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An OT is working with a 5 year old child with Down Syndrome in a pediatric clinic. Upon assessment, the OT observes that the child requires maximum assistance in dressing and grooming tasks and moderate assistance in self-feeding. The OT discusses creating a dressing and grooming goal with the parents but the parents would rather the OT work on self-feeding. What action should the OT take next in goal writing for this patient?
A) Educate the parents on the importance on working on dressing and grooming skills first and then self-feeding skills
B) Discuss mutually agreeable treatment goals with the parents of the child
C) Create a self-feeding goal for the child
D) Create dressing, grooming, and self-feeding goals for the child

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Posted by (Questions: 108, Answers: 97)
Asked on February 3, 2017 12:54 pm
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Answer: B. Children with Down syndrome have cognitive limitations that often prevent them from generalizing skills across different environments. For the child to become independent in self care tasks, she will need to learn each task in the environment where she will perform the task. The child will not be able to learn dressing skills if her parents are not willing to work with her on dressing tasks at home. The child will be able to learn the skills that her parents accept as a priority, as they will be willing to work on those skills with the child at home.

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Posted by (Questions: 108, Answers: 97)
Answered on February 3, 2017 12:56 pm
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