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Maggie-pedia Introduction

maggieMaggie’s behaviour is very expressive. This is our evolving manual of understanding what Maggie’s behaviour is communicating. These are our observations as her parents since we think we know her best. We understand that she may behave differently with you than us and we encourage you to fill in the blanks in this document with your own observations. We also encourage you to ask us questions about what you observe. We look forward to incorporating your experiences with Maggie into this document too.

Maggie is a complex person who has her own valid reasons for why she does what she does. She has experienced extraordinary challenges and lived to keep smiling about it. We expect everyone who works with her to respect the challenges she has overcome and value her unique perspective. She is ready and able to be challenged, to learn and to grow.

Maggie is usually cheerful, flexible, and well-behaved. Maggie can be mischievous but is never mean-spirited. She can play rough but is not aggressive. She goes with the flow and follows directions unless there is a very exciting alternative. If Maggie is not behaving like this, then something is wrong. The information below is to help you troubleshoot what could be happening and to respond appropriately to what her behaviour is communicating.

The information below is organized first by parts of Maggie’s body. We started at the top. The first body part is things she does with her head; the last is her feet.
Head

When Maggie does...

It means she...

You should...

Grabs her head with both hands, particularly the left side, is whiny

Is likely feeling the onset of a migraine

Call parents to come take her home

Has red flushed cheeks

Is over-heated;
or
over-stimulated

Physically cool her down by removing a layer of clothing and take her somewhere cool, give her water to drink

Eyes / gaze

When Maggie does...

It means she...

You should...

Appears to be staring into space

Could be daydreaming or tired

Make a note in the communication book

Stares off into space and is not responsive when you touch her or talk to her

Is likely having absence seizures

Call parents

Stares straight ahead or to the side, mouth moves as though she is chewing, not responsive to being touched; gags or vomits

Is likely having a complex partial seizure

Lay her on her side.
Call parents.
Call 911 if lasts over 2 minutes.
Prepare for vomit.

Stares intently at objects out of reach

Wants to touch and explore them

Give them to her if possible; use language to tell her she wants that; if she can’t have them, explain you understand she wants it and explain why she can’t have it.

Stares intently at objects all around her

Is fascinated by her environment and wants to fully explore it

Watch for opportunities to share joint attention and get her objects she is looking at so she can explore them. Maggie is highly curious but often doesn’t vocalize to bring attention to the fact she needs help to see something closer. Ask her questions like “do you see that box on the shelf? Are you curious about the box? Should we open it? Let’s open it together!”

Appears to avoid looking directly at anything or at obstacles on the floor

Is making excellent and unusual use of her peripheral vision

Assume that even though she isn’t looking directly at something or someone, she is still likely intensely aware of it/them. Encourage her interest and give her words for her interest, like “that animal looks soft and furry. Should we touch it and find out?”

Mouth

When Maggie does...

It means she...

You should...

Puts things in her mouth

Is hungry;
or
she is a bit disorganized or tired

Feed her;
or
gently take it away while telling her this not for mouths

Drools heavily

Is tired or body is stressed;
or
losing a tooth

Make note in communication book; attach her “dapper” to her waist band and encourage her to dry her own mouth and chin. Apply barrier cream to her face if becoming chapped.

Has fingers in mouth and will not remove them

Is tired and disorganized, or
losing a tooth;
or
Has a sore or injury in her mouth

Make note in communication book; call parents if interferes with fun, motivating activities

Clamps down with her teeth on an object in her mouth and won't release it

Very hungry;
or
very tired and very disorganized

Feed her;
or
find something appropriate she can chew on, make a note in the communication book

Vocalizes

When Maggie does...

It means she...

You should...

Vocalizes while reaching for something like an object or a cup

Wants the object or drink of water

Give it to her if possible; if not possible, tell her you understand she wants it and explain why she can't have it.

Makes lots of loud exclamations

Is excited and feels GREAT!

Remind her to be quiet during quiet activities if it disturbs others

Grunts

Is having a bowel movement

Tell her she needs to sit on potty and take her to toilet

Laughs so much that it appears uncomfortable or is disruptive

Is over-stimulated or disorganized

Help her calm herself by removing her from the situation, physically cool her down by taking her to a quiet dark room, take her on a walk

Laughs uncontrollably, grabs people, flaps her hands so hard it seems she could fall over, hurts anyone

Is over-stimulated and likely manic; could be on the verge of seizures

First, make her control her own body.
Do not restrain her or try to carry her or she could hurt herself.
Physically cool her down by removing a layer of clothing and taking her to a cool place or outside. Remove her from the excitement, take her for a walk.
If she doesn't calm within 30 minutes, call parents

Bites

Bites a person

Is very hungry;
or
so over-stimulated and manic that is out of control;
or
having seizures

Immediately call parents; remove her to a place where she can’t be hurt

Bites objects

Is very hungry;
or
In pain and very distressed

Feed her;
or
Call parents

Cries when an activity is over or someone is leaving and she can't follow

Doesn't want the activity to end or the person to go

Tell her you understand she wants the activity to continue/person not to leave but they can’t and then distract her.

Cries when she hears a raised voice

Is concerned for someone else;
or
Thinks she is being scolded

Reassure her everyone is okay;
or
Reassure she is a good girl and has not done anything wrong

Cries inconsolably, screams

Could have a migraine or a broken bone

Call parents immediately

Hands

When Maggie does...

It means she...

You should...

Has red or dry-feeling hands and arms, may scratch at dry or scaly skin on cheeks, arms or legs

Is dehydrated or overheated;
or
eczema is flaring up

Help her cool down and offer her something to drink;
or
apply lotion to dry patches

Grabs

When Maggie does...

It means she...

You should...

Grabs other children

Is committing crimes of opportunity

Remove the opportunity. Use firm cold voice and tell her to control her hands, we touch soft and gentle. Demonstrate soft and gentle on her own hands.

Grabs hair of other children

Is committing crimes of opportunity

Remove the opportunity. Use firm cold voice to tell her we touch hands, not heads, not hair. Demonstrate by touching her own hands.

Grabs at arms or hands of other people

Wants their attention

Reward this behaviour. It is very appropriate. Give her your full attention. Thank her for touching your hand or arm so nicely; this is her substitute for using her voice to ask for attention.

Grabs other children or pulls hair, has flushed red cheeks, laughs hard, cannot make eye contact

Is very over-stimulated and getting manic

Remove her to a cool quiet place, take her for a walk, cool her down, call parents if it continues more than 30 minutes.

Grabs other people while making loud, anxious vocalizations

Is asking to be rescued; is likely restrained

Release her from restraint

Grabs cups and/or cries at sight of water

Is thirsty

Give her a drink

Grabs objects she is not allowed to have

Wants to explore them

Explain it is not for Maggie and put out of reach (preferably out of sight); tell her you understand she wants to see it but she can't have it and you are sorry, distract her

Grabs an object but drops it when you try to show her how to use it

Thinks she wasn't allowed to have it;
or
is annoyed you are trying to control how she explores it

Demonstrate how to use it while holding it out of reach, then offer it to her again

Drops an object when you tell her to be careful with it

Thinks she wasn't allowed to have it and is being scolded

Demonstrate careful handling, tell her to be soft and gentle and give it to her again

Feet

When Maggie does...

It means she...

You should...

Kicks other children

Is committing crimes of opportunity

Remove the opportunity. Tell her to control her feet, we touch with hands, not with feet. Give her an opportunity to kick at your next opportunity, like kicking a ball in gym.

Is walking towards a curb or step

May not see the curb or step

Say "Maggie! Do you see the step? There is a step up (or step down), Maggie!"

Keeps walking backwards or turning around in the opposite direction

Likely wants to be with the people behind her

Maggie is a follower, not a leader! Have the people behind go ahead and Maggie will likely happily follow.

Keeps stopping to check out every door/coat hook/backpack/bulletin board

Finding the journey to be more exciting than the destination

Walk on ahead and call to her in an excited voice to come to you. Be more interesting than the distractions.

Full body

When Maggie does...

It means she...

You should...

Lays on ground to rest

Is tired from poor sleep

Let her rest; if a "power nap" or a new activity boosts her up then she is just tired.

Lays on ground and is tired and whiny

Is very tired, sick or exhausted.

If she doesn’t perk up after a change of activity or an attempt at a power nap, call parents to take her home.

Won't stay seated

She wants to be moving

Tell her you understand she wants to get up but she has to be seated. As soon as possible let her go for a walk.

Appears to “jump the gun” and take off too quick for a new activity

Is anticipating a transition and is excited for it

Expect that Maggie will predict patterns of favourite activities. Try to prepare for this by having the next activity ready to go. For example, if you say, “time for recess!”, expect she will go straight to the door for recess and be frustrated if it’s not really time for recess because FIRST we need to put outdoor shoes on. Put shoes on first, then say “time for recess!”

Toiletting

When Maggie does...

It means she...

You should...

Squirms and tries to get off the potty

If it’s been less than 2 hours since she last peed, then she simply doesn’t have to go.

Let her get up

Squirms and tries to get off the potty peed

If it’s been at least 2 hours or more since she last peed, then she probably hasn't stopped to concentrate to pee

Buckle her in and tell her it’s time to go pee; ask her "where is the pee? show me the pee!";
run water in a sink;
let her play with water on her hands;
let water trickle on her thighs;
don't let her get up until she has at least stopped moving and concentrated

Puts her hands in the toilet while sitting to go pee

Is likely anticipating going pee and wants to feel it run through her hands

Remind her that hands stay in our laps not in the toilet

Avoidance

When Maggie does...

It means she...

You should...

Ignores a first instruction

Is testing to see if it was a suggestion or command

Use a firm, cool tone of voice and repeat the instruction; be prepared to take her hand and enforce the instruction

Ignores simple verbal instructions

Thinks she can get away with ignoring you

Take her hand and enforce the instruction; avoid letting her get away with ignoring you

Hides or curls her body downwards into a ball when given verbal instructions

Thinks you can't see her if she hides and therefore she won't have to do something

Take her hand and enforce the instruction

Cries when you take her hand to enforce an instruction

Is truly distressed by what you are asking

Kneel at her level, tell her you understand she doesn’t want to do something but we need to do this now,
take her hand and lead her where you need to go, praise her for being a big helping girl and a big listening girl

Ignores you or only briefly looks at you when you are trying to show her an interesting object to work with

 

 

Finds the object or you less interesting than whatever has her attention

Be more interesting than whatever has her attention. Use sounds, music, bright colours and bright lights, an enthusiastic tone of voice and interesting textures to capture her attention. Turn your back to her and let her only catch glimpses of something you exclaim over with enthusiasm. Hide an object out of reach or crinkle a bag with something in it. Her curiosity will get the best of her!