The day started with Tony having a sandwhich that he ate well while watching Sesame Street. Then he put his hands up and made different sounds until knocking his crust onto the ground. The therapist put it back on the tray then said and signed “all done”. Then I took Tony’s hand and did the sign for “all done” with him while saying the phrase. After this I tried to get Tony to roll a ball (we used a large, then a medium ball) but Tony was distrated with running around and looking at the tv/magazine pictures. Then he wanted to swing so he grabbed his mom’s hand and took her to the door. Mom and therapist said and signed “swing” to him before placing him in the swing. While he went back and forth the therapist counted to ten aloud and using fingers. This kept Tony’s attention and he grabbed the therapist’s hands while she did this. Then the therapist grabbed Tony’s legs (holding them up) and said “legs up!”. I did this as Tony swinged up/down. After doing this Tony would hold up his legs on his own and would receive lots of verbal praise. He then did this a couple of times on his own. When it was time to come inside I said and signed “all done” then took Tony inside.
Once inside we were able to line up the bowling pins together (while counting them to ten) in a triangle then the therapist rolled the ball into the pins a couple of times while saying “roll it” or “roll the ball”. Then I used hand-over-hand while saying it to get Tony to roll the small bowling ball into the pins. Then I used verbal praise. I said “do this” and rolled the ball into the pins. Then I gave Tony the ball and he rolled it into the pins. More verbal praise was used and Tony picked up the ball a couple of times on his own and rolled it.
Later Tony wanted to pull out his “Go fish”, “Old Maid”, and “Match” cards so we did some matching. We used them and I first matched the objects while saying “put with same”. Then I said this while grabbing Tony’s hand to do the activity. Verbal praise and then I did this again. Then I gave Tony the objects and said “put with same”. Tony put the card in the box w/only verbal prompt twice afterwards before wanting to quit. I had to use redirection quite a bit today and was able to get him to do this for a short while later in the session (w/just verbal prompt).
Throughout the session Tony jumped, once on the trampoline while holding onto the therapist’s hands and saying the sound for “jump”. Most of the time he just jumped on the floor, though. We Tony seemed a little unfocused or upset we jumped and then went back to work. At one point Tony really wanted his mom’s hand a lot so we took a walk (the three of us) in the park and on the sidewalk. Tony swinged on the hammock and walked some more until coming inside. Tony was a little calmer and we peeled some stickers and counted blocks. Tony wasn’t too interested in the blocks today but he did peel the stickers on his own (I only partially peeled one for him) and place them on the page. The therapist put stickers in the squares and then said “do this”. The therapist pointed to a square and said “put sticker here”. Tony did this or atleast got in the general area most of the time. Later he just wanted to put a sticker in every square just to have them filled.
After this I got out the squish ball and squeezed it. Tony pushed back in the bubbles on it. I also grabbed Tony’s hands and had him squeeze the ball too. Tony like this so much that when the therapist said/signed “all done” Tony got upset and his mom did it for a while and then took him upstairs for his nap. He fell fast asleep. Today was not bad considering that I haven’t seen Tony since Friday. He had short attention but we still got a little work done in the different activities.