Impact on a Childs Behavior Kim Wirth RN BSN We are bombarded with millions of sensory stimuli every second We are aware of some stimuli We are not aware of some stimuli ID: 670726
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Slide1
Sensory Processing Disorder
:Impact on a Child’s Behavior
Kim Wirth,
R.N., B.S.N.Slide2Slide3
We are bombarded with
millions of sensory stimuli every second!!!We are aware of some stimuli
We are not aware of some stimuliSlide4
Sensory Processing
Is the complicated work your brain performs to make sense of the gazillion bits of information that come flooding in every second from your environment (http//www.spdfoundation.net
)
Refers
to the method the nervous system uses to receive, organize and understand sensory
input from the environment.
(Miller
, L. & Lane, S. (2000). Slide5
Sensory Processing Disorder
Is a condition that exists when sensory signals are not organized into appropriate
responses
(http
//
www.spdfoundation.net
)
When the body is
unable
to
perceive, organize
or respond to stimuli appropriatelySlide6
Sensory Processing Disorder
Identified by A. Jean Ayers, Occupational TherapistInfluences behaviorImpedes learningImpacts movement and coordinationInterferes with relationships and social skillsAffects children in all settings
(healthcare, school, home)
Estimated: 5-15% of
general population
affected
Approx. 8
in 10 in the autistic
population affected
Considered for acceptance in DSM-5Slide7Slide8
Sensory Modulation Disorder
Pattern in which individuals have difficulty regulating sensory input- difficulty maintaining balance
* over-responsive
* under-responsive
* seekingSlide9
Sensory Motor Disorder
Motor challenge with an underlying sensory basisPostural
Disorder
–
poor postural control
Dyspraxia-
motor planning proble
msSlide10
Sensory Discrimination Disorder
Difficultly filtering and interpreting sensory information, comparing details, and disregarding irrelevant informationSlide11
Stimuli are interpreted by using different
sensory systems:
Tactile
Auditory
Visual
Proprioception
Vestibular
Olfactory
Gustatory
InteroceptionSlide12
Tactile Processing is the ability to discriminate different types of touchSlide13
Tactile dysfunctions can cause:
Learning disabilities – touch is too distractingImpaired social skillsPoor imagination- limited experiencesInflexible and rigidEating challenges Clothing and grooming problems
Tantrums
, hitting, kicking,
etc.
–in response to
perceived
threat of
touch from othersSlide14
Auditory Processing is the ability to receive, discriminate, and filter sound in order to understand itSlide15
Auditory Processing difficulties can cause:
Poor memory and sequencing skillsTrouble following directions Trouble paying attention Speech and language disordersAnxiety in loud environmentsDifficulty with “Wh” questions
Poor social skills and interpersonal relationshipsSlide16
Visual Processing is the ability to identify and interpret visual stimuliSlide17
Visual processing difficulties can cause:
Trouble with visual trackingSensitivity to bright colors and lights, especially flashing lightsDifficulty discriminating foreground and backgroundDyslexia and other learning disabilitiesDifficulty reading non-verbal cuesSlide18
Proprioception has to do with the joints and how they work Slide19
Proprioception:
Defines the body’s position in spaceDetermines how we interact with the environment.Determines how much force we use when performing activities. Slide20
Proprioception processing difficulties can cause:
A love to crash into others and things Risk taking behaviorsChewing on inappropriate objectsSeeking deep pressure input (to give them boundaries)
“Bull
in china
shop”
Motor planning problems
Poor Self
esteem
Over or under responsive to pain
Slide21
Vestibular stimuli impact our reaction to gravity, movement and balanceSlide22
Vestibular Processing difficulties can cause
Excessive movementRestlessness and distractibilityRisk taking activitiesSpeech/ language problems Poor posture or muscle tone
On the move any way they can!!!!
Excessive swinging and jumpingSlide23
* With permissionSlide24
Be
a “Sensory Detective”Anticipate possible stressors/triggers
Establish a plan (music, fidget toy)
Social story for new situations
Practice new skills in less threatening environments
Provide opportunities for sensory input (heavy lifting, deep pressure)
Sensory DietSlide25
Sensory Strategies in the healthcare setting:
Always be a Sensory DetectiveInclude family and patient Identify triggers
Develop a Plan
Communicate plan
( visually and verbally
)
Slide26
Provide calming activities(music, vibration fidget toy, coloring)
Offer opportunities for Heavy work (lifting books, chewing gum or crunchy foods, pushing object, etc.)Utilize visual strategies ( pictures, social stories, chart with steps of visit)Make a note of plan for next visit ( include things that worked and did not work)
Sensory Strategies Continued
:Slide27
Seating
Thera-band- resistive work Wedge/disc seat Movement in the ClassroomFunctional movement – organizingHeavy work
Five Practical Sensory Strategies for the ClassroomSlide28
Snack and Lunch
Gum ChewingChewy, crunchy, hard foodsRecessNeeded break/do not take away
Encourage climbing, swinging, jumping
Hands On
Fidget toys
Velcro under
deskSlide29
Where to find help:
Occupational Therapist with Sensory Integration Framework (OT/SI)Consult a physician who is familiar with SPDParents of children with SPDOnline resources http
://
www.spdfoundation.net
Online support groups:
Autism Discussion
Page
Auditory
Integration Therapies (
AIT)
ABA therapy
Role models: Temple Grandin- movie, books and speechesSlide30Slide31
References
American Occupational Therapy Association (AOTA) www.aota.orgAyres, A. Jean. (2005).
Sensory Integration and the Child: 25th Anniversary Edition
.
Los Angeles, Ca. Western Psychological Services
.
Greenspan, Stanley. (1995).
The Challenging Child: Understanding, Raising, and Enjoying the Five "Difficult" Types of Children.
New York, N.Y.Perseus
Books
Kranowitz, Carol(1998).
The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder, Revised Edition
.
New York, NY. Starlight Press Books
http://www.spdfoundation.netSlide32
Ockner
, Sari. “Special Education Advisor- Five Practical Sensory Strategies for the Classroom.” Five Sensory Strategies for Classroom. 15 Sept 2013.
http
://www.specialeducationadvisor.com/five-practical-sensory-strategies-for-the-classroom
/
My Trip to the Dentist
Social story
https
://
www.youtube.com/watch?v=2mNYubCfXbk
Bill
Nason
,
MS, LLP
discusses tools that help children on the spectrum feel safe, accepted and
competent
http://www.facebook.com/autismdiscussionpage