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Occupation of School Ch.19

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Compensatory Strategies: Keyboarding   A word processor is an accommodation or supplemental aid in the classroom for children with handwriting difficulties.  
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Compensatory Strategies: Keyboarding   Student can write out their “rough draft” and then type the final draft.  
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Compensatory Strategies: Keyboarding   Present word processor as early as possible in their educational career.  
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Compensatory Strategies: Keyboarding   It also requires timing, rhythm, bilateral coordination.  
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Compensatory Strategies: Computer keyboard Interventions   Correct positioning and optimum seating should be provided. Make sure screen/keyboard aren’t too high, keyboard is aligned at midline.  
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Compensatory Strategies: Computer keyboard Interventions   Written instructions on how to use programs should be placed near computer so staff can refer to it if necessary  
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Compensatory Strategies: Computer keyboard Interventions   Reduce eye strain periodically looking across the room; take breaks for stretching exercises.  
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Compensatory Strategies: Computer keyboard Interventions   Encourage student to use right hand or (R) side and left hand on (L) side of keyboard. Can use color-coded stickers on fingernails as visual reminders.  
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Compensatory Strategies: Computer keyboard Interventions   Use child-sized keyboard. Keys are smaller and closer together  
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Computer keyboard Interventions: One-handed keyboarding technique   A child with hemiplegia has difficulty w/isolated finger movements and should learn the one-handed typing method.  
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Computer keyboard Interventions: One-handed keyboarding technique   “Touch typing with One Hand”: program that uses FGHJ as home keys and has finger go out from center of keyboard. • Affected arm should be used to stabilize or support the upper trunk in the optimum position.  
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Computer keyboard Interventions: Computer Mouse   “Test of Mouse Proficiency (TOMP)”: computer program used to evaluate proficiency of computer mouse. Looks at pointing, dragging, clicking, and pursuit tracking with the mouse.  
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Computer keyboard Interventions: Left-handed writers   Find it difficult to see what they’ve written  
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Computer keyboard Interventions: Left-handed writers   Sitting posture is frequently twisted to accommodate angle of paper.  
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Computer keyboard Interventions: Left-handed writers   Tend to push pencil rather than pull it from left to write.  
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Left Handed Intervention   Group left-handed children together or at end of row to they don’t bang hands with right-handers.  
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Left Handed Intervention   Develop left-to-right directionality. Do exercises on blackboard to encourage full arm movements and discourage excessive loops/flourished while writing.  
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Left Handed Intervention   Teach vertical writing. Don’t insist on a (R) slant, encourage (L)-handed slant and paper at midline, angling paper in same direction as forearm.  
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Left Handed Intervention   Cross letter “t” from (R) to (L) so student is pulling the stroke toward the hand.  
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Service Options: Direct Services   Interventions can be done individually or in a group setting.  
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Service Options: Monitoring Services   Provided when therapist is able to create a program for student that the staff or family can follow. Ex: Handwriting Without Tears  
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Service Options: Consultation Services   Provided when the practitioner’s expertise is used to help other personnel achieve the child’s objectives.  
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Service Options: Consultation Services   Include adapting task materials or the environment, designing strategies to improve posture/positioning, and demonstrating how to handle a situation that requires ongoing contact with the teacher or caregiver.  
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