Orientation and Mobility - Level 2
Program Planning Case Study
Program Plan for H
The identification and development of interdependent travel is a critical goal for H. Instruction goals for H include:
- The team will make a list of the travel destinations for H. Each destination should be paired with a functional activity.
- The team will determine travel environments in which he will use a guide, when he will use a mobility device, and when he will move independently. This will be a team decision and must offer ample opportunity for H to interact with his environments rather than just being moved through them by an adult.
- Each destination to and from H travels will be task analyzed to determine the step-by-step process for teach H the destination along will the necessary communication he will need to be taught and be expected to use.
- After the team determines the destinations which are appropriate for H to travel using a mobility device, a device will be designed to give him maximum feedback and ease of movement. He may function best with a cane that is weighted near the tip, and may benefit from the use of a swivel or roller tip. A t-shaped grip may be used to allow H to use the cane with both hands together.
- H may need additional sensory feedback to locate his body in space. This may be accomplished by having him wear a weighted backpack (with support from the occupational therapist). The weighted pack may help him keep grounded while he is traveling.
- When H is not using his mobility device he may benefit from pushing another mobility device that offers protection and stability (i.e. a grocery cart to go shopping, a rolling backpack to deliver supplies, a rolling cart to carry his cooking or meal items in the kitchen)
- H should be given daily opportunities for physical movement activities to increase his interest in movement and to develop the physical endurance to move and travel. Activities should include walking, walking on a treadmill, riding a bicycle, swimming,