Monthly Archives: February 2013



Transitions and A Medically Complex Child

When you break down the steps, this simple life skill becomes easier.

I have used this technique to teach so many kids how to tie their shoes.  I teach shoe tying by breaking down the processes into steps. I teach a few steps at a time and then its “my turn” to finish.

For example, teach them the first few steps in crossing the laces over each other and then pushing the “Snake” into the hole. “Hand in the lap” is a way to get the kids to see each step. Once one set of steps is mastered, I have the kids move to the next natural break in the processes.  I always teach this skill with the shoe off the foot before I teach it on the foot.

Most kids do not have the hand and sequencing skills to tie their shoes until kindergarten.  This is a teachable skill but it is…

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