will increase ability to care for personal needs to __________ (criteria) as measured by __________ (evaluation tool).
1 Use and care for eyeglasses/contact lenses.
2 Use and care for hearing aides.
3 Use and care for dental appliances.
4 Use and care for orthopedic appliances.
5 Use and care for mobility equipment.
6 Use and care for personal-hygiene equipment.
7 Take medications.
8 Complete exercise program.
9 Manage weight.
10 Manage seizures.
11 Appropriately request help to complete personal needs.
will increase management of personal safety and medical emergencies to _________ (criteria), as measured by _____________ (evaluation tool).
1 Wear/carry medic alert information.
2 List responses to phone calls when home alone.
3 List responses to caller at door when home alone.
4 Exit building in case of fire/emergency.
5 Name exiting routes from all appropriate areas of the school.
6 Explain how 10 disengage/engage power wheelchair to allow helper to push wheelchair for emergency evacuation.
7 Verbalize and/or demonstrate the procedures during an earthquake drill.
8 List responses for fire safety.
9 Discuss emergency evacuation procedures from upper floors of a school building (Evac-U-Trac, "bumping" manual
wheelchair down the stairs, carrying student down the stairs, etc.).
10 Care for minor injuries (e.g., cuts, burns, nosebleed. blister, splinter).
11 Recognize major injuries.
12 Cat1 911 as needed.
13 Inform adult if sick or injured.
14 Report abuse.
will increase ability to identify, prevent, and terminate safety hazards, to ____________ (criteria), as measured by _______________ (evaluation tool).
1 Recognize and dispose of spoiled food.
2 List how fires start.
3 Use matches/candles safely.
4 Use and store sharp objects safely.
5 Dispose of broken glass safely.
6 Unplug/turn off electrical appliances.
7 Keep stairways, hallways, and parches lighted.
8 Pickup and store clutter.
9 Read labels of poisonous substances.
10 Label poisonous substances.
11 Use sturdy chair or ladder to reach items.
12 Use bath mat to avoid slipping in tub.
13 Walk safely on wet surfaces.
14 List safety rules for use of electrical outlets and cords.
15 Turn off major utilities.
16 Store hazardous materials safely.
17 Use fire extinguishers.
18 Keep pot handles toward center of range.
19 Demonstrate when and how to call poison control.
20 Tell the reasons for needing assistance.
will increase management of adaptive equipment and self-care program to _________ (criteria), as measured by _____________ (evaluation tool).
1 Use equipment appropriately under the following conditions:
2 Perform skin care routine under the following conditions:
3 Discuss personal care as related to his/her diagnosis and school functions under the following conditions:
4 Perform wheelchair maintenance procedures by:
5 Discuss appropriate fit/maintenance of prosthesis/orthosis.
6 Use a helmet when appropriate.
7 Ask for assistance when appropriate.
will increase management of wheelchair adaptations required for transfers to __________ (criteria), as measured by _____________ (evaluation tool).
1 Move control.
2 Put on/take off harness.
3 Position abductor.
4 Move footplates.
5 Fasten/unfasten seat belt.
6 Turn power off/on for power wheelchair.
7 Put on/take off tray.
8 Engage/disengage brakes.
9 Inform helper of equipment needs for transfers.
10 Use a helmet when appropriate.
will operate wheelchair in a safe manner at a __________ level as measured by __________ (teacher observation/data).
1 Go forward and backward.
2 Go to the right and left.
3 Stop at hazards, steps, etc.
4 Adjust speed to accommodate diverse conditions.
5 Look behind before backing up.
6 Negotiate doorways, obstacles, etc.
7 Turn off switch and put on the brake.