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Date: 6-15-2018
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Prompting Key: G= Gesture M= Model I= Visual VI= Verbal Indirect V= Verbal
p = Partial Physical P= Full Physical
Response Key: 0 =No Response IN = Incorrect > = Approximation +/> =
Close Approximation + = Target Observed S = Spontaneous
Notes:
Gabby was in her home during this observation exploring and scooting around the kitchen. Cierra
was there and prompted 2-3 word utterances through the use of toys, other items in the house,
and through modeling and the use of gestures or verbal prompts. We noticed that Gabby speaks
more when she is isolated and not around a lot of people unfamiliar to her. She also speaks more
knowing that her mom or nurse is nearby and not leaving. It is important that she feels secure
and safe during the interventions and preferably at least 30 minutes after her feeding is done.
Impression:
This week we worked with Gabby in her home. Cierra played with Gabby and prompted her to
say 2 word utterances through toys and other activities. She was seen scooting around the
kitchen and spoke more then she ever has when she was isolated and working more one on one.
She also did not get afraid and continued to play when Brother Christopherson came to the IEP
meeting- as well as not start to gag or throw up when we came for the intervention. At the
beginning of the intervention we sang ‘”I knew an Old Lady who Swallowed a Fly” with prompts
Gabby scooted to the fridge and it sounded like she said “refrigerator” but it wasn’t pronounced
correctly. She also answered “food” when Cierra asked what was in the fridge. She said “star
stickers” when Cierra asked her what kind of stickers were on the counter. She scooted towards
the door to outside and pointed outside. Cierra asked if she wanted to go outside and Gabby said
“okay”. Cierra said later we could go outside and Gabby said, “okay” again. Gabby pointed also to
a painting and said “down” while pointing. She also participated in playing peek-a-boo with Cierra.
Cierra used the kitchen table to hide and also her hands. Gabby also used hands and pointed to
table while saying “table”. Gabby handled the props when we sang ‘”I knew an Old Lady who
Swallowed a Fly” and pointed to the animals we said come next in the song.
Assessment Evaluation:
Being one on one made a big difference for Gabby with her communication goal. She responded
positively mostly to verbal props rather than gestures or modeling. She did this about 50% of the
time attempted. During hide and seek she spoke often- the interactive and engaging activity
prompted her to talk more. The activity with ‘”I knew an Old Lady who Swallowed a Fly” also
prompted Gabby to speak as I pointed to the animals and verbally prompted her to identify them.
Gabby did flop her arms but for less time due to the comfort of being in her home and also
Plan:
We want to have Gabby placed in situations where she can interact with more children her age.
We hope to do this through a lunch in the backyard. She still seems to need her mom and nurse
around so we hope to have them be further away and slowly help her to be comfortable with more
people. We understand now however that we can communicate with her more when we are
working with her one on one. We also know that singing along with props prompt Gabby to speak
more rather then some other activities we have tried. We will try and implement more of these in
future interventions.