Ambulatory Status & Motor Skills: Pamela appears to have good gross motor skills. She is able to walk at a fast pace without assistance and navigates through her home with verbal prompting. Her hearing and vision are reported to be within normal limits. Pamela currently takes a PRN when she needs to have her nails clipped and for doctor appointments to help calm her.
Communication: According to the ABAS-3, Pamela’s conceptual domain standard score of 54 (95% confidence interval of 48-60) is in the extremely low range, as high as or higher than 0.1% of individuals the same age. She does not use verbal communication, communication devices, signs or visuals to communicate her needs or to make request. Her caregivers usually give her instructions …show more content…
Pamela eliminates on the toilet independently, but needs assistance with cleaning herself. Her caregivers physically prompt her to shower, comb her hair and brush her teeth. She eats with utensils and drinks from an open cup on her own.
Social/Emotional: Pamela does not initiate interaction with peers or other people around her. She is described and has been observed content in being alone. She likes to hear classical music and sits in a preferred chair when in the home.
Behavioral: Pamela engages in aggressive behaviors when taken to the doctor or when she gets her nails clipped. Her caregivers say that she at times becomes impulsive and will pinch or swipe at people for no apparent reason. Sometimes at the dinner table, if cups or other items on the table are left unattended, she hoards them in her area.
During the day at her home, she frequently takes trips to the bathroom, sits on the toilet and digs in her rectum area. She does this for a few seconds, gets off of the toilet, sits in her chair in the living room and sniffs the fingers she used to
Communication: According to the ABAS-3, Pamela’s conceptual domain standard score of 54 (95% confidence interval of 48-60) is in the extremely low range, as high as or higher than 0.1% of individuals the same age. She does not use verbal communication, communication devices, signs or visuals to communicate her needs or to make request. Her caregivers usually give her instructions …show more content…
Pamela eliminates on the toilet independently, but needs assistance with cleaning herself. Her caregivers physically prompt her to shower, comb her hair and brush her teeth. She eats with utensils and drinks from an open cup on her own.
Social/Emotional: Pamela does not initiate interaction with peers or other people around her. She is described and has been observed content in being alone. She likes to hear classical music and sits in a preferred chair when in the home.
Behavioral: Pamela engages in aggressive behaviors when taken to the doctor or when she gets her nails clipped. Her caregivers say that she at times becomes impulsive and will pinch or swipe at people for no apparent reason. Sometimes at the dinner table, if cups or other items on the table are left unattended, she hoards them in her area.
During the day at her home, she frequently takes trips to the bathroom, sits on the toilet and digs in her rectum area. She does this for a few seconds, gets off of the toilet, sits in her chair in the living room and sniffs the fingers she used to