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       8B | Patient Highlights Example 2 of 6   View the other five Patient Highlights    A   C   D   E   F
Census and certain details in the following example are fictional to protect the patient identity.

 
Two children drumming

School 
Patient ID  
Gender  
Age  
Diagnosis  

   Public school
   DV
   Female
   teenager
   Cornelia deLange




DV is a very thin and short 16-year-old girl with Cornelia deLange Syndrome. She is nonverbal, with physical and cognitive limitations.

Last Tuesday, Julie (board-certified music therapist) and I had a breakthrough fifth session with DV. It usually is difficult to engage DV in direct interaction. She resists hands-on assistance and many times pushes things away from her when presented. It also is difficult to engage her attention as she tends to fixate on specific objects to which she relates individually, preventing others from entering her own personal space.

However, on this day, DV exhibited apparent enthusiasm from the beginning of the session. She approached the guitar immediately, and, with minimal prompting, began strumming it. She also grabbed my hand and led it to strum the guitar. We interacted this way for approximately 25 minutes.

Noting DV's interest in the guitar, we worked to stretch her physical activity by moving the guitar up and down, and having her reach it, which she did. DV's attention was focused on the session and the different exercises presented throughout. She allowed more physical contact so we engaged in movement / dance to Julie's music. DV even led my hands to clapping after I had demonstrated a couple of times with her hands over mine. DV initiated the movements by pushing my hands toward each other.

Several times during the session DV smiled and laughed audibly, always a beautiful thing. DV also likes affectionate physical closeness and spontaneously gave hugs that day. She appears to enjoy a sensation of being pampered. This is so cute, it is impossible to resist.

One such demonstration of affection occurred with perfect timing. As I ended the hour-long session by singing the good-bye song, DV surprised me with one of her embraces—a touching close to a very successful session.
 
View the other five Patient Highlights    A   C   D   E   F

 
   
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