Friday, November 25, 2016

A Woman of Substance Continued...



I don't know where all of this is headed but since Wednesday I feel like my life line is on a uphill climb. It's been kind of a straight homeostatic pace for a long time so when a small little annoyance was occurring, I was taking a dip down and some not so happy inner thoughts were occuring.  Luckily I'd come back up to the steady line I was at.  I've been kind of quiet, drinking Pespi and watching Netflix after work knowing there's really no sense in making a lot of social plans because I have seen this scene and the outcome before.

But I am more than ready to have a reason to wake up in the morning and light some fuel under my behind. I want to stretch my boundaries.  A steady life.....to me...is a boring life. I feel like I teenager stuck in a boring high school class. It's been uncomfortable because I am doing what I was told would make me happy.

I'd prefer a long project that would allow my creativity and brain to come alive. Where do I find that?

In August I went on an online date and when I left...the first thought that entered my mind...well at least it only took 60 minutes of my time.  Work feels similar.  MSU games, going to movies or any type of beer tent almost feels equal to this.  I'm so bored.

Going on a vacation, facing a fear and sharing it in my words and pictures and then learning I inspired a friend on facebook to cross The Mighty MAC, opened up a path for me that I am ready to start walking down.  It was much more exciting than that match.com encounter. I know.....it's weird. But sometimes we have to trust these unexpected feelings and just - go for it!

There are other thoughts and ideas full of substance.  The name and motto for a business.  The attempt to create my own webpage.  Late nights of googling things like the "4 Hour Work Week" and reading articles about investing appropriately and wondering if I am on the right track to go above and beyond filling out dittos for the next 25 years.

Another facebook connection sent me a link to a life coach's website.  First off, she is doing things that interest me. Discussing topics with women that I would love to discuss, think about and get paid for.  So I saw what she was doing, I thought, how do I do that? Then, after my 12 week respite, I began the next 9 months of going somewhere that has given me lots of fulfillment and stability but I find myself growing out of what it has to offer.  And before I have felt happy and excited about these feelings, negative feelings have arose.

So, I took action! I contacted this life coach.  I emailed her and said I have this idea for starting my own business but it seems impossible. Like always, I am trusting my gut rather than staying where I am currently at.  Despite my feelings of comfort and security and despite advice from others.  This is only the beginning of making decisions about this path I am headed down.

Like a good coach or teacher on Wednesday this week this coach reminded me of the first email I sent her in late September.  I wrote down "It seems impossible."  I think for me, that's the allure. Bring it on! As a life coach she has easily given me deadlines and gentle guidance that is only sending me down the path I was hoping to go. She has given me mini assignments and I have produced results that I was only imagining.  For whatever reason I needed this! More than a prince charming, a vacation or a drunken night out.

In 2 months I have created a business vision and I am starting to pitch my ideas to professionals in the community. I'm still brainstorming a lot! But I'm brainstorming for a trademark for my company? Really!

I'm excited to see where all of this substance takes me!

Thursday, November 24, 2016

A Woman of Substance...The Reason Why I am Grateful!


Happy Thanksgiving Everyone! Of course I am grateful for the food on the table, parents that are still healthy and with me today! A new sister in law on the way, cats sitting next to me on the couch this morning as I relax. Friends in 5 (+) states and across the world who I am able to keep in touch with. And of course a stable job, home, nice car.  There's a lot of physical and external things that have given me a great life.

But the past couple of years I've learned that there is so much more! This fall has given me the chance to fully experience that.  Who am I, really? What do I really need to live the best life that I can? What makes me happy?

I've been able to give myself the opportunities to answer these questions and that makes me grateful! Unlike 5 years ago, I like having time alone so I can hear my inner thoughts. I really like myself and where I am headed. I know this will make me a better family member, friend, employee to be around!

I have learned that happiness, fulfillment and love comes without a rule book (despite other bloggers and authors in our society). These 3 things are like our hand prints they look different for everyone! All of our stories look different and therefore it is okay if our reaction towards certain situations are different.

Even though I say these things, I am still learning to always trust my inner intuition. I am still learning that my time is valuable and I only get one chance to make this life what I want it to be. My story and path is turning out differently than other women around me. When I was 18 and 21, the only thing I wanted was to be like everyone else. I'm grateful this has changed! I am grateful I want extra forks in the road and I am willing to stretch my boundaries. My story will not be boring when I am in the nursing home. I am a woman of substance!

 Remember to show gratitude for the qualities that you offer to every situation. Whether it's pure logic and rule following during meetings, or a totally awesome sense of humor when people need to lighten up, will power to work out every morning at 5am, or a caring and patient heart when parenting and nurturing America's youth....as an individual you have something to bring to the table. Own it and be grateful for these qualities!

Sunday, November 20, 2016

Gratuity.....So long overdue!!!


Oh my....do I need at week about writing about everything gratuity.  I think we all do! Take a Siesta or 2 or 3 this week and process what gratuity means to you! I will do the same!

It is the month of Giving Thanks, even though I feel we should all experience Gratitude more than 30 days a year. November and Thanksgiving is a great place to start!

In years past I have posted daily on Facebook about one thing a day that I am grateful for. One fall I was keeping a journal next to my bed so every night I could write about what I was grateful for. I will say that I believe writing it down for myself gave me a chance to get my deeper personal thoughts out there about my gratuity towards people or situations. And this did change my perspective at a time when I was healing. As I have practiced gratuity and thought about the meaning of the word and concept, I've grown, changed and learned lessons. What I am now able to write and share regarding my gratuity towards this life I have been given is much less superficial than what it initially was 7 years ago when I did this for the first time.

Maybe that I means I can be grateful for becoming a woman of substance.

I know all of you have been loving my quizzes the past several months.  So :)

What are you grateful for?
Do you write these things down?
Do you recite them in the back of your mind when you are having a bad day?
Do you say these things out loud to your loved ones, at your place of worship, in the mirror while looking at yourself?
How does your perspective change towards your current life situation?  


Sunday, November 13, 2016

Learning About Vision Therapy

I recently attended a conference about vision therapy. I summarized the following information for a presentation I am giving to my OT colleague's this week.  I hope you find this information useful and interesting.

VISION THERAPY CONFERENCE

Interesting Facts:
The goal of vision therapy: clear (20/20) vision, comfortable, single binocular (no double and both eyes seeing the same thing)

Ways to fix lazy eye: patching, surgery, vision therapy and atrophy therapy which doesn’t help encourage binocular vision

Ocular Alignment:
  • Exophoria - eye goes out at resting point
  • Esophoria - eye goes in at resting point

Infant C = 6-12 month sensorimotor exam for free; 9 months is the best

7 out of 10 juvenile delinquents have vision problems which are affecting performance in the classroom - California Department of Youth Authority

American Optometric Association:
  • 1 out of 4 children have an undiagnosed vision problem that interferes with their ability to read and learn
  • 60% of children with learning disabilities have undiagnosed vision problems

Components of Vision:

  • Oculomotor
    • Pursuits = smooth eye movements
    • Saccades = eyes are jumping while moving
    • Function = reading, sports (tracking a ball)
    • Treatment = word finds, mazes, dot-to-dots, tracing, hidden pictures, letter cancellation, Mardsen Ball
  • Binocularity
    • Eye teaming
    • Supression (shutting 1 eye down)
    • Double vision (both eyes working and moving differently)
    • Function = navigating unlevel ground or stairs; scanning the environment; writing; pouring
    • Treatment = Near/Far GTVT Charts, Red/Green Bar Readers, Red/Green TV Filters, Marsden Ball
  • Accommodation
    • The automatic adjustment of the eye seeing at different distances
      • Amplitude - getting it clear (a problem for farsighted individuals who usually pass the Snellen chart)
      • Sustenance - keeping it clear (print comes into & out of focus, especially with fatigue
      • Facility - changing focus from one distance to another
    • Function: ability to take notes in school shifting from whiteboard to notebook; shifting focus from speedometer in the car to traffic signs; ability to read directions on recipe and then setting the time/temperature on oven
    • Treatment = Near/Far Hart Charts
  • Vergence Skills
    • Convergence
      • Required for near work; common to have difficulty with both accommodation and near work
      • Function - sewing; reading a pill bottle; dialing a phone
    • Divergence
      • More strenuous/harder than convergence
      • Changing alignment at change in distance; affects how quickly we can change our viewing distance
      • Function - playing board games; measuring ingredients; reading labels at the grocery store
    • Treatment = Flashlight Mazes, Brock String, Aperture Rule
  • Depth Perception
    • Binocular
      • Stereopsis or 3rd degree function
      • Requires 2 eyes working together
      • Brain uses retinal disparity to compare information from 2 different points of view
      • Lack of stereopsis leads to difficulty with coordination
      • Function - driving; stairs; getting into bathtub; pouring liquids
  • Peripheral vision
    • Important in moving about, speeds performance
      • Many times amblyopic (lazy) eye maybe better at peripheral awareness
      • Visual fields overlap
      • Symptoms
        • May look like an eye movement disorder (doesn’t track in certain quadrants)
        • Bumping into things
        • Decreased night vision
        • Spatial insecurity
        • Decreased body image
        • Dry eye & low blink rate
      • Function - riding a bike; sports (balance, awareness of other player while playing sports)
  • Visual Fields
    • Visual field deficit - a partial or complete loss of vision in the central or peripheral range of vision
      • Homonymous hemianopsia
      • Homonymous quadratanopsia
    • Visual neglect - a more severe form of visual inattention, often paired with a visual field deficit
    • Function - walking, driving, riding bike, cooking, shopping, writing
    • Treatment = putting items in the ignored/lost visual field (including people that are talking to them, use activities with a wide field of view
  • Visual Midline Shift Syndrome
    • A neurological event that often corresponds with hemiplegia & hemiparesis
    • The ambient visual process attempts to create a balance by expanding a concept of space of the unaffected side and compressing the concept of space on the other side
    • The individual will lean or tilt their head away from the neurologically affected side
    • Yoked prisms can move the image to midline
  • Visual Perception and Processing
    • Visual information and processing speed
    • Figure ground perception
    • Visual closure
    • Form constancy
    • Size and shape discrimination
    • Visual memory
    • Treatment = beading tasks, pick up sticks, yard games, interactive video games, pattern play, hidden pictures, mazes, dot-to-dots, word searches, cutting tasks
  • Things to look for when there maybe a vision issue:
    • Headaches
    • Dizziness
    • Double vision
    • Fatigue
    • Difficulty reading (errors, decreased speed, loss of place)
    • Red, sore, itchy eyes
    • Jerky eye movement, one eye moves in or out more than the other
    • Head tilt or covering one eye when reading
    • Avoiding near work
    • Low self esteem
    • Temper flare ups/aggression/irritability
    • Vertigo

Thursday, October 20, 2016

Siesta Hut Vision



Where will the Siesta Hut be in 5 years?
WHO: Young Elementary Aged Children.  Their number one occupation should be play.  Through play they will learn how to socialize, problem solve, regulate their emotions and create imaginations. Children at this age should not be required to pass academic tests.  If they are being tested, it's only one tiny piece of the puzzle.  Education for parents, teachers and caregivers is necessary to encourage imaginary play, show and tell, hanging upside down from monkey bars, snack time and a mat with a child's favorite secure item (blanket/stuffed animal).  In this scenario sensory processing issues, attention difficulties and other hidden disabilities for this age group may decrease. In the wild if an animal has a damaged vestibular system many times their mother's will kill them because in intact vestibular system is necessary for survival.  Humans are currently growing up with vestibular systems that are impaired because of the lack of play.

Tweens/Teens:  Parents and teachers seem to provide lots of structure and expectations at this age.  It is important that children at this age can begin to identify their strengths and weaknesses.  It is also important children at this age still continue to learn how to entertain themselves without an adult or electronic present.  Performing well on tests, participating in sports and socializing in the public school setting (whether it's good or bad) is only a portion of the foundation children at this age need.  Can they express their needs to adults/peers?  If they are struggling in public schools, what are their strengths (there are some).  If they are not college bound, what is their path?  If they are college bound and currently have an IEP, what is their path? Developing a sense of self and focusing on self esteem is crucial at this age.  What is our society/community doing to help this age group? Begin developing strategies to manage stress and discussing appropriate study habits.  Students should be aware what type of learner they are (auditory, kinestic, visual, etc.).  Stress management and mindfulness should be introduced. How they played as a child should give us lots of answers of where they are headed (and these qualities should never be ignored).

College Students: What are the social norms for study times?  Working while attending school? Are students using accommodations to the maximum potential?  Is stress management, study habits, work style(s) being used to maximum potential?

Parents: Need to give themselves a round of applause, a pat on the back and a big self hug. Parents will do absolutely anything to make sure their kids have a better life than they did when they were younger. Parents are constantly learning what selflessness truly is. Parenthood is the hardest, most time consuming role someone will ever have but also allows more personal growth and sense of love and accomplishment than any other role in life.  Are parents feeling overwhelmed? Lost? Where do they get answers when their child has a problem medically or at school? Are friendships and relationships with others struggling? Do parents have a sense of guilt because life seems to be hard for their child? It is important for parents to remember, without their health and maintaining a balance in their lives, their families (children) will also struggle.  Put your life mask on before you put someone else's on.

Working adults: Most parents are also working adults. They have been taught they can have it all. Technology also allows them to have it all.  Access to emails from colleagues when they have a child at home with a fever.  A video text of their baby taking his/her first steps while they are at work paying off student loans.  Our society hasn't left us with many different options.  This is when prioritizing becomes important.  When are adults going to admit we really don't want it all? We want to live a life full of passion. We want our families and loved ones to be healthy and we want to all live with secure incomes.  We are all unique individuals with different strengths and weaknesses which means that we will all have different goals, passions and aspirations for ourselves. Having a balance in our lives and time to take a Siesta often will allow us to get to know ourselves from the inside out.  When things are quite and calm where does your mind wander?  What makes you happiest when you are daydreaming?  Are you listening to your inner voice and intuition? By doing so you will enjoy the things that life has to offer.

I believe in offering services to people with all abilities.  My services will encourage inclusion into the community with the belief that everyone has something to offer.  It also needs to be understood that all of us are going to benefit from rehabilitation services at point throughout our lifespan.  Whether it is an acute injury, a child with severe medical needs or taking preventative measures to maintain our physical and emotional health, The Siesta Hut has a place for everyone.

WHAT:  Expand online as a more professional blog, e-books/book that is published.  Perhaps work on researching or writing grants in these areas that I am describing. I will be a consultant that is willing to meet one on one or give presentations to people of all abilities.  Long term goal: have a facility that is literally the Siesta Hut.  A place to receive my consultation services, along with other courses and services available.  This is an atmosphere to learn how to relax and to learn how to listen to your intuition and use it.  A place to learn that it is okay to accept resources from the community to live life to your fullest potential. The facility will have neutral earthy paint colors, natural lighting or dim lights.  I will hire a yoga instructor, massage therapist, OT/PT, educational advocates to help expand a holistic life to as many different individuals as possible.

WHERE: Online. Consulting in person by meeting at work places, schools or other public places. (The first 5-10 years)

WHEN:  The first 5-10 years around my current job at Eaton RESA. Nights, weekends, summer and other breaks from the school year.

WHY: I love Occupational Therapy and other concepts of rehabilitation. Without using certain techniques and following the advice of several rehabilitation professionals throughout my lifespan I would not be as successful as I am today. I also believe that my cerebral palsy has been a gift to me in terms of creating a career that is willing to show off all these amazing qualities of these professions.  My CP has allowed me to slow down and savor every challenge/barrier/accomplishment as I have encountered it.  I may move slowly and at times process things slowly but along with that comes conscientious and methodical approaches to the life I am living.  I would love to share that with others and watch them discover new things about themselves! The majority of workplaces appreciate and hope for individuals who produce an outcome often and the ability to be conscientious and methodical is often overlooked.  Especially in the rehab world (ironically enough).  And of course I want to be in a position where I am earning money to be around people and taking care of my body at the same time. These may seem like very personal reasons but that is the root of a passion!

Sunday, October 9, 2016

The Perfect Pencil Grip

I forgot to mention during the first OT session with all of my students I also documented whether or not they were using an age appropriate pencil grip.  I am not a nun in a catholic school however as long as we are all still writing the old fashioned way, a good pencil grip is important.

At the beginning of every school year I have Kindergarten teachers ask me how to teach students how to use an appropriate pencil grip.  The truth is, learning how to hold a pencil like an adult is a long developmental process.  It actually goes way back to infancy.  Do children crawl?  If not there's a chance their arches of the hand are not fully developed.  Did the children develop a pincer grasp while eating cheerio's from their tray?  These are things we can't fix now but will help teachers and parents understand the process. Carefully look at the way you grip a pencil and notice the strength and dexterity it takes to maintain that grasp while you are quickly writing!


In infancy we all develop more hand strength on the side our pinky and ring finger.  We are able to grasp larger items/toys with that side of the hand before we can pick up cheerio's/beads/buttons with our finger tips.  This outside edge of our hands is used for strength and the thumb and pointer finger is used for dexterity.  Appropriate wrist rotation and movement will also assist with a good grasp while handwriting.

Cylindrical Grasp (1-1.5 years):  Young toddler's will grasp writing utensils with a fist and when they scribble they have very limited wrist rotation, instead they are using their whole forearm to make the marks.  This is when the strokes are larger.  About 2-3 years they will begin to use a digital grasp which provides even more refined movements.

Modified Tripod Grasp (3.5-4 years):  As they are shown how to hold a writing utensil and want to begin making more detailed pictures, they begin to grasp the writing utensils with 3 or 4 fingertips. This is naturally increasing strength and dexterity in their fingertips and also encouraging more refined wrist movements.  At this stage it is a good idea to give children positions that encourage wrist movement while they are drawing, coloring or writing. Some of these positions include lying on the tummy while resting elbows on the floor and coloring/drawing or drawing on a vertical plane (wall/white board/easel/chalk board).

It's a good idea to explain to children the thumb, index finger and middle finger are the "Go" fingers and the ring finger and pinky are the "stop" fingers.  The go fingers make the writing utensil move and the stop fingers rest towards the palm of the hand.

Open/Close clothes pins on wooden ornament
Also during this stage it is also important to continue increasing dexterity and strength in the fingers. Picking up small pegs, beads, coins, buttons with the thumb and index finger.  Using the thumb/index finger/middle finger to push small pop beads together, open clips and use tongs/tweezers to pick up items are good exercises.  They are also fun!   One of the schools I work with are allowing Kindergartners to work on these exercises for about 30 minutes a
Pop beads to push together and pick up with strawberry huller
couple of times a week and there have been improvements with how children are grasping pencils.
Shortened markers/pencils or broken crayons are also beneficial.

Tripod Grasp (4.5-7 years):  Eventually children should develop a tripod grasp which provides the strength and coordination to grasp a writing utensil and provide refined movements for writing.  I really like the idea of showing kids a picture of how they should be holding their pencils. It would even be good to place a pom pom or cotton ball inside of the ring and pinky finger for them to hold onto while using a writing utensil.  I like trying all of these ideas before just trying to use the various types of pencil grips that are on the market.

If the nuns only would have known having fun with small toys is much more effective than a ruler! There are even videos:



Saturday, October 1, 2016

How does Kim Measure Up with Time Management..

When thinking about organization and time management for myself, a few things pop into my mind:

1.  I am becoming really resentful about completing non-purposeful things.  It scares me, I don't like being resentful.  However, at least I have established what matters to me.  It is taking more of an effort to filter out what does not matter to me.  This is a work in progress.  I think because it's on my mind and I am feeling this way, I am more apt to make the changes I want to make.

2.  An IEP a day keeps the stress away.  About once a week I have an eval (2 hours worth of report writing) and couple times a week I have IEP information to fill in (20-30 minutes).  My hope is just to get these done and out of the way, in small chunks, daily.  It seems easy...but I assure you, an IEP a day will take major discipline.  But I'll walk away feeling more accomplished. And yes, this is a purposeful thing. Kind of like going to the
dentist.

3.  Small chores around the house should be handled just like an IEP a day.

4.  I want to earn money by taking care of my body and mind.

5.  I'm tired of making time for things like Netflix and Facebook, watching the evening news.  If I need a break why am I not meditating/reflecting, getting massages or sleeping?  It is just easier to maintain the same routine after work.  I did this after a very overwhelming 6 day work week this evening.  I shut Netflix off, set my phone down and began to breathe. I listened and watched a Thunderstorm as my dinner warmed up in the oven.  I really was able to hear myself think and thoughts beyond work deadlines or what friends/family are up to or what laundry had to be folded bubbled to the surface.  It did feel peaceful and good.  After about 22 minutes, someone texted me and I ended it.  But if it's a real time to be truly with myself and think about long exhales and what matters to me the most, that's all that is needed.

6.  If you think long exhales and deep breathing is only for nut job hippies....I challenge you to try for a week.  While working on it, you get to make noises like Darth Vader.  I used to say I could never exhale longer than I inhaled.  I proved myself wrong!

https://www.youtube.com/watch?v=0KYxYOo2RnA


7. I may have OCD.  I've known it before but this month after blogging about organization.....I do get a rush after things are clean and in order.  I have a hard time initiating it, but once I get going...I become anal and particular and have the end rush.  If report writing made me feel this way, my life would be complete.

8.  Time Management will keep me employed in a bureaucracy.  However it takes effort and is a work in progress.  

LEARNING HOW TO MAINTAIN A CAREER WITH A PHYSICAL DISABILITY

Cerebral palsy has helped determine the career path I have taken. With my role as a school based Occupational Therapist, I have challenges r...