ヘルペス脳炎後遺症児に対する作業療法の一経験

概要

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A boy aged three years and two months had been affected with Herpes simplex encephalitis before five months and was referred to our occupational therapeutic division. He showed stranger reaction and separation anxiety. Additonally, he had some developmental disorders in the areas of self-care skills, cognition and communication proficiency. Besides these, he felt little interest in people or things, and had a short attention span. After treatment of occupational therapy for two years and ten months, he showed the following changes: 1) he had established a stable relationship between the therapist and himself, 2) he had acquired the self-care skills of toileting, eating and clothing himself, 3) he was able to comprehend and follow simple verbal instructions about daily living such as "put on your shoes", and "put the toys away". Keys role of the occupational therapist in these developments are: firstly, to support the mother's appropriate care and to educate the mother herself; secondly, to arrange care plans among the family, staff of a day nursery and the occupational therapist; thirdly, to facilitate his understanding of speech by a certain therapist's simple verbal instruction and social reinforcements.
信州大学の論文