You may need to show them, do it with them, use hand over hand etc… Include a picture of tooth brushing or a tooth brush in your child’s morning and evening visual schedule. > To help prompt your child to clean their teeth, use visual aids to support their understanding of routines. > Try to help your child understand why they need to brush their teeth in the first place – this can be a common issue for children with additional support needs when teeth brushing is just done for them without warning. > Consider using a soft brush head, rather than medium or hard. > Try using an electric toothbrush as less movement is needed. The following tips may help you to support your child with learning to brush their teeth independently: If your child has additional needs and is struggling, you should continue to assist. > Children should be able to brush their teeth independently by approximately the age of 7/8. > As soon as they are able, encourage your child to have a go at brushing their teeth first before you take over. > It is recommended that teeth are cleaned for 2 minutes. Because the babysitter had a new phone, it didn’t yet contain Balfour’s office phone number, only her cell number, meaning that when the sitter phoned to wonder why Balfour hadn’t dropped Bryce off that morning, it rang unheard in Balfour’s pocketbook.> Children should have their teeth brushed as soon as they appear and teeth brushing should be established into routine as early as possible. Because of a phone conversation with a young relative in trouble, and another with her boss about a crisis at work, Balfour spent most of the trip on her cell, stressed, solving other people’s problems. Because the family’s second car was on loan to a relative, Balfour drove her husband to work that day, meaning the diaper bag was in the back, not on the passenger seat, as usual, where she could see it. Because Balfour was planning to bring Bryce’s usual car seat to the fire station to be professionally installed, Bryce was positioned in a different car seat that day, not behind the passenger but behind the driver, and was thus not visible in the rear-view mirror. Because the baby was also tired, he uncharacteristically dozed in the car, so he made no noise. On the day Balfour forgot Bryce in the car, she had been up much of the night, first babysitting for a friend who had to take her dog to an emergency vet clinic, then caring for Bryce, who was cranky with a cold. It was only then that the patient began to open up, and what he said was that he didn’t want any sedation, that he didn’t deserve a respite from pain, that he wanted to feel it all, and then to die. He would not speak at all for the longest time, not until the nurse sank down beside him and held his hand. He was virtually catatonic, she remembered, his eyes shut tight, rocking back and forth, locked away in some unfathomable private torment. When a hospital emergency room nurse described how the defendant had behaved after the police first brought him in, she wept. Witnesses spoke softly of events so painful that many lost their composure. In the first pew of spectators sat his wife, looking stricken, absently twisting her wedding band. He hunched forward in the sturdy wooden armchair that barely contained him, sobbing softly into tissue after tissue, a leg bouncing nervously under the table. The defendant was an immense man, well over 300 pounds, but in the gravity of his sorrow and shame he seemed larger still.
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