Every six months we get together with all of Jackson's therapists along with our Early Intervention Service Coordinator and have an IFSP meeting. IFSP stands for Individualized Family Service Plan. Also in attendance are reps from Yates County and of course, our parents. We met at the end of June to discuss how Jackson is progressing and to make a plan for the next six months.
These were his goals for physical therapy (PT) for the prior six months and his current status:
- Move prone to supine (belly to back) - Achieved (inconsistently)
- Forward and side protective reactions - Emerging
- Propped sitting with head control - Achieved
- Reach for toys while upper extremity weight bearing - On-going
- Monitor AFO use and tolerance - On-going
It was decided that we would pursue some assistive tech devices to help him explore more. The first one is the crawler which I talked about here.
His PT goals for the next 6 months are:
- Roll both directions consistently
- Transition prone to sit
- Monitor assistive tech needs
- Develop righting reactions in all directions
- Sit independently
- Transition between early motor positions, strengthening by maintaining and assuming weight-bearing positions
- increasing duration in supported sitting
- Bringing toys to midline
- Manipulating toys using two hands simultaneously
- Improving overall hand use
- Self-care skills (brining a spoon to his mouth, finger feeding, oral stimulation in order to tolerate a variety of food textures)
- "Jackson is a happy little boy how has become more interested in exploring his surroundings. He has recently demonstrated numerous emerging skills, such as simultaneously holding an object in each hand, bringing objects to midline, and maintaining a purposeful grasp for longer periods. Jackson has improved his release patterns when successfully finger feeding himself small Gerber puffs; he continues to use a raking pattern to retrieve the food and place in his mouth, he occasionally integrates a lateral pinch into the process. Jackson removes pegs from a pegboard and bangs a cup with a spoon with intent. When looking at a book Jackson has successfully opened and turned pages. Overall, Jackson and his family are a delight with who to work."
- Improve functional use of hands as seen by:
- Transferring objects between hands
- Manipulating objects for sustained periods
- Holding two objects (one in each hand) simultaneously
- Reaching crossing midline
- Purposeful grasp/release patterns
- Transitioning between positions (rolling, sitting, etc)
- Eat a variety of food textures using spoon
- Remove his socks using his hands
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