory

    ¤  Attention

    ¤  Visual processing


    n  Reading,
    left/right discrimination
    n  Mathematics, shapes, maps, directions
    Typical Journey in Occupational
    Therapy
    ¨  Referral to Occupational Therapist in local area
    ¤  Parental or GP referral
    ¨  Assessment – centre based
    ¤  Standardised assessments
    ¤  Interviews with parents and child
    ¤  Checklists for preschools/schools

    ¨  Treatment
    ¤  Individual or group
    ¨  Reviews appointments
    ¨  School visits
    Areas of Assessment
    ¨  Visual Perception
    ¨  Visual Motor Integration

    ¨  Motor skills

    ¨  Sensory Integration

    ¨  Activities of Daily Living

    ¨  Social/Emotional

    ¨  Cognitive
    ¨  Visual Perceptual Skills – is the process responsible
    for the reception and cognition of visual
    information.
    ¤  Reception – receiving and organising relevant
    information from the environment.
    ¤  Cognition – interpreting what is seen and using this
    information in a meaningful way.
    ¨  Visual Perceptual Skills
    ¤  Visual memory
    ¤  Form Constancy – recognition that forms are the same
    in various sizes and orientations
    ¤  Visual Closure – identification of forms from incomplete
    presentations
    ¤  Figure Ground – differentiation of foreground from
    background.
    ¤  Position in space – awareness of positioning between
    objects
    ¨  Visual Motor Integration
    ¤  The ability to use visual and motor systems together.

    ¤  The act of processing visual information which is then


    used to perform a motor action.
    ¤  Eg. Handwriting, puzzles, drawing, construction toys
    ¨  Motor Skills
    ¤  Gross Motor Skills
    n  Movements that require whole body actions

    ¤  Fine Motor Skills


    n  Moving of one’s hands and fingers precisely to complete
    activities.
    ¨  Coordination difficulties
    ¤  Can be called Developmental Coordination Disorder or
    Dyspraxia in Education system
    ¤  Difficulty with thinking out, planning and carrying out
    sensory/motor tasks.
    n  “Awkward in movements, poor at sports, hopeless in
    dancing/gymnastics, cannot sit still, does buttons the wrong
    way, does not use cutlery, bumps into furniture, difficulty
    concentrating”
    ¤  Can be related to fine motor skills or gross motor skills
    ¤  Very common in children with specific learning
    difficulties
    ¨  Sensory Integration Issues
    ¤  Sensory
    Integration refers to the ability to organise
    information from your senses so it can be used in
    everyday life.
    n  Senses
    n  Taste
    n  Touch
    n  Auditory
    n  Smell
    n  Vision
    ¨  Sensory Integration Disorders
    ¤  Sensory Modulation
    n  Childrenhave a high or low threshold for sensation
    n  Low – over reactive to stimuli, defensive
    n  High – under reactive to stimuli , registration issues

    ¤  Sensory Discrimination


    n  Organisation and discrimination of sensory stimuli
    n  ie. difficulty telling difference between stimuli, failing to
    ignore low level stimuli
    ¨  Activities of Daily Living
    ¤  Grooming – dressing, combing hair
    ¤  Oral Hygiene

    ¤  Bathing

    ¤  Toileting

    ¤  Feeding

    ¤  Relationships

    ¤  Functional communication – telephones, computers

    ¤  Community access – shopping, money management, transport


    ¨  Social/Emotional
    ¤  Interpersonal skills
    ¤  SocialSkills
    ¤  Self management
    n  Time management
    n  Coping skills

    ¤  Self confidence


    ¤  Self esteem
    ¨  Cognitive Domain
    ¤  Attention span
    ¤  Memory

    ¤  Sequencing
    ¤  Problem solving
    ¤  Organisation
    ¨  Where do OTs work
    ¤  Community Paediatric Teams
    n  Early Intervention teams – 0-6 years
    n  School Age Teams 6-18 years
    n  Enable Ireland/CRC – physical difficulties
    n  Learning Disability services – tend to be non Government
    services, eg. Brothers of Charity, Western Care
    ¨  Local teams can vary in every area
    ¨  If seeing another health professional they can

    facilitate referral to Occupational Therapy


    ¤  Eg.
    Speech and Language Therapist, Psychologist,
    Physiotherapist, Paediatrician
    ¨  Best way to locate services is contacting your local
    health centre for HSE services
    ¨  Or using hse.ie website
    Questions

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