Hey everyone,
I can't believe there's only one week left of this prac!
I'm on paeds prac and I'm treating a little 2 year old boy with a mild (R) side hemiplegia. His dad said that before the stroke he did not communicate vebally, but now he is more delayed due to the damage to his language centre. Currently he is making only a few sounds but nothing coherent, and he is being seen by the speech therapist. The difficulty I'm finding is trying to engage him in therapy when he doesn't speak. I mean it's hard enough to get a 2yo to participate in any activity for longer than 10seconds, but it's even harder when he doesn't seem to understand what I'm asking and doesn't respond to me. I try to plan the session beforehand, and then it feels like he ends up controlling it as he does whatever he pleases. One of the strategies I have been using, is getting dad to come to the sessions and join in on the games. I have also been demonstrating what I would like him to do and that has been a fairly effective method of improving participation. I guess sometimes I just feel like I'm observing what he can and can't do and not really treating, although I know that playing is a form of therapy.
Has anyone else been in a similar situation, and have any ideas on how I could be more effective in my treatment session? Cheers!
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Hi Rachie!!!
Well I know the prac is over now but yes I have been in a similar situation. I also felt I was not in control of the session and was just observing. I think you have done well though, good on you. Having a parent present definately helps!!! At PMH I did my sessions in an environment that had minimal distrctions (or removed them). For example other toys. Each aspect of the treatment I chose was a game with a goal to keep the child on task. If this still did not work, offered a simple reward, i.e. can shoot some baskets - if love basketball or even read them a story/ org a movie 4 them to watch if in the ward... Sometimes offering some of your time does work out in the end as the treatment is uninterrupted and more is achieved... Its pretty tough though isnt it, you really need to have lots of ideas and tricks up your sleeve. Also an idea of childrens behaviour at each age!!
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