Just a recommendation to make it easier for others to help, might be helpful to spell out the diagnostic conditions this child may have versus PECS or IV. That way, others can readily get on and help as well.
Coming from the Medical Industry as well, there are many medical terms and abbreviations we use that are quite common to us but not to others. This might help in your search for help.
Ok will do.
The child is with autism often having extreme behaviors and outbursts. She is completely blind, fed through a tube into her stomach and has severe learning difficulties. Being blind is not her main problem, is she was sighted she is as such she would still suffer from the same problems. This is why I struggle with the VI service in the county, they see her as blind, I see her as autistic. They want her to be a tactile learner which, she cannot possibly be, as put her hand in paint/glue/wet and she vomits.
With autistic children in the school, we use a picture exchange system (PECS). They are able to see their timetable/choices/instructions on 6x4 photographs, or for the ones further along symbols or single words. The child in question cannot access PECS in the same way due to her lack of vision. We do have an auditory timetable and talking tin which can act as reminders of acceptable behaviour for the social setting i.e time to be quiet/sitting still. I also have location markers for her so she will know, be association, where we are going via that marker.
She is verbal which does help alot but also can be a problem. Using PECS it is easier to take the picture away and change it for something else if plans or circumstance change. It is a lot more difficult to take back a verbal instruction.
That is pretty much where we are at the moment. I am trying to introduce the aspect of change at the minute using a surprise/something special technique. This is where she is told what is going to happen, but when handed a sponge (our marker for surprise) she knows the next activity is not what she thought it was going to be..
She amazing on the piano and keyboard and is a lovely little girl. She just needs someone to give her options that she couldn't choose herself as she doesn't know the exisit, and that's where I come in She can now swim, even under water, which 18 months ago wouldn't even get in the water.