Rachael

 McBeth    
Part  of  Final  Case  Study  paper    
Interview          (Rachael)  
Logan’s  day  starts  off  with  him  crawling  into  bed  with  his  parents  at  4  a.m.  His  
parents  do  not  mind  this.  He  will  sleep  until  about  7:30.  He  usually  wanders  around  
the  house  and  watches  Paw  patrol  or  plays  with  his  toys  as  his  mother  helps  her  
other  children  get  ready  for  school.  He  has  about  one  hour  of  playtime  with  his  
mother  in  the  morning  doing  imaginary  play  or  reading  books.  At  10:00  he  might  eat  
some  breakfast  although  he  is  not  a  huge  fan  of  food.  He  will  eat  bacon  or  waffles,  
cold  cereal  or  toast,  little  cesars  and  graham  crackers.  This  is  a  concern  of  his  
mothers,  but  he  is  working  on  it  in  OT  right  now.  After  his  play  time  he  will  take  a  
bath  as  his  mother  gets  ready.  He  is  able  to  dress  himself,  though  occasionally  he  
will  put  his  underwear  on  backwards.  He  doesn’t  usually  eat  lunch.  Logan  is  also  
potty  trained  mostly.  HIs  mother  reported  that  he  never  has  accidents  but  that  he  is  
afraid  of  poop.  When  he  does  need  to,  he  will  lock  himself  in  his  room,  put  a  pull-­‐up  
on,  use  the  restroom  and  then  walk  to  his  mother  with  a  wipe  in  his  hand.  At  this  
point  she  is  not  concerned  with  it.        
 
At  2:00  he  has  preschool.  On  the  way  to  preschool,  Logan  will  drink  a  bottle  of  
pediasure.    After  his  mother  picks  him  up  from  school,  they  will  usually  run  
errands.HIs  mother  reported  that  if  they  are  quick  errands,  Logan  will  do  fine,  but  if  
they  are  longer  he  can  get  upset  unless  he  has  a  toy  to  play  with.  She  reported  that  
Logan  does  not  have  problems  in  the  car,  and  will  often  point  our  things  as  they  
drive.  At  different  times  during  the  week  Logan  also  has  Occupational  Therapy  and  
Speech  therapy.    
 
When  they  get  home,  Logan  will  eat  something,  which  often  is  pizza.  At  3:40  his  
brothers  get  home  from  school  and  he  will  play  with  them  or  with  his  friend  Lacy.  
Lacy  is  a  little  girl  his  sister  watches  who  has  down-­‐syndrome.  They  will  play  
puppets,  tea  parties  and  hiding  games  under  the  stairs.  At  6  p.m.  his  family  will  eat  
dinner,  but  he  won’t  sit  or  eat  with  them.  During  this  time  Logan  will  watch  movies  
such  as  starwars,  or  dress  us  in  costumes.  He  also  likes  to  organize  toys  in  his  room.    
 
 Logan  will  have  a  bedtime  snack  between  7-­‐8.  At  8  or  8:30  the  bedtime  routine  will  
begin.  He  sleeps  in  his  underwear  because  he  does  not  like  the  feeling  of  his  clothes.  
His  mother  will  sit  in  his  bed  and  read  stories  to  him.  She  will  then  lay  in  his  bed  
until  he  falls  asleep  and  then  sneak  out.    
 
Logan’s  mother  reported  that  he  likes  trains,  airplanes,  transformers,  superheroes  
and  watching  others  build  legos.    
  
Regarding  her  concerns  she  spoke  of  how  is  can  be  hard  to  engage  with  him  and  
switch  and  do  what  he  want  you  to  do.  She  brought  up  that  herself  and  her  family  
initiate  more  than  Logan  does  although  he  does  initiate  sometimes.  One  of  the  
hardest  things  for  her  is  communicating  with  Logan,  specifically  that  he  does  often  
answer  her  questions.  She  brought  up  that  she  would  love  for  Logan  to  sit  and  eat  
dinner  with  the  family  and  maybe  even  sit  through  sacrament  meeting  at  church.    
 
The  biggest  outcomes  or  goals  that  are  most  important  to  her  involve  his  eating,  
which  his  OT  is  working  on  currently,  speech  and  comprehension,  answering  
questions  and  attention  span.  She  also  did  bring  up  that  sometimes  he  hits  or  bites  
when  he  is  really  upset,  although  she  reported  that  it  has  occured  a  lot  less  than  it  
used  to.  This  was  a  concern  but  she  reported  that  it  was  less  of  a  concern  than  the  
other  items  listed.