He will show his likes and dislikes by reaching out, laughing and smiling, or discarding objects, crying, becoming stiff, agitated and hot. He cries to indicate discomfort or hunger.
James has some sense of cause and effect. Along with the development of his logical thinking, his ability to anticipate events is also developing. Recent assessment has shown that he is functioning securely at level P2(i) of the level underpinning the National Curriculum.
James daily life must follow a regular routine in order to allow him anticipate the next event in his day. He is touch dependent in the sense that holding an object allows him to gain and understand information about his environment. Although sometimes shy, James warms up to adults who show him support in his learning endeavours. He eagerly participates in activities for at least 20 minutes when surrounded by familiar adults. This sense of familiarity prevents him for participating in large and noisy groups thus limiting his self-occupation skills.
James is a social person who enjoys the company of other people. He is always aware of familiar adults and enjoys one on one interaction activities with them. James has been observed to turn his head towards familiar adults who talk to him and respond positively to them by gesturing and smiling, sometimes he also uses vocalizing techniques in order to communicate with them.
Due to James limited movement control caused by his cerebral palsy, he is unable to sit, stand, or walk without support. Therefore he constantly needs to be assisted in all his activities. These activities include changing his clothes and maintaining his body positions. He is totally dependent on those around him for mobility as he is wheelchair bound and must use leg gaiters when walking. James upper body suffered most of the effects of cerebral palsy which is why he finds it hard to reach for items