the m.e.e. calendar · physician before starting an exercise program. - avoid exercising in extreme...
TRANSCRIPT
T H E M . E . E .
C A L E N D A R
M O V E • E X P E R I E N C E • E N G A G E
M. Janet Thomas, M.Ed., O.T.R./L. • Jamie M. Hall, P.T., D.P.T.Toby Long, P.T., Ph.D. • Rachel Brady, P.T., M.S., D.P.T.
Notice of NondiscriminationGeorgetown University provides equal opportunity in its programs, activities and employment practices for all persons and prohibits discrimination andharassment on the basis of age, color, disability, family responsibilities, gender identity or expression, genetic information, marital status, matriculation, nationalorigin, personal appearance, political affiliation, race, religion, sex, sexual orientation, veteran status or any other factor prohibited by law. Inquiries regardingGeorgetown University’s nondiscrimination policy may be addressed to the Director of Affirmative Action Programs, Institutional Diversity, Equity & AffirmativeAction, 37th and O Streets, N.W., Suite M36, Darnall Hall, Georgetown University, Washington, D.C. 20057.
The M.E.E. Calendar was partially funded through Contract # POJA-2005-R-RP05 from theDistrict of Columbia Intellectual and Developmental Disabilities Administration, Department ofDisability Services to the Georgetown University, Center for Child and Human Development,Health Resources Partnership.
Cover Photography by: Reneé Ziegler
The Move, Experience, Engage (M.E.E.) Calendar is to be used by individuals providing serviceto adults with developmental disabilities in community-based residential facilities. The calendar
includes a variety of activities that will help promote health and a sense of well-being. Some of theactivities promote fitness and flexibility; others increase awareness of the community and holidaytraditions; others are to help clients relax or socialize. There are many different types of activities suchas arts and crafts, cooking, game playing, etc. Some are very easy while others may be a bit morechallenging for some clients.
One activity is listed for each day of the year. The activities, however, can be used on any given day orin any order. One or more activities can be done on the same day. The Classification Guide describesthe emphasis of each activity either movement, sensory, social, arts and crafts, or cooking.
The time needed to do each activity varies according to the demands of the particular activity. Someactivities may be as brief as several minutes while others may require an hour or more. The level ofassistance or support needed to complete the activity will vary based on each individual client’s needand level of functioning.
Not all activities will be appropriate for all clients and judgment should be used to determineparticipation. Read the Precaution Section found on page 2 carefully. All activities should beappropriately supervised in accordance with the Individual Service Plan (ISP). Clients should beencouraged to participate but not coerced. The activities should be fun and enjoyable for the client.
The M.E.E. Calendar is reader friendly. Section One describes general precautions as well as adescription of the symbols used on the calendar to classify the activities. Section Two is a month-to-month listing of the activities. Following each month of activities are activity descriptions andsuggestions to adapt the activities if necessary. Some activities will require the provider to gather moreinformation on how to do the activity, especially the cooking activities. Section Three are instructionsand photos of individuals doing the exercises recommended in the calendar.
M. Janet Thomas, M.Ed., O.T.R./L.Jamie M. Hall, P.T., D.P.T.Toby Long, P.T., Ph.D.Rachel Brady, P.T., M.S., D.P.T.
2007
T H E M . E . E . C A L E N D A RM O V E • E X P E R I E N C E • E N G A G E
A University Center for Excellence in Developmental Disabilities
3300 WHITEHAVEN STREET, NW SUITE 3300
WASHINGTON, DC 20007
SECTION ONE
CLASSIFICATION GUIDESYMBOL DESCRIPTION
Social: Activities used to promote social interaction with friends, neighbors, and peers.
Movement: Exercising different parts of the body such as the arms, legs, or mid-section.
Sensory: Increasing awareness of the environment through seeing, hearing, touching, feeling, and moving.
Cooking: Simple meal or snack preparation.
Art: Creative craft projects.
Leisure: Activities that promote productive and enjoyable use of free time.
Exercise: Activities used to build strength, flexibility, and balance. They are described andillustrated in Section Three.
Bold Description: Activities written in boldface indicates that the activity is further described onthe next page.
* Adaptation: An asterisk indicates that adaptations are given for the particular activity on the next page.
PRECAUTIONS
General Precautions• Appropriately supervise each client as described in his or her Individual Service Plan (ISP).• Always check with the client’s physician prior to starting any type of exercise program.• Consult with the client’s physician if you are not sure if a client can participate in a specific activity.• Do not force a client to engage in an activity if he/she does not wish to participate.• Gently move the client, do not push a client’s muscles or joints.• If a client complains of feeling dizzy or tired or has shortness of breath, stop the activity and watch
the client until he/she is breathing regularly or is no longer feeling dizzy.
Safety Precautions• Heat
- Drink plenty of water to stay hydrated. Avoid drinks that contain caffeine or sugar.- Wear sunscreen to prevent sunburn.- Wear sunglasses, wide-brimmed hat, and clothing that is light-colored, lightweight, and loose-fitting.- Participate in outdoor activities in the early morning or evening hours during the summer.- Take frequent rest breaks.
• Water Activities at Community Pools- A certified lifeguard should be present at the pool in addition to supervision by direct-care support
professionals.- Obey the rules of the pool.- Clients who are inexperienced swimmers and/or are unable to swim should always use flotation devices.- Pay attention to local weather forecasts.- Enter water feet first at all times.
• Choking- Follow any specific food-textured diets (pureed foods, liquids only, etc.) and portion
recommendations (small pieces, small amounts) for clients.The M.E.E. Calendar—Georgtown University Center for Child and Human Development 5
EX#
Precaution—Choking Continued
- Supervise clients while eating.- Do not hurry clients when eating.
• Safety Equipment- To prevent falls, always perform activities using recommended assistive devices (cane, walker,
crutches, physical assistance or guarding, etc.) for each client.- Use appropriate safety equipment for tasks such as helmets, gloves, pads, flotation devices,
safety goggles, etc.- Remember: Direct-care support professionals should keep first aid and CPR skills up to date.
Diagnosis Specific Precautions• Osteoporosis
- If the client has osteoporosis, do not allow the client to bend over or twist to the side.
• Dietary Restrictions- Always follow the recommended diet for each client. Adapt the recipes in the M.E.E. Calendar if
the client is on a restricted diet.
• Food Allergies- Be aware of any known food allergies of clients and adjust recipes as needed.- Be sure to read all food labels to make sure that clients are not given foods they are allergic to.- Be aware of the signs that indicate a client may be having an allergic reaction such as difficulty
breathing, hives or rash, swelling, vomiting, or tingling on the tongue or around the mouth. Call orsee a nurse or physician immediately if you notice any of these.
- Some common food allergies include peanuts, tree nuts, strawberries, shellfish, milk, eggs, and wheat.
• Atlantoaxial Instability (AAI) is excessive movement at the top of a person’s backbone between thefirst and second vertebrae. Many people with Down syndrome have this condition. Most of the timethis will not bother a person. People with AAI should be careful not to move their neck too quickly orput undue pressure on the neck.- Clients with AAI should avoid activities that require tipping the head back (hyperextension), tilting
the head forward excessively (extreme flexion), or placing direct pressure on the neck or upper back.
• Diabetes Mellitus- Consult with a physician before beginning regular physical activity.- Always check blood sugar levels before activity. If levels are higher than 250 mg/dL, follow
recommended procedures (check ketones, etc.).- Know the signs of hyperglycemia and hypoglycemia and follow the physician’s recommendations if
they occur.- Have carbohydrate-based foods and the client’s insulin available.- Always stay hydrated.
• Cardiovascular Disease- Be sure exercise is paced and balanced with rest periods as needed.- Some types of exercise are not appropriate for all clients with heart disease. Check with the client’s
physician before starting an exercise program.- Avoid exercising in extreme temperatures and weather conditions.- Drink water before, during, and after exercise.- Avoid extremely hot or cold baths or saunas after exercise.- Slow down when walking or exercising uphill and monitor heart rate closely.- Start with a low level of activity and gradually increase according to the client’s tolerance.- Stop activity if client develops a rapid or irregular heartbeat or has heart palpitations.
The M.E.E. Calendar—Georgtown University Center for Child and Human Development 6
SECTION TWO
12*
34
56*
7
89
10*
1112
1314
*
1516
*17
1819
2021
2223
2425
26*
2728
2930
31N
OT
ES
Hav
e a
part
y an
d ea
tbl
ack-
eyed
pea
s.P
lay
bask
etba
ll u
sing
a hu
la h
oop
or w
aste
bask
et.
Loo
k th
roug
h a
phot
o al
bum
and
talk
ab
out
the
pict
ures
in
the
albu
m.
Wal
k th
roug
h a
groc
ery
stor
e.R
ub s
ome
lave
nder
loti
on o
n yo
ur h
ands
to r
elie
ve s
tres
s.
Kic
k a
ball
ar
ound
out
side
.M
ake
a pa
rfai
t us
ing
frui
t an
d co
ol w
hip.
Dan
ce w
ith
scar
ves.
Sin
g a
rap
song
.B
ring
you
r ha
nds
upov
er y
our
head
and
clap
. Rep
eat
10 t
imes
.
Take
pic
ture
s of
your
fri
ends
or
hou
sem
ates
.
Mak
e a
wal
l co
llag
eus
ing
the
pict
ures
of
your
hou
sem
ates
.
Put
on
mus
ic
and
danc
e w
ith
your
fri
ends
.
Cru
sh a
can
dype
pper
min
t an
dsp
rink
le o
n to
p of
hot
choc
olat
e.
Lis
ten
to t
he “
I H
ave
a D
ream
” S
peec
han
d ce
lebr
ate
Mar
tin
Lut
her
Kin
g’s
birt
hday
.
Mar
ch i
n pl
ace
20 t
imes
.S
nip
fold
ed p
aper
to
mak
e a
snow
flak
e.P
lay
fly-
swat
voll
eyba
ll w
ith
a ba
lloo
n an
d fl
y sw
atte
r.
War
m s
ome
oliv
e oi
l an
d ru
b it
in
your
han
ds.
Pla
y a
ring
to
ss g
ame.
Rid
e th
e M
ET
RO
to
a m
useu
m.
Mak
e a
card
for
som
eone
spe
cial
.W
alk
to t
he p
ost
offi
ce o
r m
ailb
ox t
om
ail
your
car
d.
Pain
t a
pict
ure
ofsn
ow u
sing
whi
tepa
int
on b
lue
pape
r.
Lie
on
the
floo
r an
dpr
eten
d to
mak
esn
ow a
ngel
s.
Pai
nt a
sno
wm
anus
ing
glue
an
d sh
avin
g cr
eam
“sn
ow.”
Rol
l up
soc
ks a
ndpr
eten
d to
hav
e a
snow
ball
fig
ht.
Mak
e ci
nnam
onto
ast.
Pre
tend
to
mak
e a
snow
man
by
push
ing
a la
rge
ball
aro
und
the
room
.
Cru
sh ic
e an
d ad
dfl
avor
ing
to m
ake
snow
con
es.
Thr
ow a
n en
d of
the
mon
th d
ance
par
ty.
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
JAN
UA
RY
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t8
EX1
EX2
14C
rush
pep
perm
int
and
spri
nkle
on
top
of h
ot c
hoco
late
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•M
ake
your
fav
orit
e ho
t ch
ocol
ate
reci
pe.
•U
nwra
p ca
ndy
pepp
erm
ints
and
pla
ce i
n a
plas
tic
zipp
er b
ag.
•U
se a
woo
den
mal
let
or r
olli
ng p
in t
o po
und
and
crus
h th
e pe
pper
min
ts.
26P
aint
a s
now
man
usi
ng g
lue
and
shav
ing
crea
m “
snow
.”F
UR
TH
ER
DE
SC
RIP
TIO
N
•M
ake
a sn
owm
an o
utli
ne o
n he
avy
pape
r.•
Mix
1 p
art
glue
to
2 pa
rts
shav
ing
crea
m t
o m
ake
the
snow
.•
App
ly t
he s
now
.
30C
rush
ice
and
add
flav
orin
g to
mak
e sn
ow c
ones
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•C
rush
ice
in
a bl
ende
r.•
Fla
vor
wit
h po
wde
red
flav
orin
g or
rea
dy t
o us
e sy
rup
from
the
groc
ery
stor
e.
2P
lay
bask
etba
ll us
ing
a hu
la h
oop
or w
aste
bas
ket.
AD
AP
TAT
ION
S
•C
lien
ts c
an p
lay
this
gam
e in
a s
eate
d po
siti
on i
f th
ey
use
a w
heel
chai
r.•
Mak
e su
re t
he g
ame
is n
ot t
oo h
ard
or t
oo e
asy
for
the
clie
nt.
The
hig
her
the
hoop
is,
the
har
der
the
gam
e w
ill
be.
6K
ick
a ba
ll ar
ound
out
side
.A
DA
PTA
TIO
NS
•C
lien
ts c
an p
lay
this
gam
e in
a s
eate
d po
siti
on i
f th
ey
use
a w
heel
chai
r.•
Mak
e su
re t
he g
ame
is n
ot t
oo h
ard
or t
oo e
asy
for
the
clie
nt.
The
lar
ger
the
ball
, the
eas
ier
it w
ill
be t
o ki
ck t
he b
all.
•U
se l
ight
er w
eigh
t ba
lls
if t
he c
lien
ts h
ave
wea
knes
s or
decr
ease
d co
ordi
nati
on.
10C
lap
your
han
ds o
ver
your
hea
d 10
tim
es.
AD
AP
TAT
ION
S
•If
cli
ents
can
not
reac
h ab
ove
thei
r he
ads,
try
hav
ing
them
cla
pth
eir
hand
s as
hig
h as
the
y ca
n.•
Pro
vide
han
d-ov
er-h
and
assi
stan
ce f
or c
lien
ts w
ho a
re u
nabl
e to
activ
ely
mov
e th
eir
arm
s.•
Wor
k w
ithi
n th
e ra
nge
that
is
com
fort
able
for
the
cli
ent.
Do
not
push
bey
ond
the
poin
t of
res
ista
nce.
14C
rush
pep
perm
int
and
spri
nkle
on
top
of h
ot c
hoco
late
.A
DA
PTA
TIO
NS
•Fo
r cl
ient
s on
low
-cal
orie
or
low
-sug
ar d
iets
, use
ski
m m
ilk
and
suga
r-fr
ee p
eppe
rmin
t ca
ndie
s.
16M
arch
in p
lace
20
tim
es.
AD
AP
TAT
ION
S
•C
an b
e pe
rfor
med
fro
m a
whe
elch
air
or s
eate
d po
siti
on.
•If
cli
ents
are
una
ble
to l
ift
legs
fro
m t
he h
ip, t
hey
can
tap
thei
rfe
et i
n pl
ace
inst
ead.
•If
the
cli
ent
has
poor
bal
ance
, hav
e th
em s
tand
and
hol
d on
to a
the
back
of
a ch
air.
26P
aint
a s
now
man
usi
ng g
lue
and
shav
ing
crea
m “
snow
.”A
DA
PTA
TIO
NS
•P
lace
pap
er o
n an
eas
el o
r th
e w
all
to e
ncou
rage
the
cli
ent
to l
ift
his
arm
s, h
elpi
ng t
o st
reng
then
the
arm
s.•
Add
wri
st w
eigh
ts t
o in
crea
se t
he d
iffi
cult
y an
d to
str
engt
hen
the
arm
s.
J A N U A R Y
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t9
FE
BR
UA
RY
12
3*4
56
7*
89
1011
1213
14
1516
1718
19*
2021
*
2223
*24
2526
2728
*
NO
TE
S
Mak
e D
irt
Cak
e.R
ead
a st
ory
abou
t a
grou
ndho
g an
d m
ake
shad
ows
on t
he w
all.
Use
sou
p ca
ns t
o do
10 a
rm c
urls
on
each
arm
.
Mak
e he
art
shap
eor
nam
ents
out
of
appl
esau
ceci
nnam
on d
ough
.
Go
on a
win
ter
natu
re w
alk
and
coll
ect
pine
cone
s,tw
igs,
etc
.
Sin
g “H
ead
Sho
ulde
rs, K
nees
,an
d To
es”
stan
ding
or s
itti
ng.
Pla
y ca
tch
wit
h a
frie
nd u
sing
a
larg
e ba
ll.
Mak
e he
art-
shap
edsa
ndw
iche
s fo
rlu
nch
toda
y.
Pla
y in
door
bow
ling
wit
h em
pty
soda
bott
les
and
roll
ed u
pso
cks
or b
alls
.
Put
tog
ethe
r a
sim
ple
floo
r pu
zzle
.M
ake
hear
t-sh
aped
Jell
-o w
iggl
ers
and
deco
rate
wit
hw
hipp
ed c
ream
an
d dr
ied
frui
t.
Take
a t
our
of F
ord’
sT
heat
re a
nd/o
r th
ePe
ters
on H
ouse
.
Mak
e he
art-
shap
edV
alen
tine
’s c
ards
for
your
fri
ends
.
Dec
orat
e a
cupc
ake
wit
h pi
nk a
nd r
edfr
osti
ng.
Pla
y rh
ythm
sti
cks
whi
le y
ou li
sten
to
mus
ic.
Rub
ite
ms
ofdi
ffer
ent
text
ures
on
your
arm
s an
d le
gs.
Pla
y be
an b
ag t
oss.
Pla
y F
lash
light
Tag
.G
ive
your
self
are
laxi
ng f
acia
l.M
ake
a po
t of
chi
liw
ith
your
fri
ends
.L
ift
a br
oom
sti
ckup
ove
r yo
ur h
ead
10ti
mes
.
Pain
t a
pict
ure
of a
cher
ry t
ree.
Jum
p or
ste
p ba
ckan
d fo
rth
over
ast
ick
10 t
imes
.
Mak
e w
indm
ills
wit
h st
retc
hy b
ands
10 t
imes
to
each
side
.
Mak
e po
tpou
rri.
Do
10 c
hair
pu
sh-u
ps.
Mak
e a
happ
y fa
cepe
ar s
alad
.D
o 10
leg
lifts
whi
lesi
ttin
g in
a c
hair
.
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t10
EX3
EX4
EX5
EX6
EX7
EX8
EX9
1M
ake
dirt
cak
e.F
UR
TH
ER
DE
SC
RIP
TIO
N
•C
rush
2/3
pac
kage
of
Ore
os a
nd s
prea
d on
bot
tom
of
pan.
•M
ix 1
2 oz
Coo
l Whi
p, 8
oz
soft
ened
cre
am c
hees
e, a
nd 1
cpo
wde
red
suga
r in
bow
l.•
Mix
2 s
mal
l in
stan
t va
nill
a or
cho
cola
te p
uddi
ng p
kgs
and
3 c
mil
k in
ano
ther
bow
l.•
Pour
mix
ture
s to
geth
er a
nd s
tir.
The
n po
ur o
ver
cook
ies
in p
an.
•S
prea
d cr
ushe
d co
okie
s on
top
and
ref
rige
rate
.
4M
ake
hear
t sh
ape
orna
men
ts o
ut o
f ap
ples
auce
cin
nam
on d
ough
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•M
ix t
oget
her
1/2
c ap
ples
auce
and
1/2
c c
inna
mon
in
a pl
asti
czi
pper
bag
.•
Kne
ad t
oget
her
unti
l it
for
ms
doug
h.•
Rol
l do
ugh
out
and
use
hear
t-sh
aped
coo
kie
cutt
ers
to
cut
out
hear
ts.
•L
et d
ry f
or 1
2 ho
urs.
15P
lay
rhyt
hm s
tick
s w
hile
you
list
en t
o m
usic
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•Ta
ke r
hyth
m s
tick
s or
reg
ular
sti
cks
and
tap
the
stic
ks t
o th
e fl
oor
or t
he t
able
to
mak
e a
beat
to
mus
ic.
18P
lay
flas
hlig
ht t
ag.
FU
RT
HE
R D
ES
CR
IPT
ION
•P
lay
in t
he d
ark
whi
le s
itti
ng. E
ach
pers
on h
olds
a f
lash
ligh
t.•
Part
icip
ants
poi
nt a
nd m
ove
the
flas
hlig
ht b
eam
on
the
ceil
ing.
•T
he p
erso
n w
ho i
s “I
t” u
ses
thei
r fl
ashl
ight
bea
m t
o ta
g th
e be
ams
of t
he o
ther
s’fl
ashl
ight
s.
24M
ake
win
dmill
s w
ith
stre
tchy
* ba
nds
10 t
imes
to
each
sid
e.F
UR
TH
ER
DE
SC
RIP
TIO
N
•H
old
stre
tchy
ban
d w
ith
both
han
ds i
n th
e m
iddl
e of
the
ban
d.•
Ext
end
arm
s ou
t in
fro
nt a
nd p
ull
stre
tchy
ban
d di
agon
ally
acr
oss
body
wit
h bo
th h
ands
to
each
sid
e.
25M
ake
potp
ourr
i.F
UR
TH
ER
DE
SC
RIP
TIO
N
•A
ir d
ry f
low
ers
and
herb
s by
pla
cing
the
m i
n a
sing
le l
ayer
on
asc
reen
to
allo
w f
or v
enti
lati
on f
or o
ne w
eek.
•F
low
ers
and
herb
s ca
n al
so b
e dr
ied
by t
ying
tog
ethe
r sm
all
bunc
hes
and
hang
ing
them
ups
ide
dow
n to
dry
out
.•
Onc
e dr
ied,
sni
p th
e pe
tals
or
flow
er t
ops
wit
h sc
isso
rs o
r pu
ll a
part
wit
h ha
nds
and
add
a fe
w d
rops
of
esse
ntia
l oi
ls
such
as
lave
nder
.
27H
appy
fac
e pe
ar s
alad
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•Ta
ke h
alf
a pe
ar f
rom
a c
an a
nd d
ecor
ate
it w
ith
food
lik
e ra
isin
s,ca
rrot
shr
eds,
oliv
es e
tc. d
esig
ned
to m
ake
a fa
ce.
28D
o 10
leg
lifts
wit
h w
eigh
ts o
n an
kles
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•S
tand
nex
t to
a s
turd
y ch
air
or t
able
.•
Hol
d on
to t
he c
hair
or
tabl
e an
d ki
ck y
our
leg
forw
ard,
bac
kwar
d,to
the
out
side
, or
to t
he m
iddl
e.
3U
se s
oup
cans
to
do 1
0 ar
m c
urls
on
each
arm
.A
DA
PTA
TIO
NS
•L
ight
er c
ans
like
tun
a ca
n be
use
d if
sou
p ca
ns a
re t
oo h
eavy
or
too
larg
e fo
r cl
ient
s to
gra
sp.
•O
bjec
ts w
ith
hand
les
like
lig
htw
eigh
t du
mbb
ells
can
als
o be
use
dto
ass
ist
wit
h gr
aspi
ng.
7P
lay
catc
h w
ith
a fr
iend
usi
ng a
larg
e ba
ll.A
DA
PTA
TIO
NS
•C
an b
e pl
ayed
fro
m a
sea
ted
or s
tand
ing
posi
tion
.•
Var
y th
e si
ze o
r w
eigh
t of
the
ball
to m
ake
it ea
sier
or
mor
e di
ffic
ult.
19G
ive
a fa
cial
tod
ay.
AD
AP
TAT
ION
S
•B
e su
re t
o ch
eck
to s
ee i
f cl
ient
s ha
ve a
ny a
ller
gies
or
sens
itiv
itie
sto
ing
redi
ents
in
faci
al s
uppl
ies.
21L
ift
a br
oom
sti
ck u
p ov
er y
our
head
10
tim
es.
AD
AP
TAT
ION
S
•B
e su
re t
o w
ork
wit
hin
a ra
nge
of m
otio
n th
at i
s co
mfo
rtab
le f
orth
e cl
ient
.•
Obj
ects
lik
e so
cks
fill
ed w
ith
sand
or
wei
ghts
can
be
tied
aro
und
the
broo
m to
incr
ease
the
wei
ght o
f th
e st
ick,
mak
ing
liftin
g ha
rder
.
23Ju
mp
back
and
for
th o
ver
a ro
pe 1
0 ti
mes
.A
DA
PTA
TIO
NS
•P
lace
the
rop
e fl
at o
n th
e fl
oor.
Hav
e th
e cl
ient
jum
p or
ste
p si
deto
sid
e ov
er t
he r
ope.
•To
mak
e th
e ga
me
hard
er, h
ave
the
clie
nt j
ump
or s
tep
fast
er o
rra
ise
the
rope
sli
ghtly
off
the
gro
und.
28D
o 10
leg
lifts
wit
h w
eigh
ts o
n an
kles
.A
DA
PTA
TIO
NS
•C
an b
e pe
rfor
med
fro
m s
eate
d po
siti
on i
f cl
ient
is
unsa
fe i
nst
andi
ng o
r is
una
ble
to s
tand
.•
Var
y th
e re
sist
ance
of
the
wei
ghts
to
mak
e it
eas
ier
or h
arde
r. If
addi
ng w
eigh
ts i
s to
o di
ffic
ult,
enco
urag
e th
e cl
ient
to
do t
he l
egli
fts
wit
h no
wei
ghts
att
ache
d.
F E B R U A R Y
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
*Str
etch
y ba
nds
also
kno
wn
as T
hera
band
TM
are
long
pie
ces
of s
tret
chy
mat
eria
l. T
he
band
s co
me
in v
ario
us t
hick
ness
es. T
he t
hick
er t
he b
and
the
hard
er i
t is
str
etch
the
ban
d.
The
“ye
llow
” b
and
is u
sual
ly t
he e
asie
st. T
he b
ands
can
be
boug
ht i
n bu
lk f
rom
w
ww
.The
ra-b
and.
com
or
othe
r in
tern
et s
ites
.
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t11
MA
RC
H1
23
45
67
89*
10*
1112
1314
1516
1718
1920
21*
2223
2425
2627
28
2930
31N
OT
ES
Mak
e a
fan
byfo
ldin
g be
auti
ful
colo
red
pape
r.
Wal
k to
a n
eigh
bor’s
hous
e to
vis
it.
Mak
e a
“Tou
chM
e” b
ook
wit
hva
riou
s te
xtur
edm
ater
ials
.
Pla
y “H
ot P
otat
o”
to m
usic
.M
ake
a fr
uit
sala
d.P
lay
“Bal
l B
ounc
e”by
tak
ing
a sh
eet
and
plac
ing
nerf
bal
ls i
nit
and
lif
ting
the
shee
t up
and
do
wn
to m
usic
.
Wri
te a
poe
m.
Pla
y C
hair
Kic
k B
all
indo
ors
wit
h a
beac
h ba
ll.
Pla
y w
ith
hom
em
ade
gree
n sl
ime:
a m
ixtu
re o
fco
rnst
arch
,w
ater
,and
fo
od c
olor
ing.
Wal
k ar
ound
wit
h a
bean
bag
on
your
head
. Try
not
to
drop
it!
Rec
ord
your
li
fe s
tory
on
aca
sset
te t
ape.
Mak
e ch
ocol
ate
cove
red
pret
zel
stic
ks w
ith
crus
hed
min
t co
okie
s.
Mak
e a
kite
out
of
pap
er b
ags,
st
ream
ers,
and
str
ing.
Fly
a k
ite.
Mak
e a
moc
kst
aine
d gl
ass
win
dow
pic
ture
wit
hcl
ear
adhe
sive
cove
ring
and
ti
ssue
pap
er.
Mak
e a
vegg
ie s
alad
wit
h on
ly g
reen
vege
tabl
es.
Thr
ow a
St.
Patr
ick’
sD
ay p
arty
. Be
sure
to
dan
ce!
Lis
ten
to a
boo
k on
tap
e.G
o on
a S
cave
nger
Hun
t ou
tdoo
rs.
Mak
e a
pict
ure
wit
h sc
ente
d fi
nger
pai
nts.
Do
body
str
etch
es.
Mak
e a
frui
t pu
nch.
Go
on a
Spr
ingt
ime
Egg
Hun
t.D
o ha
nd e
xerc
ises
in d
ough
.W
rite
a l
ette
r to
a f
rien
d.G
o to
the
par
k an
dpl
ay a
gam
e of
bas
ketb
all.
Kne
ad d
ough
and
mak
e br
ead
brai
ds.
Tak
e a
wal
k an
dm
ake
a na
ture
brac
elet
.
Lis
ten
to
clas
sica
l m
usic
.P
lay
Was
te P
aper
Bas
ketb
all
bycr
umbl
ing
pape
r in
to a
bal
l an
dto
ssin
g in
to a
w
aste
bas
ket.
Mak
e a
mar
ble
pain
ting
.
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t12
M A R C H
3M
ake
a “T
ouch
Me”
boo
k w
ith
vari
ous
text
ured
mat
eria
ls.
FU
RT
HE
R D
ES
CR
IPT
ION
•G
lue
item
s of
dif
fere
nt te
xtur
es s
uch
as c
otto
n, w
ool,
plas
tic,
tape
,fe
athe
rs, s
andp
aper
, etc
. on
diff
eren
t pa
ges
to f
orm
a b
ook.
•Ta
lk w
ith
the
clie
nts
abou
t ho
w e
ach
text
ure
feel
s to
the
m.
9M
ake
gree
n sl
ime:
A m
ixtu
re o
f co
rnst
arch
,wat
er,
and
food
col
orin
g.F
UR
TH
ER
DE
SC
RIP
TIO
N
•A
dd 2
par
ts c
orns
tarc
h an
d a
few
dro
ps o
f gr
een
food
col
orin
gto
a b
owl.
•S
low
ly a
dd i
n 1
part
wat
er t
o th
e m
ixtu
re a
nd s
tir
wit
h ha
nds.
•A
dd i
n an
othe
r m
easu
re o
f w
ater
a f
ew d
rops
at
a ti
me
unti
l th
em
ixtu
re c
hang
es c
onsi
sten
cy a
nd b
ecom
es s
tick
y an
d sl
imy.
12M
ake
choc
olat
e co
vere
d pr
etze
l sti
cks
wit
h cr
ushe
d m
int
cook
ies.
FU
RT
HE
R D
ES
CR
IPT
ION
•M
elt
choc
olat
e ei
ther
on
the
stov
e or
in
the
mic
row
ave.
Cru
shm
int
cook
ies.
Tak
e pr
etze
l st
icks
and
dip
the
m i
n th
e ch
ocol
ate
then
rol
l th
em i
n th
e cr
ushe
d m
int
cook
ies.
Pla
ce t
hem
on
wax
pape
r to
dry
, the
n ea
t, sm
ell
and
enjo
y.
20M
ake
a pi
ctur
e w
ith
scen
ted
fing
er p
aint
s.F
UR
TH
ER
DE
SC
RIP
TIO
N
•Po
ur d
iffe
rent
col
ored
pai
nts
into
bow
ls.
•A
dd 3
-5 d
rops
of
scen
ted
oils
(la
vend
er, p
ine,
spr
uce,
fir
,pe
pper
min
t, ch
amom
ile,
clo
ve, w
inte
rgre
en e
tc.)
to
the
pain
ts.
21D
o bo
dy s
tret
ches
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•S
tret
chin
g id
eas
incl
ude
rais
ing
arm
s up
ove
r he
ad a
nd b
endi
ngto
eac
h si
de, b
endi
ng d
own
to t
ouch
toe
s, p
ropp
ing
one
leg
upon
a s
urfa
ce a
nd b
endi
ng f
orw
ard
at t
he w
aist
, etc
.•
Str
etch
ing
can
be d
one
sitt
ing
or s
tand
ing.
24D
o ha
nd e
xerc
ises
in d
ough
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•E
xerc
ise
idea
s in
clud
e pr
acti
cing
squ
eezi
ng t
he d
ough
, rol
ling
the
doug
h in
the
pal
m o
f th
e ha
nd, p
inch
ing
the
doug
h w
ith
the
thum
b an
d fi
nger
s, e
tc.
28T
ake
a w
alk
and
mak
e a
natu
re b
race
let.
FU
RT
HE
R D
ES
CR
IPT
ION
•W
rap
a st
rip
of 2
inc
h w
ide
tape
aro
und
each
per
son’
s w
rist
wit
hth
e st
icky
sid
e fa
cing
out
.•
Dur
ing
the
wal
k, h
ave
clie
nts
stic
k in
tere
stin
g ob
ject
s to
the
ir b
race
let.
31M
ake
a m
arbl
e pa
inti
ng.
FU
RT
HE
R D
ES
CR
IPT
ION
•P
lace
a p
iece
of
pape
r in
the
bot
tom
of
a bo
x or
sho
ebox
.•
Spr
inkl
e a
coup
le d
iffe
rent
col
ors
of p
aint
and
som
e m
arbl
es i
nth
e bo
x an
d pl
ace
the
lid
onto
the
box
.•
Wit
h th
e li
d on
, hav
e th
e cl
ient
s sh
ake
the
box
to s
prea
d th
e pa
int
and
mak
e a
pict
ure.
Tak
e th
e pa
per
out
and
adm
ire
the
pict
ure.
9M
ake
gree
n sl
ime:
A m
ixtu
re o
f co
rnst
arch
,wat
er,
and
food
col
orin
g.A
DA
PTA
TIO
NS
•M
ake
sure
tha
t cl
ient
s do
not
hav
e al
lerg
ies
to i
ngre
dien
ts.
•B
e re
spec
tful
of
any
sens
itiv
ity
that
cli
ents
may
hav
e to
tou
chin
gth
e sl
ime.
Do
not
forc
e pe
ople
to
touc
h it
if
they
do
not
wis
h to
.•
Cli
ents
may
wis
h to
wea
r gl
oves
or
keep
the
sli
me
in a
pla
stic
bag
and
mov
e th
e ba
g.
10W
alk
arou
nd w
ith
bean
bag
s on
you
r he
ad.
Try
not
to
drop
the
m!
AD
AP
TAT
ION
S
•T
his
activ
ity
can
be p
erfo
rmed
whi
le p
rope
llin
g on
esel
f in
a w
heel
chai
r.•
Dif
fere
nt o
bjec
ts c
an b
e us
ed i
f be
an b
ags
are
unav
aila
ble
or t
oodi
ffic
ult.
Idea
s in
clud
e op
en b
ooks
, sm
all
pill
ows,
or
fabr
ic.
21D
o bo
dy s
tret
ches
.A
DA
PTA
TIO
NS
•E
xerc
ises
inv
olvi
ng b
endi
ng f
orw
ard
or r
otat
ing
to t
he s
ides
shou
ld n
ot b
e pe
rfor
med
by
clie
nts
who
hav
e os
teop
oros
is.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t13
AP
RIL
12
34
56
7
89
1011
1213
14
1516
*17
*18
19*
2021
2223
2425
2627
28*
2930
NO
TE
S
Mak
e a
cake
tha
tlo
oks
like
Spag
hett
ian
d M
eatb
alls
.
Mak
e ci
rcle
s w
ith
your
arm
s fo
rwar
d,ba
ckw
ard,
sm
all,
larg
e 10
tim
es e
ach.
Do
one
arm
or
both
arm
s to
geth
er.
Mak
e a
flow
erw
inds
ock.
Mak
e pi
zza
wit
hyo
ur f
rien
ds a
ndha
ve a
par
ty.
Mak
e a
neck
lace
wit
h pa
inte
dno
odle
s.
Pla
y Tu
g of
War
wit
h a
shee
t or
tow
el.
Giv
e a
neck
mas
sage
to a
fri
end.
Pla
y in
door
gol
f.W
rite
a s
impl
e pl
ay.
Mak
e po
ster
s to
adve
rtis
e yo
ur p
lay
and
invi
te p
eopl
e to
com
e se
e it
.
Pra
ctic
e th
e pl
ay.
Mak
e si
mpl
eco
stum
es f
or
the
play
.
Hav
e a
dres
sre
hear
sal
for
the
play
.
Perf
orm
the
pla
y fo
ran
aud
ienc
e!
Hav
e a
cast
par
ty t
oce
lebr
ate
your
perf
orm
ance
in
the
play
!
Pra
ctic
e ba
ttin
g a
base
ball
.P
ract
ice
catc
hing
and
thro
win
g a
base
ball
.
Mak
e up
a t
eam
nam
e fo
r yo
urba
seba
ll t
eam
.
Pla
y a
base
ball
gam
e!C
ut b
iscu
its
into
flow
er s
hape
s.P
lay
rela
y ra
ces
usin
g sp
oons
to
carr
y eg
gs o
r be
ans
acro
ss t
he r
oom
.
Wal
k th
roug
h yo
urne
ighb
orho
od a
ndco
llec
t it
ems
to r
ecyc
le.
Take
a b
ubbl
e ba
th.
Pass
a h
eavy
bal
l or
obje
ct t
o yo
ur f
rien
dsi
ttin
g in
a c
ircl
e 10
tim
es i
n bo
thdi
rect
ions
.
Dec
orat
e um
brel
las
and
have
a p
arad
e.D
ecor
ate
a fl
ower
pot
.P
lant
a f
low
er
in t
he p
ot.
Go
outs
ide
and
spra
y ba
lloon
s w
ith
a w
ater
bot
tle.
Lis
ten
to a
nd d
ance
to “
Sin
ging
in
the
Rai
n.”
Hav
e an
end
-of-
the
mon
th p
arty
.
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t14
EX10
A P R I L
1M
ake
a ca
ke t
hat
look
s lik
e Sp
aghe
tti a
nd M
eatb
alls
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•B
ake
a ro
und
cake
and
fro
st o
ne (
1) l
ayer
wit
h w
hite
fro
stin
g.•
Use
pas
try
bags
wit
h ro
und
tips
to
squi
rt s
trin
gs o
f fr
osti
ng“n
oodl
es”
all
over
the
cak
e.•
Pla
ce to
otsi
e ro
lls
or c
hoco
late
don
ut h
oles
on
cake
for
mea
tbal
ls.
•U
se s
traw
berr
y to
ppin
g as
sau
ce.
•S
prin
kle
coco
nut
on t
op a
s ch
eese
.
8P
lay
indo
or g
olf.
FU
RT
HE
R D
ES
CR
IPT
ION
•U
se p
last
ic t
oy g
olf
set
or h
ouse
hold
mat
eria
ls s
uch
as a
br
oom
or
yard
sti
ck t
o hi
t pl
asti
c ba
ll i
nto
targ
et s
uch
as c
up
or g
arba
ge c
an.
28G
o ou
tsid
e an
d sp
ray
ballo
ons
wit
h a
wat
er b
ottl
e.F
UR
TH
ER
DE
SC
RIP
TIO
N
•B
low
up
ball
oons
and
att
ach
to a
boa
rd w
ith
push
pin
s.•
Hav
e cl
ient
s st
and
at a
dis
tanc
e an
d us
e a
spri
tz b
ottl
e to
aim
at
ball
oons
.
16P
ract
ice
batt
ing
a ba
seba
ll.A
DA
PTA
TIO
NS
•U
se a
lar
ger
bat
or b
all
(or
both
) to
mak
e it
eas
ier
for
clie
nts
to h
it.
•A
bat
ting
tee
can
be
used
to
hit
from
if
clie
nts
have
dif
ficu
lty
aim
ing
for
the
mov
ing
ball
.•
Use
a b
each
bal
l or
bal
loon
to
help
ens
ure
succ
ess.
17P
ract
ice
catc
hing
and
thr
owin
g a
base
ball.
AD
AP
TAT
ION
S
•U
se V
elcr
o m
itts
or
hand
s on
ly i
f it
is
diff
icul
t fo
r cl
ient
to
catc
hw
ith
base
ball
glo
ve.
•V
ary
the
dist
ance
or
size
of
the
ball
s ac
cord
ing
to t
he s
kill
lev
elof
the
cli
ents
.
19P
lay
a ba
seba
ll ga
me.
AD
AP
TAT
ION
S
•M
odif
y “b
aseb
all
gam
e” f
or c
lien
t’s a
bili
ties
suc
h as
hit
ting
off
ate
e, u
sing
a l
ight
er b
all,
usin
g a
wif
fle
ball
and
bat
.•
Cha
nge
the
rule
s so
eve
ryon
e ha
s a
chan
ce t
o pl
ay.
28G
o ou
tsid
e an
d sp
ray
ballo
ons
wit
h a
wat
er b
ottl
e.A
DA
PTA
TIO
NS
•P
ract
ice
thin
king
ski
lls
by h
avin
g cl
ient
s ai
m f
or s
peci
fic
colo
rsor
tar
get
ball
oons
in
a gi
ven
sequ
ence
.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t15
MA
Y1
23
45
67
89
1011
1213
14
1516
1718
1920
*21
22*
2324
2526
2728
2930
*31
*N
OT
ES
Bri
ng b
aske
ts o
ffl
ower
s to
you
rne
ighb
or’s
hou
se.
Mak
e ho
mem
ade
bubb
les
and
wan
ds.
Mak
e bu
rrit
os f
or a
Mex
ican
fie
sta.
Mak
e a
piña
ta f
orC
inco
de
May
o.T
hrow
a C
inco
de
May
o pa
rty
wit
hyo
ur p
iñat
a!
Mak
e ho
mem
ade
mus
ical
inst
rum
ents
.
Mar
ch w
ith
your
mus
ical
ins
trum
ents
.
Take
a t
rip
to
the
zoo.
Fill
em
pty
pillo
wca
ses
wit
h ri
ce t
om
ake
wei
ghte
dpi
llow
s.U
se t
hem
to p
rovi
de d
eep
pres
sure
.
Do
Spr
ing
Cle
anin
g:du
st, s
wee
p, a
ndhe
lp r
earr
ange
th
e fu
rnit
ure.
Hit
a b
allo
on a
roun
dth
e ro
om. D
on’t
let
it
touc
h th
e fl
oor!
Mak
e fr
esh
sque
ezed
lem
onad
e.M
ake
a pi
ctur
e us
ing
pain
t ro
ller
s.L
aunc
h be
anba
gs
by p
laci
ng t
hem
on
top
of
your
foo
tan
d ki
ckin
g.
Mak
e m
eatb
alls
and
spag
hett
i. S
et t
heta
ble
wit
h an
It
alia
n th
eme.
Mak
e pi
ctur
es o
ut
of t
hum
b an
d fi
nger
pri
nts.
Do
exer
cise
s by
pla
ying
“S
imon
Say
s.”
Pla
nt a
ga
rden
out
side
.G
o on
a p
icni
c.P
lay
bean
bag
was
teba
sket
-bal
l.M
ake
laci
ng c
ards
.
Pla
y a
gam
e of
ball
oon
tenn
is.
Take
a t
rip
to t
heB
otan
ical
Gar
dens
.B
ake
and
deco
rate
a
cake
.M
ake
a ne
ckla
ceou
t of
cla
y be
ads.
Wal
k ba
refo
ot
in t
he g
rass
.M
ake
an
herb
al s
wag
.Ta
ke a
tri
p to
the
lib
rary
.
Mak
e ve
geta
ble
prin
ts u
sing
va
riou
s ve
geta
bles
.
Pla
ce f
amili
arsc
ents
in b
ottl
esan
d tr
y to
na
me
them
.
Mak
e bo
dy m
usic
by
sto
mpi
ng f
eet,
clap
ping
han
ds,
snap
ping
fin
gers
,et
c.B
OL
D•
DE
SC
RIP
TIO
N•
AD
AP
TAT
ION
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t16
M A Y
2M
ake
hom
emad
e bu
bble
s an
d w
ands
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•Fo
r bu
bble
s, m
ix 1
c d
ish
soap
, 1 c
cor
n sy
rup,
3 c
wat
er, a
ndfo
od c
olor
ing
(opt
iona
l).
•W
ands
can
be
mad
e fr
om h
ange
rs, p
ipe
clea
ners
, or
othe
rbe
ndab
le w
ire
obje
cts.
6M
ake
hom
emad
e m
usic
al in
stru
men
ts.
FU
RT
HE
R D
ES
CR
IPT
ION
•M
ake
inst
rum
ents
fro
m a
var
iety
of
ever
yday
mat
eria
ls s
uch
asde
cora
ted
empt
y oa
tmea
l bo
xes
and
stic
ks, p
aper
pla
tes
stap
led
toge
ther
fil
led
wit
h be
ans,
or
empt
y co
ntai
ners
fil
led
wit
hm
ater
ials
tha
t ra
ttle
whe
n sh
aken
.
9F
ill e
mpt
y pi
llow
cas
es w
ith
rice
to
mak
e w
eigh
ted
pillo
ws.
FU
RT
HE
R D
ES
CR
IPT
ION
•Fi
ll p
illo
w c
ase
wit
h ri
ce t
o de
sire
d w
eigh
t (1
lb,
2 l
b, 3
lb,
etc
.).
•S
ew e
nd c
lose
d ti
ghtly
usi
ng s
ewin
g m
achi
ne o
r by
han
d.•
Whe
n re
laxi
ng p
lace
the
wei
ghte
d pi
llow
on
your
sho
ulde
rs o
rch
est
prov
idin
g co
mfo
rtin
g pr
essu
re.
20P
lay
bean
bag
was
teba
sket
-bal
l.F
UR
TH
ER
DE
SC
RIP
TIO
N
•T
hrow
bea
nbag
s in
to w
aste
bask
ets.
•W
hen
you
mak
e a
bask
et m
ove
the
bask
et f
urth
er a
way
fro
myo
u to
mak
e it
har
der.
21M
ake
laci
ng c
ards
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•T
race
and
cut
out
pat
tern
of
desi
red
shap
e on
hea
vy p
aper
.•
Use
hol
e pu
nche
r to
mak
e ho
les
arou
nd e
dge
of t
he s
hape
.•
Thr
ead
wit
h ya
rn f
rom
one
end
of
the
shap
e to
the
oth
er t
oou
tlin
e sh
ape.
25M
ake
a ne
ckla
ce o
ut o
f cl
ay b
eads
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•M
ix 1
/2 c
cor
nsta
rch,
1/2
c f
lour
, and
1/2
c s
alt
in a
bow
l.•
Slo
wly
add
war
m w
ater
unt
il t
he m
ixtu
re s
tick
s to
geth
er a
nd c
anbe
sha
ped.
•R
oll
doug
h in
to s
mal
l be
ads,
pie
rce
bead
s w
ith
toot
hpic
ks a
ndal
low
to
dry.
•Pa
int
or d
ecor
ate
bead
s as
des
ired
and
all
ow t
o dr
y. S
pray
bea
dsw
ith
acry
clic
fin
ish
and
let
dry.
Onc
e dr
y, s
trin
g be
ads
to m
ake
your
nec
klac
e!
27M
ake
an h
erba
l sw
ag.
FU
RT
HE
R D
ES
CR
IPT
ION
•B
unch
fre
sh h
erbs
suc
h as
bas
il, m
int,
dill
, par
sley
, etc
. tog
ethe
r.•
Sec
ure
wit
h a
rubb
er b
and
on t
he e
nd a
nd t
ie a
rib
bon
to h
ide
the
rubb
er b
and.
•H
ang
upsi
de d
own
to d
ry.
29M
ake
vege
tabl
e pr
ints
usi
ng v
ario
us v
eget
able
s.F
UR
TH
ER
DE
SC
RIP
TIO
N
•C
arve
or
cut
shap
es i
nto
frui
ts o
r ve
geta
bles
suc
h as
pot
atoe
s,ca
rrot
s, t
urni
ps, o
r ap
ples
.•
Dip
car
ved
frui
ts o
r ve
geta
bles
int
o bo
wl
of p
aint
and
sta
mp
onpa
per
as d
esir
ed.
30P
lace
fam
iliar
sce
nts
in b
ottl
es a
nd t
ry t
o na
me
them
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•S
ugge
stio
ns f
or d
iffe
rent
sce
nts
incl
ude
perf
umes
, col
ogne
s,la
vend
er o
il, p
eppe
rmin
t, ch
amom
ile,
or
lem
on.
20T
hrow
bea
nbag
s in
to w
aste
bask
ets
gett
ing
furt
her
away
fro
mth
e ba
sket
eac
h ti
me
you
mak
e it
.A
DA
PTA
TIO
NS
•M
odif
y th
e si
ze o
f w
aste
bask
et u
sed
or o
bjec
t th
row
n to
incr
ease
or
decr
ease
dif
ficu
lty.
•H
eavi
er b
ean
bags
can
be
used
to
help
inc
reas
e m
uscl
e st
reng
th.
•S
ubst
itut
e te
xtur
ed b
alls
suc
h as
Koo
sh b
alls
or
squi
sh b
alls
to
incr
ease
tac
tile
aw
aren
ess.
22P
lay
a ga
me
of b
allo
on t
enni
s.A
DA
PTA
TIO
NS
•L
arge
r te
nnis
rac
kets
and
bea
ch b
alls
may
be
used
.•
Add
wei
ghts
aro
und
the
clie
nt’s
wri
st t
o he
lp b
uild
str
engt
hdu
ring
the
act
ivit
y.
30P
lace
fam
iliar
sce
nts
in b
ottl
es a
nd t
ry t
o na
me
them
.A
DA
PTA
TIO
NS
•W
hen
you
wan
t to
cal
m d
own,
use
soo
thin
g sc
ents
suc
h as
lave
nder
, ger
aniu
m, o
r ro
se.
•W
hen
you
wan
t to
bec
ome
mor
e al
ert,
try
scen
ts s
uch
aspe
pper
min
t, gr
apef
ruit
, lem
on, e
tc.
•R
emem
ber
that
eac
h pe
rson
has
dif
fere
nt o
lfac
tory
(sm
ell)
nee
dsan
d se
nsit
ivit
ies;
be
sure
to
find
the
rig
ht s
cent
for
eac
h pe
rson
.
31M
ake
body
mus
ic b
y st
ompi
ng f
eet,
clap
ping
han
ds,
snap
ping
fin
gers
,etc
.A
DA
PTA
TIO
NS
•W
hen
clie
nts
have
a h
ard
tim
e m
akin
g a
mov
emen
t, pr
ovid
eha
nd-o
ver-
hand
ass
ista
nce.
•R
epea
t si
mpl
e m
ovem
ents
for
cli
ents
who
hav
e di
ffic
ulty
. Add
mor
e st
eps
to i
ncre
ase
diff
icul
ty.
•H
ave
clie
nts
take
tur
ns b
eing
the
lea
der
to i
ncre
ase
part
icip
atio
nan
d m
otiv
atio
n.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t17
JUN
E1
23
45
67*
89
10*
1112
1314
1516
1718
1920
21
2223
24*
2526
2728
2930
NO
TE
S
Talk
abo
ut w
hat
your
fav
orit
e se
ason
is a
nd w
hy.
Put
on
your
fav
orit
eba
seba
ll c
ap a
nd g
ofo
r a
wal
k.
Mak
e P
opsi
cles
.W
ash
a ca
r or
ha
ve a
car
was
h.M
ake
a sa
ilbo
at.
Go
to a
loc
al p
ond,
lake
, or
rive
r to
laun
ch t
oy s
ailb
oats
.
Mak
e so
me
play
dou
gh.
Rea
d th
e bo
okW
ater
mel
on D
ayan
dea
t w
ater
mel
on.
Mak
e w
ater
mel
onsp
lash
coo
kies
.G
o sw
imm
ing
at a
loca
l po
ol.
Do
sand
art
.Fi
ll 2
lit
er b
ottl
es
1/2
way
wit
h sa
ndan
d li
ft o
verh
ead
10 t
imes
.
Mak
e ha
nd-h
eld
wav
e m
achi
nes.
Dis
cuss
im
port
ance
of s
unsc
reen
and
pu
t so
me
on t
o go
on a
wal
k.
Mak
e po
stca
rds
and
mai
l to
a f
rien
d.In
the
eve
ning
, go
outs
ide
and
catc
hli
ghtn
ing
bugs
.
Pai
nt w
ith
cott
onba
lls a
ndcl
othe
spin
s.
Take
pic
ture
s of
the
gard
en y
ou p
lant
edla
st m
onth
.
Mak
e le
is (
Haw
aiia
nfl
ower
nec
klac
es).
Lea
rn t
o hu
la a
nd d
oth
e li
mbo
.H
ave
a lu
au t
oce
lebr
ate
the
firs
tda
y of
sum
mer
.
Mak
e a
tabl
e cl
oth
and
cook
ies
for
tom
orro
w.
Talk
abo
ut t
able
man
ners
and
hav
e a
tea
part
y.
Go
fish
ing.
Cel
ebra
tegr
adua
tion
s.G
o on
a w
alk
and
look
for
bug
s an
d bu
tter
flie
s.
Mak
e a
slim
y sn
ack
wit
h fl
avor
ed g
elat
inan
d gu
mm
y w
orm
s.
Hav
e a
lem
onad
e st
and.
Hav
e a
wat
er
ball
oon
toss
.H
ave
an i
ce c
ream
soci
al a
nd i
nvit
e th
e ne
ighb
ors.
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t18
J U N E
3M
ake
Pop
sicl
es.
FU
RT
HE
R D
ES
CR
IPT
ION
•M
ix 1
c v
anil
la y
ogur
t, 6
oz. o
rang
e ju
ice
conc
entr
ate,
and
1-2
cm
ilk
in b
owl.
•Po
ur m
ixtu
re in
to p
aper
cup
s or
ice
cube
tray
and
pla
ce in
fre
ezer
.•
Whe
n m
ixtu
re i
s ha
lf f
roze
n, p
ut o
ne P
opsi
cle
stic
k in
to e
ach
cup.
Con
tinu
e fr
eezi
ng u
ntil
ful
ly f
roze
n.
7M
ake
som
e pl
ay d
ough
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•M
ix 1
1/2
c f
lour
and
3/4
c s
alt
toge
ther
in
one
bow
l. M
ix 1
1/2
c w
ater
, 1 1
/2 T
coo
king
oil
, and
foo
d co
lori
ng i
n a
seco
nd b
owl.
•M
ix t
wo
bow
ls t
oget
her
and
heat
on
stov
e un
til
mix
ture
beg
ins
to l
oose
n fr
om s
ides
of
pan.
Kne
ad, c
ool
and
stor
e.
9M
ake
wat
erm
elon
spl
ash
cook
ies.
FU
RT
HE
R D
ES
CR
IPT
ION
•Fo
llow
any
sug
ar c
ooki
e re
cipe
and
die
the
dou
gh r
ed
wit
h fo
od c
olor
ing.
•R
oll
doug
h in
to a
log
. The
n, r
oll
the
log
into
gre
en s
ugar
. Wra
pan
d re
frig
erat
e fo
r ab
out
1 ho
ur.
•C
ut l
og i
nto
1/4
in s
lice
s an
d cu
t ea
ch s
lice
int
o ha
lf(w
ater
mel
on s
hape
).•
Pus
h m
ini
choc
olat
e ch
ips
into
eac
h sl
ice
for
wat
erm
elon
see
ds.
•B
ake
acco
rdin
g to
rec
ipe
dire
ctio
ns.
13M
ake
hand
-hel
d w
ave
mac
hine
s.F
UR
TH
ER
DE
SC
RIP
TIO
N
•A
dd e
qual
am
ount
s of
wat
er a
nd v
eget
able
oil
to
desi
red
heig
htin
em
pty
soda
bot
tle.
•A
dd f
ood
colo
ring
, gli
tter
, and
/or
sequ
ins.
•S
ecur
e li
d on
bot
tle.
Tip
bot
tle
on i
ts s
ide
and
wat
ch t
he
wav
es m
ove!
17P
aint
wit
h co
tton
bal
ls a
nd c
loth
espi
ns.
FU
RT
HE
R D
ES
CR
IPT
ION
•S
ecur
e co
tton
bal
l on
the
end
of
clot
hesp
in.
•D
ip i
n pa
int
and
crea
te a
mas
terp
iece
!
7M
ake
som
e pl
ay d
ough
.A
DA
PTA
TIO
NS
•M
ake
play
dou
gh y
ou c
an e
at. Y
ou c
an f
ind
a re
cipe
on
the
inte
rnet
or
libr
ary.
•O
ne c
omm
on e
dibl
e re
cipe
inv
olve
s pe
anut
but
ter.
Be
cert
ain
clie
nt d
oes
not
have
an
alle
rgy
to p
eanu
ts.
10G
o sw
imm
ing
at a
loca
l poo
l.A
DA
PTA
TIO
NS
•U
se f
loat
atio
n de
vice
s fo
r cl
ient
s w
ho a
re n
ot s
tron
g sw
imm
ers
or j
ust
to h
ave
fun
whi
le s
wim
min
g.•
For
clie
nts
who
hav
e di
ffic
ulty
sw
imm
ing,
do
wat
er a
erob
ics
by h
avin
g th
em h
old
onto
the
edg
e of
the
poo
l an
d ki
ck, w
alk
back
and
for
th t
he l
engt
h of
the
poo
l, or
mov
e ar
ms
in a
nd o
utof
the
wat
er.
24G
o fi
shin
g.A
DA
PTA
TIO
NS
•In
door
fis
hing
can
be
done
whe
n cl
ient
s ca
n no
t go
to
a fi
shin
gpo
nd o
utsi
de.
•M
ake
hom
emad
e fi
shin
g ro
ds f
rom
sti
cks,
str
ings
, and
mag
nets
.C
atch
pap
er f
ish
wit
h pa
per
clip
s at
tach
ed t
o th
em.
•T
hink
ing
skil
ls c
an b
e pr
acti
ced
by a
ttac
hing
que
stio
ns t
o fi
sh,
fish
ing
for
cert
ain
colo
rs, c
ount
ing
fish
, etc
.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t19
JUL
Y1
23
45
67
8*9
1011
1213
14
15*
1617
1819
2021
2223
2425
2627
*28
2930
31N
OT
ES
Mak
e a
blow
art
pict
ure
to r
epre
sent
fire
wor
ks.
Dri
ve o
ut t
o th
e be
ach
and
coll
ect
shel
ls.
Hav
e a
pre-
July
4th
BB
Q a
nd p
repa
reha
mbu
rger
pat
ties
.
Hav
e a
4th
of J
uly
para
de a
nd w
atch
fire
wor
ks.
Pla
n a
cam
ping
tri
p.G
o to
the
sto
re t
obu
y fo
od a
ndsu
ppli
es f
or t
heca
mpi
ng t
rip.
Pack
for
you
rca
mpi
ng t
rip.
Pit
ch a
ten
t an
d se
tup
the
cam
psit
e.G
o fo
r a
hike
nea
ryo
ur c
amps
ite.
Mak
e S
’mor
es!
Dec
orat
e a
mir
ror
or p
ictu
re f
ram
ew
ith
shel
ls.
Wal
k ar
ound
th
e tr
ack
at a
lo
cal
scho
ol.
Mak
e Fr
ench
Cre
pes.
Wea
r re
d, w
hite
, and
blue
and
cel
ebra
teB
asti
lle
Day
.
Giv
e ea
ch
othe
r pe
dicu
res.
Hav
e a
crab
fea
st.
Pla
n fo
r a
gara
ge s
ale.
Hav
e a
gara
ge s
ale.
Vis
it l
ocal
nat
ure
cent
er a
nd l
earn
abou
t co
mpo
stin
g.
Sta
rt a
com
post
are
a.G
o to
a w
ater
aero
bics
cla
ss.
Lea
rn h
ow t
oex
erci
se s
afel
y in
the
hea
t.
Ren
t a
padd
le b
oat
in t
he T
idal
Bas
in.
Go
to a
Fa
rmer
’s M
arke
t.M
ake
vege
tabl
eka
bobs
.L
iste
n to
soo
thin
gm
usic
and
lis
ten
toso
meo
ne d
oing
guid
ed v
isua
lim
ager
y.
Do
10 p
arti
al s
it-u
psan
d 10
par
tial
pu
sh-u
ps.
Go
to a
n ou
tdoo
r pl
ay.
Pla
y in
a s
prin
kler
.M
ake
hom
emad
eic
e cr
eam
.M
ake
a ba
nana
spl
itus
ing
the
hom
emad
eic
e cr
eam
.
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t20
J U L Y
1M
ake
a bl
ow a
rt p
ictu
re t
o re
pres
ent
fire
wor
ks.
FU
RT
HE
R D
ES
CR
IPT
ION
•P
lace
dro
ps o
f di
ffer
ent-
colo
red,
non
-tox
ic p
aint
s on
a p
iece
of
dark
pap
er.
•H
ave
clie
nts
use
stra
ws
to b
low
the
pai
nt a
nd s
prea
d it
out
to
look
lik
e fi
rew
orks
.
25M
ake
vege
tabl
e ka
bobs
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•P
lace
a v
arie
ty o
f ve
geta
bles
on
a sk
ewer
. Mar
inat
e as
des
ired
.•
Gri
ll o
r br
oil.
30M
ake
hom
emad
e ic
e cr
eam
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•U
se a
fav
orit
e ho
mem
ade
ice
crea
m r
ecip
e an
d m
ix f
ollo
win
gth
e di
rect
ions
.•
Use
2 e
mpt
y m
etal
con
tain
ers
that
fit
ins
ide
of e
ach
othe
r su
chas
em
pty
coff
ee c
ans.
•Po
ur i
ce c
ream
mix
ture
int
o sm
alle
r ca
n an
d se
cure
lid
tig
htly
.•
Pla
ce s
mal
l ca
n in
side
the
oth
er, l
eavi
ng a
n in
ch b
etw
een
the
2 ca
ns.
•Fi
ll s
ides
wit
h al
tern
atin
g ro
ws
of i
ce a
nd r
ock
salt
. Sec
ure
lid
for
larg
er c
an t
ight
ly.
•H
ave
clie
nts
shak
e, r
oll,
or k
ick
the
can
arou
nd f
orap
prox
imat
ely
20 m
in.
•C
heck
to
see
how
fro
zen
it b
ecom
es.
8P
itch
a t
ent
and
set
up t
he c
amps
ite.
AD
AP
TAT
ION
S
•If
una
ble
to g
o aw
ay f
or a
tri
p, b
acky
ards
or
indo
or s
pace
s ca
nbe
use
d as
cam
psit
es a
nd b
lank
ets
can
be u
sed
as t
ents
.
15G
ive
each
oth
er p
edic
ures
.A
DA
PTA
TIO
NS
•C
heck
wit
h ph
ysic
ian
or p
odia
tris
t be
fore
pro
ceed
ing
wit
h an
ycu
ttin
g or
cli
ppin
g of
nai
ls.
•If
cut
ting
or
clip
ping
of
nail
s is
pro
hibi
ted,
do
foot
mas
sage
s an
dpo
lish
onl
y.
27D
o 10
par
tial
sit
-ups
and
10
push
-ups
.A
DA
PTA
TIO
NS
•P
ush-
ups
can
be m
ade
easi
er b
y ha
ving
cli
ents
pus
h up
fro
m
the
knee
s or
fro
m s
tand
ing
in f
ront
of
a w
all
and
push
ing
back
and
fort
h.•
Sea
ted
push
-ups
can
als
o be
don
e fo
r cl
ient
s w
ho a
re u
nabl
e to
stan
d sa
fely
or
perf
orm
a f
loor
pus
h-up
. To
do a
sea
ted
push
-up,
have
cli
ents
pus
h do
wn
on t
he a
rms
of t
he c
hair
to
lift
the
irbo
ttom
off
sea
t.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t21
AU
GU
ST
12
34
5*6
7
89
1011
1213
14
1516
17*
1819
2021
2223
*24
2526
2728
2930
31N
OT
ES
Giv
e yo
urse
lf a
beau
ty m
akeo
ver
by g
oing
to
the
barb
er s
hop
orbe
auty
sho
p.
Go
peac
h pi
ckin
g.M
ake
a pe
ach
pie.
Do
a pi
ctur
e w
ith
spin
art
.S
earc
h fo
r hi
dden
obje
cts
in a
cont
aine
r of
ric
e.
Mak
e pe
ach
smoo
thie
s.M
ake
a fr
uit
and
vegg
ie c
olla
ge w
ith
pict
ures
fro
mm
agaz
ines
.
Mak
e fr
esh
sque
ezed
lim
eade
.C
ool
off
by u
sing
hand
hel
d, b
atte
ry-
oper
ated
fan
s.
Go
for
a w
alk
and
find
a s
hady
tre
e to
sit
unde
r.
Use
sce
nted
pap
er t
ow
rite
a l
ette
r or
dra
wa
pict
ure.
Pla
y ca
rd g
ames
.C
heck
out
loc
al y
oga
prog
ram
s on
web
site
or l
ibra
ry a
nd d
oso
me
yoga
.
Pain
t a
sum
mer
scen
e w
ith
wat
er c
olor
s.
Go
to F
arm
er’s
Mar
ket
and
get
wil
d fl
ower
s.
Mak
e a
wil
d fl
ower
bou
quet
.P
lay
a ga
me
of c
roqu
et.
Go
to a
n ou
tdoo
rfr
ee c
once
rt.
Wee
d ou
t th
e ga
rden
.W
alk
bare
foot
in
the
san
d.Sh
ake
and
mak
eho
mem
ade
butt
eran
d bi
scui
ts.
Go
to a
lo
cal
carn
ival
.P
lay
a ga
me
ofba
dmin
ton
outd
oors
.S
hop
at t
he “
Bac
k to
Sch
ool”
sal
es.
Go
to a
loc
al p
ark
and
find
bir
ds.
Hav
e a
sum
mer
si
ng a
long
.M
ake
lett
erpr
etze
ls o
ut
of d
ough
.
Mak
e pu
ppet
s fr
om s
ocks
or
pape
rlu
nch
bags
.
Hav
e st
ory
tim
e w
ith
the
pupp
ets.
Pic
k sw
eet
corn
an
d sh
uck
it.
Thr
ow a
n en
d of
the
sum
mer
par
ty.
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t22
A U G U S T
6M
ake
peac
h sm
ooth
ies.
FU
RT
HE
R D
ES
CR
IPT
ION
•S
lice
and
rem
ove
pit
from
lar
ge p
each
.•
Ble
nd p
each
sli
ces
wit
h ic
e cu
bes
and
1/2
c ea
ch o
f pe
ach
yogu
rt a
nd m
ilk
toge
ther
in
a bl
ende
r.
21Sh
ake
and
mak
e ho
mem
ade
butt
er a
nd b
iscu
its.
FU
RT
HE
R D
ES
CR
IPT
ION
•Fo
r bu
tter
: P
lace
1 T
of
whi
ppin
g cr
eam
in
a ba
by f
ood
jar
and
shak
e un
til
butt
er f
orm
s. D
epen
ding
on
the
amou
nt o
f fo
rce
used
to
shak
e th
e bo
ttle
thi
s ac
tivit
y co
uld
take
up
to 1
0 to
15
min
utes
or
long
er.
•Fo
llow
you
r fa
vori
te b
iscu
it r
ecip
e or
use
ref
rige
rate
d bi
scui
tsan
d sp
read
but
ter
on t
hem
.
27M
ake
lett
er p
retz
els
out
of d
ough
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•U
se y
our
favo
rite
bre
ad d
ough
rec
ipe
or r
efri
gera
ted
brea
d do
ugh.
•R
oll
piec
es t
o fo
rm l
ette
rs.
•B
rush
wit
h be
aten
egg
s an
d sp
rink
le w
ith
salt
or
sesa
me
seed
s.•
Bak
e ac
cord
ing
to r
ecip
e.
5Se
arch
for
hid
den
obje
cts
in a
con
tain
er o
f ri
ce.
AD
AP
TAT
ION
S
•V
ary
the
size
of
the
obje
cts
to h
ide.
Lar
ger
obje
cts
are
easi
er t
o fi
nd.
•U
se d
iffe
rent
tex
ture
s to
pro
vide
var
iety
and
enh
ance
tac
tile
awar
enes
s. S
ugge
stio
ns f
or o
ther
tex
ture
s in
clud
e sa
nd, b
eans
, or
fake
sno
w.
•C
lien
ts m
ay u
se g
love
s if
the
y pr
efer
not
to
touc
h th
e ri
ce o
rot
her
subs
tanc
e.•
Hav
e cl
ient
s us
e th
eir
sens
e of
tou
ch t
o gu
ess
wha
t th
ey
are
feel
ing.
17P
lay
a ga
me
of c
roqu
et.
AD
AP
TAT
ION
S
•E
lim
inat
e w
icke
ts o
r us
e la
rger
wic
kets
if
it i
s to
o di
ffic
ult
for
clie
nt t
o ai
m b
all.
23P
lay
a ga
me
of b
adm
into
n ou
tdoo
rs.
AD
AP
TAT
ION
S
•U
se l
arge
r ra
cket
s an
d bi
rdie
s to
mak
e it
eas
ier.
•P
lay
a ga
me
wit
hout
net
s to
mak
e th
e ga
me
easi
er.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t23
SE
PT
EM
BE
R1
23
45
67*
89
1011
1213
14
1516
1718
1920
21
22*
2324
2526
2728
2930
NO
TE
S
Pla
y a
gam
e of
mus
ical
cha
irs.
Mak
e an
d pl
ayka
zoos
usi
ngca
rdbo
ard
tube
s,w
ax p
aper
,an
d ru
bber
ba
nds.
Rea
d th
e bo
okP
icki
ng A
pple
s an
d P
umpk
ins
byA
my
Hut
chin
gs.
Pra
ctic
e ro
llin
g on
the
bed
or
on t
he f
loor
.
Mak
e ap
ple
muf
fins
.M
ake
a te
xtur
eddr
awin
g us
ing
cray
ons
and
a sc
reen
.
Pla
y a
gam
e of
socc
er w
ith
your
fri
ends
.
Rub
app
le-s
cent
edlo
tion
on
your
arm
san
d ha
nds.
Inte
rvie
w s
omeo
ne’s
gran
dpar
ent
or a
nol
der
adul
t ab
out
thei
r li
fe.
Wri
te a
Tha
nk-Y
ouno
te f
or t
he p
erso
nyo
u in
terv
iew
edye
ster
day.
Mak
e pe
rson
aliz
edlu
nch
bags
.To
ss g
reen
, red
, and
yell
ow b
eanb
ags
into
a ba
sket
and
pre
tend
they
are
app
les.
Glu
e pi
eces
of
red
tiss
ue p
aper
ont
o a
prec
ut a
pple
sha
pe.
Toss
a N
erf
or s
oft
foot
ball
aro
und.
Mak
e F
ruit
Put
tyou
t of
sug
ar-f
ree
Jell-
O o
r K
ool-
Aid
.
Rea
d T
he T
rue
Stor
yof
Joh
nny
App
lese
edby
Mar
gare
t H
odge
s.
Go
to a
Far
mer
’sM
arke
t or
app
leor
char
d an
d pi
ck
out
som
e ap
ples
.
Mak
e so
me
fres
h ap
ples
auce
.M
ake
text
ured
fi
nger
pai
nt o
ut o
fsh
avin
g cr
eam
and
unco
oked
ric
e.
Pla
y Fo
llow
the
Lea
der
and
prac
tice
diff
eren
t ki
nds
ofm
ovem
ent
to m
usic
.
Mak
e ca
ram
elap
ples
.
Jum
p on
a m
ini-
tram
poli
ne o
rpi
llow
s pl
aced
on
the
floo
r.
Go
to t
he l
ibra
ry a
ndre
ad a
boo
k.M
ake
shru
nken
appl
e fa
ces.
Mak
e an
d ea
t Ant
son
a L
og s
nack
sus
ing
cele
ry, r
aisi
ns,
and
pean
ut b
utte
r or
cre
am c
hees
e.
Pla
n to
hav
e a
Bac
kwar
ds D
ay.
Mak
e di
nner
for
brea
kfas
t et
c.
Hav
e a
Bac
kwar
ds D
ay!
Take
a s
enso
ry w
alk
and
nam
e ev
eryt
hing
you
can
hear
.
Mak
e an
d la
ce
leaf
-sha
ped
laci
ng c
ards
.
Mak
e ba
ked
appl
es.
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t24
S E P T E M B E R
2M
ake
and
play
kaz
oos
usin
g ca
rdbo
ard
tube
s,w
ax p
aper
,and
rubb
er b
ands
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•Ta
ke a
car
dboa
rd t
ube
and
pain
t an
d de
cora
te i
t. P
lace
a s
ix i
nch
circ
le c
ut o
ut o
f w
ax p
aper
and
pla
ce o
ver
one
end
of t
he t
ube
secu
ring
it
wit
h a
rubb
er b
and.
Mak
e so
unds
thr
ough
the
ope
nen
d an
d pl
ay y
our
favo
rite
tun
es.
15M
ake
Fru
it P
utty
out
of
suga
r-fr
ee J
ell-
O o
r K
ool-
Aid
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•M
ix p
kg o
f su
gar-
free
fru
it f
lavo
red
Jell
-O o
r K
ool-
Aid
wit
h 2
c fl
our,
1 c
salt
, and
4 T
cre
am o
f ta
rtar
.•
Add
2 c
boi
ling
wat
er a
nd 2
T c
ooki
ng o
il.
•H
eat
unti
l m
ixtu
re f
orm
s a
ball
.
18M
ake
som
e fr
esh
appl
esau
ce.
FU
RT
HE
R D
ES
CR
IPT
ION
•C
ore,
pee
l, an
d cu
t 1
lb a
pple
s in
to w
edge
s.•
Add
up
to 1
/3 c
sug
ar, p
inch
of
cinn
amon
, and
1/3
c w
ater
.•
Bri
ng t
o bo
il, t
hen
redu
ce h
eat
and
sim
mer
on
low
hea
t fo
r 5
min
or
unti
l m
ixtu
re i
s so
ft.
•B
lend
unt
il d
esir
ed t
extu
re i
s ac
hiev
ed.
19M
ake
text
ured
fin
ger
pain
t ou
t of
sha
ving
cre
am a
ndun
cook
ed r
ice.
FU
RT
HE
R D
ES
CR
IPT
ION
•M
ix s
havi
ng c
ream
wit
h un
cook
ed r
ice.
•A
dd f
ood
colo
ring
to
mak
e a
favo
rite
col
ored
pai
nt.
24M
ake
shru
nken
app
le f
aces
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•Pe
el, c
ore,
and
car
ve a
fac
e in
to a
n ap
ple.
•D
ip i
n le
mon
jui
ce a
nd l
et i
t si
t in
a d
ry p
lace
and
it
wil
l sh
rive
l.
29M
ake
and
lace
leaf
-sha
ped
laci
ng c
ards
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•Ta
ke o
ak t
ag p
aper
or
man
ila
fold
er a
nd t
race
a l
eaf
shap
e on
the
pap
er. C
ut i
t ou
t an
d pu
nch
hole
s al
l ar
ound
the
edg
es.
Use
sho
e st
ring
or
yarn
and
lac
e in
and
out
of
the
hole
s.D
ecor
ate
if d
esir
ed.
7P
lay
a ga
me
of s
occe
r w
ith
your
fri
ends
.A
DA
PTA
TIO
NS
•S
et u
p co
nes
and
have
cli
ents
kic
k th
e ba
ll i
n be
twee
n th
em.
Pla
ce c
ones
far
ther
apa
rt f
or b
egin
ners
and
clo
ser
toge
ther
for
mor
e ad
vanc
ed c
lien
ts.
•E
lim
inat
e ga
me
rule
s an
d pl
ay c
ompo
nent
s to
pra
ctic
e sk
ills
such
as
drib
blin
g th
e ba
ll, k
icki
ng a
mov
ing
ball
, pas
sing
the
ball
to
one
anot
her,
and
aim
ing
at a
lar
ge g
oal.
•U
se a
lig
hter
wei
ght
ball
to
mak
e it
eas
ier
for
a cl
ient
who
is
wea
k or
not
as
coor
dina
ted.
22Ju
mp
on a
min
i-tr
ampo
line
or p
illow
s pl
aced
on
the
floo
r.A
DA
PTA
TIO
NS
•M
ake
sure
act
ivit
y is
con
duct
ed i
n a
larg
e, o
pen
spac
e.•
Cli
ents
can
hol
d ha
nds
for
supp
ort
if b
alan
ce i
s an
iss
ue.
•If
cli
ents
can
not
jum
p of
f th
e gr
ound
, hav
e th
em w
alk
acro
ss o
rbo
unce
on
the
tram
poli
ne o
r pi
llow
s.•
Hav
e cl
ient
s ju
mp
to m
usic
to
incr
ease
or
decr
ease
ra
te o
f ju
mpi
ng.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t25
OC
TO
BE
R1
23*
45
67
89
10*
1112
1314
1516
1718
1920
21
2223
2425
2627
28
2930
31N
OT
ES
Toss
Koo
sh o
r ot
her
soft
, fuz
zy b
all
toyo
ur f
rien
ds.
Roc
k in
a
rock
ing
chai
r.P
lay
Mus
ical
Car
pet
Squa
res.
Mak
e pu
mpk
inm
uffi
ns.
Mak
e a
leaf
ru
bbin
g pi
ctur
e.P
lay
a pa
rach
ute
acti
vity
wit
h a
pile
of le
aves
.
Rea
d W
hy D
oL
eave
s C
hang
eC
olor
?B
y B
etsy
Mae
stro
.
Use
a m
agni
fyin
ggl
ass
to e
xam
ine
leav
es.
Mak
e fr
ozen
bana
nas
cove
red
wit
h ce
real
and
choc
olat
e.
Take
pie
ces
ofst
retc
hy e
xerc
ise
band
and
pul
l ap
art
wit
h bo
th h
ands
10
tim
es.
Rel
ax i
n a
bean
bag
chai
r. L
iste
n to
mus
ic w
hile
yo
u re
lax.
Go
to t
he l
ibra
ry a
ndfi
nd o
ut a
bout
Chr
isto
pher
Col
umbu
s.
Wal
k ba
refo
ot
in l
eave
s an
d ki
ck t
hem
.
Go
on a
wal
k an
dco
llec
t le
aves
. Tal
kab
out
the
colo
rs
you
see.
Pre
serv
e th
e le
aves
you
colle
cted
usi
ngw
ax p
aper
.
Mak
e a
pum
pkin
win
dsoc
k.G
o to
a p
umpk
inpa
tch
and
pick
ou
t pu
mpk
ins.
Rem
ove
seed
s fr
omon
e pu
mpk
in a
ndto
ast
them
.
Mak
e a
pum
pkin
pie
.P
lan
for
a H
allo
wee
nco
stum
e pa
rty
and
send
hom
emad
ein
vita
tion
s.
Buy
sup
plie
s fo
ryo
ur H
allo
wee
nco
stum
e.
Mak
e a
Hal
low
een
cost
ume.
Take
in
fall
sm
ells
,so
unds
, and
col
ors
whi
le s
win
ging
in
aha
mm
ock
or ly
ing
on a
bla
nket
in
the
gras
s.
Use
you
rim
agin
atio
n an
dm
ake
Hal
low
een
deco
rati
ons.
Pla
y P
umpk
in H
ide-
and-
See
k an
d lo
okfo
r pa
per
pum
pkin
sar
ound
the
hou
se.
Mak
e pu
mpk
in-
shap
ed c
ooki
es.
Mak
e an
d st
uff
asc
arec
row
for
th
e ya
rd.
Use
the
pre
serv
edle
aves
to
mak
epl
acem
ats
for
your
part
y gu
ests
.
Dec
orat
e a
cake
fo
r H
allo
wee
n.C
arve
a p
umpk
in.
Thr
ow a
M
onst
er B
ash!
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t26
EX11
O C T O B E R
3P
lay
Mus
ical
Car
pet
Squa
res.
FU
RT
HE
R D
ES
CR
IPT
ION
•T
his
gam
e is
lik
e m
usic
al c
hair
s ex
cept
car
pet
squa
res
are
used
inst
ead
of c
hair
s. S
tand
and
pla
y m
usic
. Hav
e ea
ch p
erso
n w
alk
arou
nd t
he c
arpe
t sq
uare
s. W
hen
the
mus
ic s
tops
the
per
son
stan
ds o
n th
e ne
ares
t ca
rpet
squ
are.
6P
lay
a pa
rach
ute
acti
vity
wit
h a
pile
of
leav
es.
FU
RT
HE
R D
ES
CR
IPT
ION
•E
ach
clie
nt g
rips
the
edg
e of
the
par
achu
te a
nd h
olds
it
taut
in
a ci
rcle
. Hav
e th
em m
ove
the
para
chut
e up
and
dow
n w
ith
leav
es o
n th
e to
p of
the
par
achu
te c
reat
ing
them
to
mov
e up
and
dow
n in
the
air
. Thi
s ca
n be
don
e to
mus
ic t
o ad
d an
othe
rse
nsor
y el
emen
t.
9M
ake
froz
en b
anan
as w
ith
cere
al a
nd c
hoco
late
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•Pe
el a
ban
ana,
cut
in h
alf,
and
sti
ck a
Pop
sicl
e st
ick
in th
e fl
at e
nd.
•D
ip i
nto
mel
ted
choc
olat
e.•
Spr
inkl
e fa
vori
te c
rush
ed c
erea
l on
to b
anan
a.•
Pla
ce i
n fr
eeze
r.
15P
rese
rve
the
leav
es y
ou c
olle
cted
usi
ng w
ax p
aper
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•P
lace
lea
ves
on t
op o
f w
axy
side
of
wax
pap
er.
•C
over
wit
h an
othe
r pi
ece
of w
ax p
aper
so
the
wax
y si
de i
sto
uchi
ng t
he l
eave
s.•
Pla
ce t
owel
on
top
and
iron
for
abo
ut 1
min
, unt
il l
eave
s be
com
eco
ated
wit
h w
ax.
•Pe
el o
r cu
t aw
ay e
xces
s w
ax p
aper
.
16M
ake
a pu
mpk
in w
inds
ock.
FU
RT
HE
R D
ES
CR
IPT
ION
•C
ut o
ut 2
dra
win
gs o
f pu
mpk
in a
nd d
ecor
ate.
•A
ttac
h se
vera
l st
rips
of
crep
e pa
per
(str
eam
ers)
bet
wee
npu
mpk
in c
ut-o
uts.
•P
unch
a h
ole
into
the
top
and
att
ach
a st
ring
to
hang
win
dsoc
kfr
om t
he c
eili
ng.
3P
lay
Mus
ical
Car
pet
Squa
res.
AD
AP
TAT
ION
S
•C
lien
ts w
ho u
se w
heel
chai
rs c
an b
e pu
shed
fro
m
squa
re t
o sq
uare
.•
Cli
ents
can
be
inst
ruct
ed t
o ei
ther
sit
, sta
nd, o
r sq
uat
on c
arpe
tsq
uare
s in
ord
er t
o us
e di
ffer
ent
mus
cles
.•
Thi
nkin
g sk
ills
can
be
chal
leng
ed b
y id
enti
fica
tion
of
colo
rs o
r co
unti
ng.
10T
ake
piec
es o
f st
retc
hy e
xerc
ise
band
and
pul
l apa
rt w
ith
both
hand
s 10
tim
es.
AD
AP
TAT
ION
S
•S
tret
chy
exer
cise
ban
ds c
ome
in a
var
iety
of
colo
rs t
hat
tell
you
how
har
d th
ey a
re t
o st
retc
h. S
tart
wit
h th
e ea
sies
t ba
nds.
As
stre
ngth
inc
reas
es, u
se t
he h
arde
r ba
nds.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t27
NO
VE
MB
ER
12
3*4
56
7
8*9
1011
1213
14
1516
1718
1920
21
2223
2425
2627
28
2930
NO
TE
S
Go
to t
he l
ibra
ry a
ndle
arn
abou
t th
eho
lida
y E
l D
ia d
eL
os M
uert
os.
Mak
e an
d ea
t th
eta
sty
Mex
ican
bre
ad,
Pan
de M
uert
o.
Loo
p a
stre
tchy
ban
dar
ound
the
leg
of
ach
air,
inse
rt l
eg a
ndki
ck o
ut 1
0 ti
mes
.
Mak
e co
rnm
eal
play
doug
h.M
ake
colo
red
popc
orn
coll
ages
.C
reat
e a
hom
e sp
a to
de-s
tres
s yo
urse
lfbe
fore
the
hol
iday
rush
.
Mak
e a
tam
bour
ine
and
play
it.
Jum
p on
a s
heet
of
bubb
le w
rap
to p
opth
e bu
bble
s.
Mak
e th
e tr
adit
iona
lW
est A
fric
an
dish
Fuf
u.
Pra
ctic
e st
andi
ng u
pfr
om a
cha
ir 1
0ti
mes
fas
t an
d th
en10
tim
es s
low
.
Cel
ebra
te V
eter
an’s
Day
. Go
visi
t th
em
emor
ials
for
fa
llen
sol
dier
s.
Mak
e dr
ums
and
lear
n ab
out
Nat
ive
Am
eric
an d
ance
s.
Perf
orm
Nat
ive
Am
eric
an d
ance
sw
hile
pla
ying
th
e dr
ums.
Rak
e le
aves
in
the
yard
.
Rea
d L
earn
ing
Abo
ut T
hank
sgiv
ing
by P
at S
tew
art.
Mak
e T
hank
sgiv
ing
plac
emat
s.P
lan
for
aT
hank
sgiv
ing
dinn
er.
Lis
ten
to a
tap
e of
soun
ds a
nd t
ry t
oid
enti
fy w
hat
they
are
.
Mak
e a
coll
age
ofth
ings
you
are
than
kful
for
.
Lea
rn a
bout
Nat
ive
Am
eric
ans
at t
heN
atio
nal
Mus
eum
of
the
Am
eric
anIn
dian
.
Mak
e T
hank
sgiv
ing
deco
rati
ons
such
as
hand
tur
keys
, dre
amca
tche
rs, e
tc.
Hav
e a
turk
ey b
owl.
Hap
pyT
hank
sgiv
ing!
Coo
kan
d en
joy
your
dinn
er t
oday
!
Pra
ctic
e ki
ckin
g a
foot
ball
in
the
yard
.M
ake
som
ere
cycl
ed c
rayo
ns.
Col
or h
olid
aypi
ctur
es w
ith
the
recy
cled
cra
yons
.
Ste
p up
and
dow
n on
a cu
rb o
r ki
tche
nst
ool
to m
usic
.
Take
a b
ubbl
e ba
th.
Mak
e ho
mem
ade
wra
ppin
g pa
per.
Mak
e ca
rrot
cak
e.
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t28
EX13
EX12
N O V E M B E R
4M
ake
corn
mea
l pla
ydou
gh.
FU
RT
HE
R D
ES
CR
IPT
ION
•M
ix 1
1/2
c f
lour
, 1 1
/2 c
cor
nmea
l, 1
c sa
lt, 1
c w
ater
, and
foo
dco
lori
ng i
n bo
wl.
•K
nead
unt
il w
orka
ble.
22H
ave
a tu
rkey
bow
l.F
UR
TH
ER
DE
SC
RIP
TIO
N
•U
se f
roze
n tu
rkey
s or
tur
key
brea
sts
(wit
h pl
asti
c an
d ne
ttin
gle
ft o
n) t
o kn
ock
dow
n bo
wli
ng p
ins.
•U
se e
mpt
y or
par
tial
ly-f
ille
d (w
ith
sand
) pl
asti
c bo
ttle
s as
bow
ling
pin
s.
25M
ake
som
e re
cycl
ed c
rayo
ns.
FU
RT
HE
R D
ES
CR
IPT
ION
•Pe
el p
aper
off
of
old
cray
ons
and
sort
cra
yons
acc
ordi
ng t
osi
mil
ar c
olor
s.•
Lin
e m
inia
ture
muf
fin
pan
wit
h al
umin
um f
oil
and
plac
e cr
ayon
piec
es i
n m
uffi
n pa
n.•
Pla
ce in
ove
n at
200
deg
rees
for
10
min
. Coo
l for
at l
east
30
min
.•
Whe
n cr
ayon
is
cool
ed, r
emov
e fr
om p
an a
nd p
eel
foil
.•
Cra
yons
are
rea
dy t
o be
use
d.
3L
oop
a st
retc
hy b
and
arou
nd t
he le
g of
a c
hair
,ins
ert
leg
and
kick
out
10
tim
es.
AD
AP
TAT
ION
S
•C
an b
e pe
rfor
med
fro
m s
eate
d po
siti
on i
f cl
ient
is
unsa
fest
andi
ng o
r is
una
ble
to s
tand
.•
Var
y th
e co
lor
(res
ista
nce)
of
the
band
s to
mak
e it
eas
ier
orha
rder
. If
usin
g th
e ba
nd i
s to
o di
ffic
ult,
enco
urag
e th
e cl
ient
to
do t
he l
eg l
ifts
wit
hout
a b
and.
•M
ore
repe
titi
ons
can
be c
ompl
eted
if
the
clie
nt h
as t
he s
tren
gth
and
endu
ranc
e to
do
so. L
ikew
ise,
few
er r
epet
itio
ns c
an b
epe
rfor
med
if
the
clie
nt f
inds
the
tas
k to
be
too
hard
.
8Ju
mp
on a
she
et o
f bu
bble
wra
p to
pop
the
bub
bles
.A
DA
PTA
TIO
NS
•If
cli
ents
are
una
ble
to j
ump,
the
y ca
n be
enc
oura
ged
to w
alk
orw
heel
acr
oss
the
bubb
les
in o
rder
to
pop
them
.•
Cli
ents
who
are
una
ble
to w
alk
can
also
be
enco
urag
ed t
o po
pth
e bu
bble
s w
ith
thei
r fi
nger
s.•
Cli
ents
can
be
enco
urag
ed t
o ta
ke o
ff s
hoes
and
per
form
act
ivit
yba
refo
oted
in
orde
r to
inc
reas
e ta
ctil
e in
put.
•C
an b
e do
ne s
itti
ng a
lso.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t29
DE
CE
MB
ER
12
34
56*
7
89
1011
1213
14
1516
1718
1920
21
2223
2425
2627
28
2930
31N
OT
ES
Pla
y sn
owba
llkn
ockd
own
outs
ide
usin
g em
pty
soda
bott
les
and
snow
balls
.
Lis
ten
to s
omeo
ne
read
The
Gin
gerb
read
Boy
by P
aul
Gal
done
and
imag
ine
wha
t is
hap
peni
ng.
Pla
nt t
he f
low
er,
Pape
r W
hite
s in
a
smal
l po
t.
Bui
ld a
gin
gerb
read
hous
e.M
ake
cinn
amon
cand
ied
appl
es.
Pla
y st
reet
or
indo
or h
ocke
y.M
ake
holi
day
card
s.
Lig
ht c
inna
mon
-sc
ente
d ca
ndle
sth
roug
hout
th
e ho
use.
Do
a dr
eide
l da
nce.
Find
dir
ecti
ons
on-
line
or
at t
he l
ibra
ry
Rea
d H
anuk
kah
Lig
hts
by D
ian
Sm
ith.
Mak
e L
atke
s (p
otat
opa
ncak
es).
Ser
vew
ith
sour
cre
am a
ndap
ples
auce
.
Mak
e ho
lida
y gi
fts
for
fam
ily a
ndfr
iend
s su
ch a
sPo
psic
le s
tick
pict
ure
fram
es.
Mak
e a
plas
ter
hand
pri
nt.
Go
to t
he S
culp
ture
Gar
den
and
wat
chic
e sk
ater
s.
Lig
ht a
can
dle
in
the
men
orah
.M
ake
holi
day
pape
r ch
ains
.G
o ho
lida
ysh
oppi
ng.
Put
up
and
deco
rate
a C
hris
tmas
tre
e.M
ake
an o
rang
ecl
ove
ball.
Wra
p ho
lida
ypr
esen
ts.
Bak
e ho
lida
yco
okie
s to
sha
rew
ith
a fr
iend
or
nei
ghbo
r.
Sin
g an
d da
nce
toho
lida
y m
usic
.G
o se
e a
holi
day
play
.C
ook
Chr
istm
as
Eve
din
ner.
Cel
ebra
te C
hris
tmas
wit
h fa
mily
an
d fr
iend
s.
Lea
rn a
bout
Kw
anza
.P
lan
a K
wan
za
or N
ew Y
ear’s
cele
brat
ion.
Take
a f
ield
tri
p to
see
the
Nat
iona
lC
hris
tmas
Tre
e or
Nat
iona
l M
enor
ah.
Lis
ten
to a
rela
xati
on C
D.
Pla
y bo
ard
gam
esli
ke C
heck
ers
orC
onne
ct 4
.
Cel
ebra
te N
ew Y
ear’s
Eve
and
/or
Kw
anza
!
BO
LD
• D
ES
CR
IPT
ION
• A
DA
PTA
TIO
N
A •
AR
TL
• L
EIS
UR
ESe
• S
EN
SO
RYC
• C
OO
KIN
GM
• M
OV
EM
EN
TSo
• S
OC
IAL
Ex
• E
XE
RC
ISE
*
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t30
D E C E M B E R
1P
lay
snow
ball
knoc
kdow
n us
ing
empt
y so
da b
ottl
es a
nd s
now
balls
.F
UR
TH
ER
DE
SC
RIP
TIO
N
•R
olle
d-up
soc
ks c
an b
e us
ed f
or s
now
ball
s if
ther
e is
n’t a
ny s
now
.
5M
ake
cinn
amon
can
died
app
les.
FU
RT
HE
R D
ES
CR
IPT
ION
•C
ombi
ne 2
c w
ater
and
1 c
cin
nam
on c
andi
es (
Red
Hot
s)
into
ski
llet
.•
Sti
r ov
er m
ediu
m h
eat
unti
l ca
ndie
s di
ssol
ve.
•C
ore
appl
es a
nd c
ut i
nto
1/2
in t
hick
rin
gs.
•A
dd a
pple
s to
syr
up m
ixtu
re a
nd s
imm
er u
ntil
sof
t. Tu
rn o
ffst
ove
and
allo
w a
pple
s to
coo
l in
syr
up.
•S
erve
war
m o
r ch
ille
d.
19M
ake
an o
rang
e cl
ove
ball.
FU
RT
HE
R D
ES
CR
IPT
ION
•Ta
ke a
n or
ange
and
ins
ert
or p
ush
who
le c
love
s al
l ov
er
the
oran
ge.
•P
lace
in
a ro
om a
nd i
t w
ill
fres
hen
the
air
and
prov
ide
a pl
easa
nt s
cent
.
6P
lay
hock
ey.
AD
AP
TAT
ION
S
•U
se b
alls
or
roll
ed-u
p so
cks
inst
ead
of a
puc
k.•
Pra
ctic
e co
mpo
nent
s of
the
gam
e of
hoc
key
by h
avin
g cl
ient
spa
ss t
o on
e an
othe
r, ai
m f
or a
goa
l, or
hit
a m
ovin
g ba
ll.
•U
se y
ards
tick
s or
bro
oms
inst
ead
of a
hoc
key
stic
k.
AC
TIV
ITY
DE
SC
RIP
TIO
NS
AC
TIV
ITY
AD
AP
TAT
ION
S
The
M.E
.E.C
alen
dar—
Geo
rgto
wn
Uni
vers
ity
Cen
ter
for
Chi
ld a
nd H
uman
Dev
elop
men
t31
SECTION THREE
The M.E.E. Calendar—Georgtown University Center for Child and Human Development 35
EXERCISES
1. Hands Over Head ........................................................................................................................................January 10
2. March in Place ................................................................................................................................................January 16
3. Arm Curls ..............................................................................................................................................................February 3
4. Head, Shoulders, Knees and Toes ............................................................................................February 6
5. Lift a Broomstick ..........................................................................................................................................February 21
6. Stepping Over ..................................................................................................................................................February 23
7. Windmills** ........................................................................................................................................................February 24
8. Chair Push-ups................................................................................................................................................February 26
9. Leg Lifts ..................................................................................................................................................................February 28
10. Making Circles with Arms ................................................................................................................April 2
11. Arm Pulls** ........................................................................................................................................................October 10
12. Leg Kicks ** ......................................................................................................................................................November 3
13. Get up From a Chair ..............................................................................................................................November 10
**Some of the exercises call for a stretchy band also known as TherabandTM. This is a long piece ofstretchy material. The bands come in various thicknesses. The thicker the band the harder it is to stretch the band. The “yellow” band is usually the easiest. The bands can be bought in bulk fromwww.Thera-band.com or other internet sites.
The authors would like to express their appreciation to Eugene Sampson, Mike Schaff and EileenSchofield from the L’Arche Community for their willingness to be models for the exercises in thissection. We would also like to thank Reneé Ziegler of Reneé Michele Photography,www.reneemichelephoto.com, for her photographic expertise.
1. HANDS OVER HEAD
Starting Position: Sit in a chair with your arms resting outside the arms of the chair with elbows straight.
Action: Slowly raise your straight arms up toward your head with the palms facing up toward theceiling. Touch your palms together in a clapping motion. Repeat in sets of 10 with a rest in betweeneach set.
Adaptation: If you cannot reach above your head, try clapping your hands as high as you can. Usehand-over-hand assistance from another person if you are unable to actively move your arms yourself.
Caution: Work within the motion of the shoulder joint that is comfortable. Do not push beyond thepoint of resistance or if there is pain.
The M.E.E. Calendar—Georgtown University Center for Child and Human Development 36
2. MARCH IN PLACE
Starting Position: Stand in one place without holding onto any surfaces or standing while holding onto chair.
Action: Lift right leg, then left leg in a marching motion with arms swinging back and forth. Repeat insets of 20 with a rest in between. This exercise can be done to music to keep the rhythm of the march.
Adaptation: This exercise can also be performed from a wheelchair or seated position. If you areunable to lift legs from the hip, you can tap your feet in place instead. If you have poor balance, standand hold onto the back of a chair
Caution: Be aware of balance loss and get assistance of another person if unsteady.
STANDING
HOLDING ONTO A CHAIR
The M.E.E. Calendar—Georgtown University Center for Child and Human Development 37
3. ARM CURLS
Starting Position: Sit in a chair holding soup cans with your arms resting on your thighs.
Action: Slowly and smoothly lift the cans toward shoulders by bending at the elbow. Touch the cans toyour shoulders and lower slowly and evenly. Repeat in sets of 10 with a rest in between.
Adaptation: Lighter cans like tuna can be used if soup cans are too heavy or too large for you to grasp.Objects with handles like lightweight dumbbells can also be used to assist with grasping. This exercisecan be done without holding an object.
Caution: Make sure you have enough strength to hold the cans securely.
The M.E.E. Calendar—Georgtown University Center for Child and Human Development 38
4. HEAD, SHOULDERS, KNEES AND TOES
Starting Position: Stand in place
Action: Sing the song Head, Shoulders, Knees and Toes slowly. Touch the body part in the song startingwith the head. Repeat in sets of 5 or as able.
Adaptations: This exercise can be done in a sitting position if you do not have good standing balance.
Caution: Be aware of balance loss and get assistance of another person if unsteady.
The M.E.E. Calendar—Georgtown University Center for Child and Human Development 39
5. LIFT A BROOMSTICK
Starting Position: Sit in a chair and grasp a broom stick with both hands. Rest the broomstick on your lap.
Action: Smoothly and slowly raise the broomstick to chest level with your arms out straight in front of you and then continue to lift it over the your head while keeping your arms straight. Slowly andevenly lower the broomstick to chest level and then back into your lap again. Repeat in sets of 10 with a rest in between.
Adaptations: Be sure to work within the motion of your shoulders that is comfortable. Objects like socks filled with sand or weights can be tied around the broom to make the exercise more challenging. If youdo not have enough strength to hold a broomstick use your arms.
Caution: Make sure you have enough strength to hold the broomstick securely. Work within the motionof the shoulder joint that is comfortable. Do not push beyond the point of resistance or if there is pain.
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6. STEPPING OVER
Starting Position: Place a stick or boom stick on the floor. Stand on one side of the stick.
Action: Lifting one leg, step forward over the stick followed by the other leg. Step back again. Repeatin sets of 10 with a rest in between. This exercise can be done to music to establish a rhythm. It can bedone by stepping forward or sideways with one leg and then the other.
Adaptations: If you have good balance, make the exercise more challenging by placing a rope flat onthe floor and jump with both feet over the rope. You can also jump faster or raise the rope slightly offthe ground to make the exercise more challenging.
Caution: Be aware of balance loss and get assistance of another person if unsteady.
FORWARD
SIDEWAYS
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7. WINDMILLS
Starting Position: Sit in chair or stand in place. Hold a stretchy band with both hands about a shoulderwidth apart.
Action: Extend your arms out in front of you and pull the stretchy band apart slightly as you lift theband over your head. Bend at your waist slightly to the right, back to the middle and to the left in aslow, smooth movement. Repeat in sets of 10 with a rest in between.
Adaptations: If you are unable to bend, just lift and lower the band. If you do not have the handstrength to hold the band, raise and lower your arms without the band.
Caution: Work within the range of the motion of your shoulder that is comfortable. Do not push beyondthe point of resistance or if there is pain.
SITTING
STANDING
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8. CHAIR PUSH-UPS
Starting Position: Stand facing the back of a chair. Place your hands a shoulder width apart on theback of the chair with your arms straight.
Action: Lower your chest slowly toward the back of the chair by bending your elbows. When yourelbows are bent and your chest is about 6 inches from the back of the chair, slowly raise your body upby straightening your arms again. Repeat in sets of 10 with a rest in between.
Adaptations: This exercise can be done from a sitting position while holding the back of a lower chairor at the edge of a table.
Caution: Make sure the chair is large and steady.
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9. LEG LIFTS
Starting Position: Sit in a chair with your arms resting on your thighs. Make sure you are sitting all theway back into the chair with your back straight.
Action: Starting with the right leg, lift your foot up so that your leg becomes straight at the knee. Lowerthe leg again slowly. Repeat on the left. Repeat for both legs in sets of 10 with a rest in between.
Adaptations: This exercise can be made more challenging with small weights added at the ankle suchas cuff weights or tying socks filled with small amounts of sand to the ankles.
Caution: Work within the range of the knee joint that is comfortable. Do not push beyond the point ofresistance or if there is pain.
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10. MAKING CIRCLES WITH ARMS
Starting Position: Sit in a chair with your arms straight at the elbow and placed outside the arms of the chair.
Action: Lift your straight arms out to your sides at the level of your shoulders. Make small circles withyour arms while keeping your elbows and wrists straight. Start the circle motion to the back and thenbring your arms forward to make the circles. Rest your arms in the starting position after 5 to 10circles. Repeat in sets of 5 to 10 with a rest in between.
Adaptations: If it is difficult to make circles with your arms straight you can try one arm at a time ortry only 1 to 2 circles at a time with both arms together before resting and repeating.
Caution: Work within the range of the shoulder that is comfortable. Do not push beyond the point ofresistance or if there is pain.
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11. ARM PULLS
Starting Position: Sit in a chair with your back straight. Hold onto a stretchy band with your handsabout a shoulder width apart. Hold the band with your arms straight out in front of you.
Action: Slowly try to pull apart the band. When you have pulled it as far as you are able, slowly let theband go back to the original position. Repeat in sets of 10 with a rest in between.
Adaptations: Stretchy exercise bands come in a variety of colors that tell you how hard they are tostretch. Start with the easiest bands. As strength increases, use the harder bands. If you are not able topull apart the bands, put your arms out straight in front of you at shoulder level, slowly open your armsout to your sides (while keeping them at shoulder level) and back in front of you. Rest as needed.
Caution: Do not hold your breath when trying to pull the band apart. Breathe in and out slowly with the exercise.
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12. LEG KICKS
Starting Position: Tie a stretchy band around the leg of a steady or heavy table so it makes a largecircle. Stand facing away from the table. Rest your hands on the table for balance and place your rightleg into the stretchy band circle so that it rests around your ankle.
Action: Keeping your leg straight at the knee, slowly kick your leg up and out in front of you about sixinches, stop, and slowly return your leg to the ground. Repeat in sets of 10 with a rest in between.Switch legs after each set.
Adaptations: This exercise can also be done while sitting in chair. To make the exercise morechallenging you can vary the color (resistance) of the bands to make it easier or do more repetitions. Tomake the exercise easier, do the leg kicks without a band in standing or sitting.
Caution: Do not hold your breath when kicking. Breathe in and out slowly with the exercise.
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13. GET UP FROM A CHAIR
Starting Position: Sit in a sturdy chair with arm rests. Place both hands on the arm rests.
Action: Slowly and evenly push your body up and forward using your arms and legs and come to astanding position. Stand for one second and then slowly lower your body back to a seated position inthe chair while reaching back and holding onto the arm rests. Repeat in sets of 10; first do one setslowly and then one set quickly.
Adaptations: If this exercise is difficult, practice the first part by pushing out of the chair with yourarms and legs and lower yourself back down slowly without standing up completely. Repeat 10 times.You can also start from the standing position and lower your body slowly into the chair. To make thisexercise more challenging, place two chairs on opposite sides of the room and after rising to stand, walkto the other chair and slowly sit again. Repeat in sets of 10.
Caution: Do not use a couch or other soft surface to practice getting up from a chair. These surfacesmake it too difficult and are not steady.
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