One Month: OT Report Card

Olivia works with an occupational therapist, Meg, to help with her contractures and other muscular issues. She is fantastic and has been working with Olivia since the beginning (day of life 2).

Today, she dropped off a 30-day report card summarizing OG’s progress. It’s impressive. Take a read (note: this is not optimized for reading on your phone).

 

1-Month Report Card

Name: __Olivia Guerrero_                                                                Age: _30 days

Developmental Stage Appropriate Age Range Current Status
Gross motor
Fetal position (flexed and midline) 0 to 2 months Legs met, arms progressing
Involuntary/reflexive muscle movements 0 to 2 months met
In prone head up only 0 to 3 months Not yet met
Kicks feet when on back 0 to 3 months met
Head steady at shoulder 1 to 4 months Not yet met
Will weight bear on legs 1 to 4 months Not yet met
In prone head up to chest 1 to 4 months Not yet met
In prone head up to forearms 2 to 5 months Not yet met
In prone head up with extended arms 3 to 6 months Not yet met
Rolling front to back 3 to 6 months Not yet met
Bounce in weight bearing 3 to 6 months Not yet met
Rolling back to front 4 to 7 months Not yet met
Sitting with support 4 to 7 months Not yet met
May rock back and forth on hands and knees 4 to 7 months Not yet met
Sitting independently 5 to 9 months Not yet met
Gross Motor Notes: Olivia is working on increasing her tolerance for play in a variety of positions. Her endurance is improving and allows her to engage in more play. She is showing increasing strength in her arms and legs and has typical movement patterns. She is trying to use her arms and legs age appropriately but sometimes gravity gets in the way
Fine Motor
Grasps finger 0 to 4 months Met
Brings hands to mouth 0 to 4 months Progressing towards
Hands intermittently open/closed 0 to 4 months Met
Plays with feet and brings feet to mouth when on back 3 to 6 months Not yet met
Holds toy actively 3 to 6 months Not yet met
Clasp and unclasp hands in finger play 3 to 6 months Progressing towards
Bats at objects 2 to 5 months Not yet met
Holds objects at midline 3 to 6 months Not yet met
Bilateral Reach 3 to 6 months Not yet met
Transfers objects 4 to 7 months Not yet met
Fine Motor Notes: Olivia is using her hands more and will grasp anything that is near her hands. Her arm movements are smooth and coordinated but weak. She is showing increasing strength in her arms. She rarely looks uncomfortable with ROM anymore; however, she is starting to resist some range of motion.
Cognitive/Emotional
Makes needs known 0 to 3 months met
Sooths when engaged with 1 to 3 months met
Social smile 2 to 3 months Not yet met
Cry when upset to seek comfort 2 to 6 months met
Responds to familiar caregivers 2 to 6 months met
Show excitement by waving arms & legs 3 to 6 months Not yet met
Likes to look at and be near people who are special and significant in their lives 3 to 6 months Not yet met
Smile at herself in the mirror 3 to 6 months Not yet met
Pay attention to her own name 3 to 6 months Not yet met
Resists end of game 4 to 6 months Not yet met
Social/Emotional Notes: Olivia is aware of the world around her. She uses her non-verbal communication to let us know what she likes and does not like. She definitely knows her mom and dad and responds differently to them than to others in the room
Language
Cooing 1 to 4 months Not yet met
Laugh 3 to 6 months Not yet met
Turns to voice 2 to 4 months Not yet met
Razzing 4 to 8 months Not yet met
Language Notes: Olivia’s language is all non-verbal at this stage. She communicates her likes and dislikes with crying, facial expressions and movement. Once she gets her voice back, she will certainly have a lot to say
Sensory
Stares vaguely at surroundings 0 to 2 months met
can follow a slowly moving target intermittently to midline 0 to 2 months met
learning how to shift their gaze from one object to another without having to move their head 1 to 4 months met
Can focus on objects up to 6′ away 2 to 4 months Not yet met
may follow vertical movements better than horizontal 1 to 3 months met
visual searching begins 2 to 4 months Progressing towards
Regards hands 2 to 5 months Not yet met
Can follow a visual target the size of a finger puppet past midline, and can track horizontally, vertically, and in a circle 3 to 5 months Not yet met
visually aware of the environment 4 to 6 months Not yet met
can shift gaze from near to far easily 4 to 6 months Not yet met
Convergence is developing 4 to 6 months Not yet met
Eye-hand coordination (reach) is achieved 4 to 6 months Not yet met
Sensory Notes: Olivia is visually responsive to her environment. She looks between people talking over her bed and watches people move around the room. She is tolerant of touch and a little hypersensitive of movement.
Feeding
Suckle pattern on bottle 8-10 sucks 0 to 1 months Not yet met
Lip closure on nipple/pacifier 0 to 2 months Met
Able to maintain suction on pacifier without external support 1-2 months Not yet met
Feedings via nipple 2 to 5 months Not yet met
Tongue orientated to midline 2 to 5 months Not yet met
Feeding Notes: Olivia’s oral skills are limited by her respiratory support and secretion management; however, she does have a more consistent gag, a consistent suck and consistent lip closure. She enjoys oral stimulation even if it causes her to have increased secretions.
Summary: Olivia is a sweet baby who is working on a variety of age appropriate skills and has shown significant improvement over the last month. Her contractures are non-existent in her upper body with her passive range of motion being within normal limits. Her contractures in her lower body are improved as well though she continues have some decreased range of motion in her knees and hips. Her upper body strength is increasing and she can now move her fingers, wrist, elbow and some shoulder movements against gravity (when she wants to). Her lower body is also gaining strength; she has normal strength for flexion of her knees and hips and is starting to show active extension. Her visual and social/emotional skills are on target and her oral and gross motor skills are limited not only by her neuromuscular condition but more by her need for a ventilator.

4 Comments

  1. Good report card Olivia, keep up the good work. I can’t wait to show you your Daddy’s, I saved them all😇

Leave a Reply

Your email address will not be published. Required fields are marked *