The Most Effective Approach for Facilitating Success with Bathing Tasks in a 10-Year-Old Child with Traumatic Brain Injury
Occupational therapy has been shown to be effective for helping individuals with traumatic brain injury (TBI) achieve the highest level of independence with bathing tasks. For a 10-year-old child who is functioning at Level VI (Confused, Appropriate) on the Rancho Los Amigos scale, the most effective approach for facilitating success with bathing tasks is to have the child follow sequential picture cards for each bathing task. This approach allows the child to become familiar with the sequence of steps for bathing independently while providing visual cues to help with comprehension and sequencing of tasks. Intermittent verbal instructions throughout the bathing activity can also help the child complete the tasks and maintain the sequence of steps (Fraunberger, 2020). Using hand-over-hand assistance is another approach that can be used to help the child complete the bathing tasks, but it may be less effective than using picture cards. Studies have shown that when children with TBI are taught to perform tasks using the hand-over-hand approach, they often require more. Cont…
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