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Making Directions Easier to Follow

Problem
People with mental retardation often have problems when it comes to following directions during self-care, leisure or other activities.  This is especially true when there is a sensory problem. 

  • Poor vision can make following pictures, demonstrations, signed instructions or written instructions difficult or impossible.

  • Poor hearing makes it hard to follow spoken directions.

  • Additional memory or organization issues can keep an individual who understands directions from being able to follow or remember them.

Related Functional Limitations:  Vision, Hearing, Memory/Organization

Solution 1: Use an Alternative Method for Giving Direction.

Ideas:

  • Coding: Put a “B” on all the boxes of breakfast foods, “L” for lunch items, etc.

  • Labeling: Label all of one person’s belongings with red dots.

  • Pictures: Use a series of pictures to “describe” the steps of brushing your teeth.  Put a picture of a shirt on the shirt drawer. 

  • Recording: To ensure thoroughness, play a tape that slowly states the steps of showering. 

  • Tactile: (Usually for those with low vision) Substitute an area of texture (i.e., fabric) for a colored label. 

  • Set-up: Set items up in the order they are to be used.  Teach the individual to do a variety of tasks, such as making a sandwich and preparing a toothbrush, in the same order, for instance, from left to right.

  • Proximity: Aid poor memories by putting things “in the way” and “on the way.”  Put potholders on top of the pans in the cabinet.  Hang a coat on the doorknob.  Store all the materials needed for the morning wash-up together in one basket.

  Solution 2: Reduce the Number of Possible Choices.

Ideas:

  • Cover up unnecessary buttons or switches on appliances.  For instance, leave only the “one minute” and start buttons uncovered on the microwave.

  • Use a single, adapted switch.  Instead of finding the right button on the TV remote, use a single switch with a control unit to turn on a pre-selected station.

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