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Sample Narrative Reasoning Answers

1. Personal Information (Initials, age, gender, etc.)

MyaGrace 2 years, 5 months female

2. Client’s Occupational File

3. What are the Current needs, Problems, or concerns regarding her daily life occupations?
What do the family and child want and need to do?

The family would like MyaGrace to use a sippy cup and feed herself independently. The family would like MyaGrace to develop appropriate play skills and social behavior. The family would like MyaGrace to use her right hand, arm and leg more. The family would like MyaGrace to walk independently. The family would like MyaGrace to communicate by using appropriate gestures, word or signing to express her needs and wants. The family is concerned about MyaGrace’s sleeping. The family is also concerned that MyaGrace is throwing objects and food.

4. What is the child and family’s occupational history? (life experiences, interests, previous habits/routines, meaning associated with occupational activities)

MyaGrace lives with her adoptive parents and twin 22 month old brothers. MyaGrace was adopted from Bombay, India in November 2002. MyaGrace attends daycare 5 days a week for 7-8 hours each day with her brothers. The family is familiar with how early intervention services work. They have a strong support system and great daycare providers.

5. What are the past/present perceived areas of success and competence regarding her daily life occupations?

MyaGrace has made progress since being adopted by her family. She frequently imitates what her twin brothers do such as climb into her booster seat for a meal after watching her brothers do this. She likes to listen to music as well as dance and loves going to daycare. She is very social and loves to interact with adults and children and be the center of attention. MyaGrace crawls as her primary means of mobility and is beginning to walk with one hand support.

6. How has the health/social condition affected her ability to continue with her life story?

MyaGrace lived in an orphanage in India for the first 2 years of life. She was diagnosed with failure to thrive within her first year of life. MyaGrace’s adoptive family does not know how living in an orphanage her first years of life has impacted MyaGrace’s development.

7. What are the contextual supports and barriers affecting this person’s ability to engage in desired occupations?

CONTEXTUAL SUPPORTS include the adoptive family, the day care provider, the family’s support system, and the Birth to Three team. CONTEXTUAL BARRIERS affecting MyaGrace’s ability to engage in desired occupations include: hesitation to interact with persons with different physical characteristics (such as light colored hair), separation anxiety.

8. Child and Family History

Medical History

MyaGrace was born in India and lived her first two years in an orphanage. Physicians in India diagnosed her with mild cerebral palsy mostly affecting her right side. She was hospitalized at one year for failure to thrive with significant gastrointestinal reflux. The parents have little additional knowledge of MyaGrace’s birth and health history before the adoption.

Social History

MyaGrace. lives with her adoptive mother and father and twin 22 month old brothers. She attends a home day care with her brothers five days a week.