Use bold moving sights to capture the person's attention. Try hitting a bold colored balloon. Try waving a colorful ribbon wand.

Try the sound on the app and move it around and see if the person can track the sound of the clicker. There are also many other sounds which may be produced on a smart phone. See if the person will turn their head to follow the moving sound.

Affirmative positive stimuli require the use of moving bold objects which the person can track. You will need to wait for a response before moving to the next affirmative activity.

The person may sit in fully supported seating, but only for a few minutes to avoid fatigue.

Full seating support with cushions focuses on vertical posture.

People functioning within ACL 1.4 display a basic human need to get out of bed several times a day.

The need to get out of bed plus the need to do something with external cues while sitting up in bed becomes apparent when the opportunities are not produced. Agitation is persistent for hours when opportunities are unavailable. Human beings need to get up and do something positive.

Informal communication with dysphagia specialists and nursing assistants is necessary because it takes two or more people with different knowledge to understand what these people can still do.

When visitors want to include favorite tastes, this should be coordinated with the dysphagia specialist. Placing drops of a little food on a Q-tip and letting the person smell it and open their mouth to place the food in their mouth may be the safest way for the visitor and the person. Supervision to teach them how to do it and spot any additional problems is reassuring.

Visitor Book

Ask visitors to record any preferences they have noticed and encourage bringing familiar objects from home.

When a person is able to track a moving sensory cue, they are more aware of voices around them. They pay attention to the voices of loved ones. They are unable to answer verbal questions.

Educate others on providing instead bold sensory cues that they can track. This is what captures and attract their attention.

Sensory information targets the ability to follow the location of a cue while it is moving, with an emphasis on pleasant experiences and choices to sustain attention. The cues for targeting are categorized by the person's experiences of hearing, seeing, tasting, and spatial orientation. Acknowledging individual differences includes cues for smelling and touching.

Sustained attention with constant cuing every 20 seconds can be held for about 1 to 5 minutes.

Constant cuing within ACL 1.4 usually requires accommodation to sporadic attention.

Attention to tracking may be captured for 40 to 60 seconds and then attention to the cue vanishes. The lack of movement in the pupils of their eyes is a signal that attention has stopped. Repeating the original cues often continues the tracking process.