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Sample Assessment Information Worksheet

Use the information from the case narrative and your own thoughts and ideas to fill in the boxes below:

For this section, you will need to find core information in the case study text, and then use your clinical reasoning to expand the core information in order to answer the questions. When you check your answers, you will see what the therapist found when she conducted her assessments, including information from the case study, parent interviews, skilled observations and formal assessments. See all the aswers at once

Specific assessment results

1. Muscle tone, joint range of motion, and asymmetry

2. Reflex Development

3. Gross Motor Development

4. Fine Motor Development

5. Self-help

6. Social

7. Sensory

Since there were some questions whether sensory processing was a factor that interfered with MyaGrace's participation, the therapist had the parents complete the Infant/ Toddler Sensory Profile. See the sensory profile scores (This will open another window)

For the last 3 questions, think about the overall picture you have of MyaGrace from all the information you have gathered. Write your own thoughts about what supports, interferes with her participation.

8. Factors the support participation

9. Factors that interfere with participation

10. What the findings mean for MyaGrace's participation