Health and Self-care

SKILLWHAT TO DO
Identifying and supporting need		ASKING FOR HELP
Starting Assess, Plan, Do, Review		WHEN MORE HELP IS NEEDED
Targeted support
Health and self-careISCAN Occupational Therapy (OT)  universal advice on supporting occupations. Resources available via the website.
Dressing
Clothing
Eating and drinking
Toileting
Bottom wiping
Individual child:
To support children to become independent in completing multistep tasks such as putting on their coat, consider the use of backward chaining:
Break the task down into small steps.
Complete all of the steps for the child except the last step.
Teach the child the last step by modelling to them or doing the action with them.
Practise the task with the child completing the final step until they are confident completing the final step independently.
Now, complete all the steps except the last two steps.
Teach the child the second to last step and let them complete the last step.
Once they can do the second to last step, move on to teaching the third to last step. As before, complete all the steps except the last three.
Keep going until they can do all of the steps.		Flexible support in the setting to include personal care e.g. dressing and toileting. 
Provide handrails on stairs. Consider grab bars or rails within the toilet area or provide access to a disabled toilet. 
Consider the use of a ring reducer for toilets as well as support for feet to promote correct posture and feeling of safety.
Ensure the child is able to reach and use the equipment and facilities in the setting, such as wash basins, taps and pegs.
Provide additional resources e.g. sloping board, adapted cutlery, bowls, cups, scissors and pencil grips etc. 
Provide a peg for the child with a visual prompt of their name and relevant picture to store their book bag, coat, spare clothes etc. 		Ensure any specialist equipment continues to meet the child’s needs and contact relevant external agencies e.g. ISCAN Occupational Therapy (OT), ISCAN Physiotherapist (PT). Liaise with family regarding any repairs or alterations.