Linear information can probably be used to bead a bracelet but attention is not apt to last long enough to make a short necklace. You will need to cut the thread and tie the knot, after you remove excess beads. This sorting tray can be found in art supply stores and is about half the depth of a cupcake pan. Within ACL 3, the shallower pan makes it much easier for people to find the pan, and the white background helps too. Colors may be selected at random and they may string until they run out of thread.

Affirmative activities which sustain the person's attention involve repeated manual actions like placing objects in a row.

The person may not know when to stop an activity at this mode as they totally lack the ability to classify information and form goals yet have the mental energy to sustain their action. They can unpack their whole wardrobe when left with nothing to do.

Trying to reason with the person does not help. Diverting their attention works much better and is less frustrating for everyone.

The general public, policy makers, administrators, and legislatures need to know that activities for people with a cognitive disability require supplies and knowledge. Typical donations of supplies to long-term care facilities contain a mixture of valuable resources and useless junk.

Finding things the person can do is very important. Supplies are needed as they need things which they can match and sort and place in a row. The person needs someone to guide them to these activities which they can do. Having plenty of supplies which can be rotated so they can explore something "different" helps keep the person happily occupied.

During the sessions for placing, staking and removing objects, they can talk about the objects they have moved. Encourage repeating these conversations and rotating preferred objects as a means of protecting their sense of identity and maintaining their connections with other people. Pleasant conversations may help prevent troublesome behavior later.

Many people functioning within ACL 3.4 are pleased to have something to do and become fully engaged in what they are doing. They may talk to themselves about what they are doing without realizing that they are speaking out loud. If they are distracted, they may be able to refocus their own attention.

Language is in response to the presence of material objects. They cannot carry on a conversation, but may answer questions with a few words or phrases.

Functioning in ACL 3.4 results in the person having more access to language for communication. They can say common phrases at what appears to be the correct time. Their better communication skills may be deceiving.

The objects supply sensory cues, and most of the concrete information that human beings use is visual.

To pay attention to cues, people within ACL 3.4 require caregiver assistance with setting up the material objects that will capture attention, cues to start and stop activities, and checks for effectiveness of their actions.

Sorting Grooming Supplies

Many girls and women find hair ornaments appealing and the assortment of bright colors adds to their attraction.

Equivalent movement cues seem to be connected to the concept of a line.

Perseverative Movements

Within ACL 3.4, a side effect of paying attention to a repetitive manual action seems to be getting stuck there with actions that have traditionally been called perseverative movements. The way to stop the movements is to redirect their attention to another motor action. A Jacob's ladder is usually an effective distraction that you can carry around in your pocket. The repetition is limited by the length of the ladder, which prevents getting stuck again.