U&I CARE REPORT- 6/4/2013
The boys have had a very active few months. From physiotherapy to painting rainbow fish and learning to throw and catch balls all the boys have been involved in varied activities along with the nurses.
The nurses have managed to reach 8 out of 10 of their goals. Teaching the moderate group of boys to brush is proving to be a slower process than we expected. Most of the boys learn, but find it difficult to repeat the process the next day. Vocational therapy has the older boys involved and participating enthusiastically. They have shown an interest in making bookmarks, binding books with colourful paper and painting rainbow fish. The boys who are severely or profoundly challenged were involved in rehabilitation therapy. It has been great to watch the boys who have sat around in one place for years actively participate. They have learnt to paste paper within a circle, turn pages of a book and reach for suspended swinging objects. Cartoons and rhymes in local languages were also screened for these boys. A few boys showed an increase in attention span due to the audio and visual stimulation.
Summer camps have been the highlight of the past few months for the boys. Every year the boys eagerly await the summer camps. Carnival games, clay modelling, dance and physical assessments were a part of this year’s summer camps. The volunteers were inspired and touched by the end of the two days of interacting with the boys and engaging them in various activities.
Volunteers from Goldman Sachs spent a day at the Home gardening. They planted different plants, re-potted a few plants that were already at the Home and planted grass. They gave the boys and cleaner and greener Home.
We are looking forward to a trip to the Zoo, a big birthday bash and a lot more activities and therapies for the boys in the coming months. It is going to be an exciting few months ahead at the Home!
The last few month have seen some very exciting new changes at the Home.
80% of the targets for the month of january and february have been met and that is remarkable progress! The boys have started yoga with their yoga teacher. They love the stretching and the posing, they say they feel much more calm and relaxed.Vocational training was also done for the boys to find out their capabilities and train them with essential skills. Rehablitation was done on the severely profound kids with certain motor skill activities which turned out to be a great success. some the kids are actually able to catch a ball, throw it at trace the path. Physiotheraphy was another important actvity which has been started with 8 of the boys. Significant changes were seen in the kids with these activities and the year looks very promising with lots more to go.
12% of the boys in the home underwent yoga treatment of which good results were seen in atleast 3-4% of them. 12% went through physiotherapy and rehabilatation. 30 of the boys went through lice treatment. We are seeing great progress with the kids in different aspects of their life such as concentration, motor skills and personal hygene.
Gopal and Prakasha were two of the boys undergoing yoga treatment. During the activities conducted every sunday we heard from the volunteers that there were profound changes in the way they were able to concentrate on the activities. They have also developed a certain love for learning and sit longer time for the activities without getting distracted.
Zubair is one of the boys currently staying at the State home forthe Mentally Challeneged Boys at Diary Circle. He is 18 yearsold however has a mental age of 24 months and has Pica Eatingdisorder, a kind of oral fixation that urges him to put whatever he seesin his mouth.In the last few months Zubair has improved remarkably with the aidof the constant attention given to him by the nurses on an everydaybasis. In the area of physiotherapy, the stretching excersies havehelped him strengthen his legs and improve his coordination. Hecurrently walks around independently and even tries to jump whenextremely excited .He also showed off his new improved motor skillsat the big birthday bash and still laughts uncontrollably at the mentionof a ‘jumping castle’.Zubair’s attention span was minimal however with the constantencouragement and effort by the nurses and the volunteers , heis now able to throw and catch smiley balls without wavering hisattention too much.Zubair has improved more in the last 6 months than he has in the last6 years and it is only due to the constant attention love and care ofthe U&I Nurses , dedicated Sunday volunteers and the staff.
MONTHLY REPORT (JULY-AUG)
FOR GOVERNMENT HOME FOR THE MENTALLY CHALLENGED BOYS
1. Boys at the State Home
a. Number of Boys:
There were 83 boys at the Home in the month of July. Two boys left the home and were transferred to the Bellary Home. Three boys were admitted in the month of August. The current count of the boys is 84.
b. Current state:
The health of the boys has been regularly checked over the past few months. A doctor visits once every month to follow up on all the boys who are being given medication. The Home has also hired another doctor to visit the Home for regular consultation.
This month an effort was made to ensure the boys’ hands were washed before and after meals. This has been achieved with the help of the nurses, interns and the Home staff every day. The boys dip their hands into soapy water before and after lunch. Unfortunately, this activity has not been possible for all the severe/profound boys.
The Home hired one more counsellor/teacher for the boys in the month of July. This helped in dividing the number of boys between the two teachers and enabled smaller classes according to learning ability.
Wound care and physiotherapy is being done regularly and consistently. We are looking for a physiotherapist to help train the nurses in a more intensive course of physiotherapy for the boys.
c. Goals for July-Aug:
Goals mainly consist of achieving positive development in health, hygiene and psychological areas. The goals for the months of July and August were:
2. Activities at the Home
Interns have been visiting the Home on a regular basis to interact with the boys and help the nurses in various activities.
One intern undertook the task of ensuring hand washing for the boys before and after meals. A bucket of soapy water was placed before the beginning of the meal and each boy was made to dip his hands in the water. This activity has continued over the month and ensured cleaner eating habits.
Yoga is another activity that started in the month of August. Every afternoon, the older boys go through a series of different postures and exercises. This activity has gradually been reduced to two days a week.
Prakasha’s leg is healing steadily. Ms. Cintia has had regular meetings with Mobility India for Prakasha to try on the artificial leg and get used to it.
3. Events at the Home
a. Big Birthday Bash:
Every year in July, we celebrate the boys’ birthday on one day with rides, magicians and other attractions. This year the birthday bash was a full day event with different kind of rides, a magician, a horse, cotton candy and many other goodies. Several volunteers gathered to celebrate the day with the boys.
b. Doctor visits:
A doctor has been visiting the Home twice every month for a general check-up and follow up on the health of the boys. Wound care, illnesses and hygiene issues have been addressed and action has been taken to improve the health and hygiene of the boys. A few boys are in need of serious surgery and we are working with the Home to make this possible for the boys.
Dentists from RV Dental College also visited the Home for a dental camp and checked over 30 boys for cavities and decay. They cleaned and scaled the teeth and made a list of boys who need additional treatment. This group of boys will be sent to the college every Friday for treatment.
c. Visits by individuals/companies
A few individuals and companies have visited and shown interest in the Home in the past two months. Visits were arranged for the following individuals and organisations:
a. Daily Schedule:
8:00 – 8:45am
8:45 – 9:30am
9:30 – 10:15am
10:30 – 11:30am
11:30 – 12:30pm
Lunch for boys
12:30 – 1:30pm
2:00 – 3:30pm
3:30 – 4:30pm
The daily schedule of the nurses is as follows:
The nurses follow this schedule every day and are responsible to ensure the activities take place efficiently. Brushing, bathing, feeding/cleaning and therapy activities happen for all the boys. Wound care is given for boys who are prone to injury and have self injury impulses. Currently, physiotherapy is given to seven boys who are learning to walk independently. At the end of each day the nurses report their activities of the day in the schedule given. Each nurse is in charge of 20 boys approx.
b. Targets achieved
Each nurse is given specific targets to reach over the month which are measured during spot checks.
To teach five mild boys proper bathing techniques (Soap, water, drying)
Thrice a week nails must be cut, will be checked
Six unique activities for the severe/profound boys and goals that will be achieved
Not done – nurses could not find six activities that the boys could be involved in for an hour.
To ensure hands are washed before and after every meal
The boys undergoing physiotherapy must be able to walk independently
If room is kept unclean during three spot checks then no incentive
Supervise clothes sorting and make sure clothes remain sorted at least thrice a week
All 7 boys reach level one of toilet training - taking the child to the bathroom on a set hourly schedule.
Not done – due to resistance from Home staff this goal has been dropped.
Training 7 boys in three different groups to brush independently
c. Targets for month of September – October
New targets for the month were set for the nurses in the month of September.
The targets are as follows:
Training 15 boys in bathing technique.
Lice eradication - all boys lice removal by the end of the month (Plan lice day if required)
5 unique activities for the severe/profound boys and goals that will be achieved
Establish hand washing before and after meals for all boys
Training for 5 boys to walk independently and 2 boys intensive therapy
Train 4 boys to sort and put clothes for wash on a daily basis
Teach mild boys to make envelopes, baskets, candles
Train 10 boys in proper brushing method
5. Sunday Themes
Every Sunday volunteers visit the Home and conduct activities for the boys on various themes. There was a Volunteer Orientation at the Home as well. All the volunteers were divided into groups with four boys in each group approx. Groups were divided into mild, moderate, severe and profound levels.
A group of volunteers engaged the boys in a form of dance and movement therapy for a few Sundays.
Themes covered in the past two months include:
No major changes were made in terms of the infrastructure of the Home. A full-fledged cleaning of the bathrooms and toilets in the Home was done during one of the Sunday sessions.
Goals achieved for the past two months include:
The past two months have shown positive growth at the Home for the boys. Goals have been successfully achieved and new goals have been prepared. Occupational therapy is the big goal for the month and all the nurses will be participating in teaching the boys. This will be exhibited at the Home by the end of the month.
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