Dealing with children with Autism
Independent daily living
By
Md. Sohel Ahmed
Speech and Sensory Integration Therapist
Toileting:
Check first:
1. Bladder control.
2. Willing to cooperate.
3. Physical fitness.
Some strategies can be used:
• Regular time.
• Observe his/her time of willing to go.
• Leave the child on the toilet.
• When s/he goes, show that you are pleased.
• If don't go just ignore it.
• Positive reinforcement.
• When the child has an accident and wets or dirties himself don't punish him.
• Quietly clean up and change him/her.
• If s/he started, take him/her into the bathroom.
• Use simple language.
• Demonstrate.
• Teach them sign.
• Use simple indication to identify toilet.
• Use potty in the bathroom.
• Physically guide and train him by your hand.
• Make the bathroom friendly to the child .
Some common sensory issues that may affect toileting:
• Poor body awareness.
• Poor balance.
• Sensitive to various aspect of toileting.
To increase body awareness:
• Pillow or cushion games.
• Bare hugs.
• Catching a ball
• Caring the child in different way
• Caring heavy loads
• Pushing or pulling
• Obstacle course
• Animal walking
• Joint compression
To increase balance and to provide vestibular stimulation:
• Singing song in movement action.
• Two hand swing while walking.
• Spinning.
• Sliding
• Trampoline
• Tilting Board
• Balancing
• Riding bicycle or tricycle
• Walking up and down stairs
• Swing
Other sensitive issues:
• Factor such as a child's sensitivity to various aspect like-tactile- the coldness of the seat of the toilet.
• Low or high lighting system in the toilet.
• Wet floor of the toilet.
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