77
Sensory Processing Checklist
/
-: -
41 4 --
52110
A Always
O Often
S Sometime
R Rair
N None
78
Auditory System AO S RN
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
/ Gustatory/Olfactory System AO S RN
1.
2.
3. Proprioceptive System AO S RN
4.
5.
1.
2.
3. /
4.
5.
6.
7.
8.
9.
10.
11.
12.
79
Tactile System AO S RN
1.
2.
3.
4. /
5.
6.
7.
8.
9.
10. /
11. /
12.
13.
14.
15. /
16.
17.
18.
19.
20.
21.
Vestibular System AO S RN
1. -
2. / /
3.
4.
5. /
6.
7.
8.
9.
10.
11.
12.
13.
/
14.
80
Visual System A O S RN
1. + x
2. /
3.
4.
5.
6.
7.
8. /
9.
10. ***
***
//
81
poor integration good integration
Hyperactive *
Distractivity
Tactile Defensiveness
Gravitational Insecurity
Visual Defensiveness
Auditory
Defensiveness
*
1. :
2.
3.
4.
5.
6.
7.
8.
82
1.
2.
3.
4.
5.
-
-
-
-
-
-
-
-
-
-
-
6.
7.
8.
9.
10.
.
-
-
-
-
-
83
1.
2.
3.
4.
5.
6.
7.
8.
. . (Delay
. Development)
- (Gross motor skill)
- (Fine motor skill)
- (Language)
- (Emotional)
- (Social skill)
.
(Sensory integration disorder)
.
84
.
.
.
.
.
.
.
.
. Activity of Daily Living Training)
.
- 8
-
Short attention span &
distractivity
Poor Cognition
85
86 !kBk
_
๑๔ $%นายน 6ป๔
นายอ+ชา โสม0บ
8ท:นาย 2นก4บ เ6อง 2น ไป
๔๘6 ๙ ยเม. ๑> 6 -
.
Dow? syndrome
Chief complaint บกพ>อง ทาง สABญญา สามารถ FวยเHอ ไJตนเอง เKอนไหวไJปกA
-
MางNตร ๒ นายอ+ชา โสมการ
r r
. .
. .
.
. .
. .
.
.
.
r r
-
87
..
..
..
EP. .
.. . r
/
/
/
-
88
:/
r
/
/
r
89
r
/
:/
ะ
90
-
ะ
+
r
+
ะ+
+
91
-
+
/
+
r
+
/
+
:/ +
+
+
92
/
+
-
+
r
+
r
+
r
+
ะ+
+
93
+
r
/
/
r
94
:/
r
-
. Loss Poor
Fair Good
rNormal
95 Loss Poor
. Fair Good
rNormal
Loss Poor
Fair Good
:/Normal Poor
Loss Good
Fair
Normal Poor
Good
Loss
Fair
Normal
Loss Poor
Fair Good
:/Normal Poor
Loss Good
Fair
Normal Poor
Good
Loss
Fair
Normal
96
Loss Poor
Fair Good
/Normal
Loss Poor
Fair Good
rNormal
Loss Poor
Fair Good
Normal
Poor
ะLoss Good
Fair
Normal
Loss
Poor
Fair
Good
Normal
97
Zero Poor
Fair Good
-Normal
Zero Poor
Fair Good
:/Normal Poor
Zero Good
Fair
Normal Poor
Good
Zero
Fair
Normal
Zero Poor
Fair Good
Normal
Poor
ะZero Good
Fair
Normal
98
Zero Poor
Fair Good
รNormal
Zero Poor
Fair Good
:/Normal Poor
Zero Good
Fair
Normal Poor
Good
Zero
Fair
Normal
Zero
Poor
Fair
Good
Normal
99
/"กเ%ยน ()ฒนาการ ,าน -มา อ -
ให41 และ กทภ :อน1ขอ ใ</=น ปก?
/"กเ%ยน ()ฒนาการ ,าน -มา 0 -
ให41 และ กทภ :อน1ขอ ใ</=น ปก?
@ง ไC DเEน Fอง Gบ บIการ ทาง กายภาพKLด
๛
100
Denver II
101
ICT
Paint
102
Down s syndrome
103
()
10
04
10
05
10
06
10
.
.
.
.
07
ICT
108
-
นาย$น ด&ย เ(อง +ท- .............................................................................................
นายอ.ชา โส2มกบ ................................................................................
โทร สพาน (อ8อ r ✓ T//
ขนม ก:บกรอบ ✓
✓
<นยน=ของ เ;น
โทร>พ? (อ8อ
109
-
.
110
=====================================================================
:
:
:
: :
:-
:
- -
-
-
111
=====================================================================
:[ ]
:[ ]
:
:
112
=====================================================================
: ........... ................... ........................................................
Acuity :
(Tracking) (Nystagmus)
(Scanning) Strabismus
(Visual Field)
(Color Blind)
.....................-.................................................... .......................................................................................
............................................................................................................................. ...................................................
...... - .........................
............................................................................................................................. ...................................................
............................................................................................................................. ...................................................
........................................................................................................................................................... ....................
113
=====================================================================
-
,:
[]
[]
[]
[]
........................-............................................................................................ .................................................
............................................................................................................................. ...................................................
........................................
..........................-............................................................................................................. .........................................
............................................................................................................................. ...................................................
.................................................................................................................................................................. .............
114
=====================================================================
(Physical)
(Physical)
115
=====================================================================
.
-
.
116
==================================================================
:
-
(, )
117
118
=====================================================================
-
-
119
=====================================================================
120
121
======================================================================
The words you are searching are inside this book. To get more targeted content, please make full-text search by clicking here.
865 นายชินดนัย เมืองสิทธิ์
Discover the best professional documents and content resources in AnyFlip Document Base.
Search