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Healthy Bodies – Appendix
A Parent’s Guide on Puberty for Girls with Disabilities
for Girls
A toolkit with information and resources may be downloaded at:kc.vanderbilt.edu/ HealthyBodies
Teac
hing
Bod
y Pa
rts
– Vi
sual
sAp
pend
ix
Vagi
na
Arm
pit
Foot
Han
d
Arm
pit
Han
d
Hai
r
Foot
Face
Brea
sts
Use t
hese
pictu
res t
o tea
ch th
e nam
es of
body
pa
rts. A
fter t
each
ing, y
ou
can c
over
the n
ames
of
body
parts
and m
ake
a gam
e out
of as
king
your
daug
hter t
o nam
e the
m. Yo
u can
also
cut
out th
e nam
es an
d hav
e yo
ur da
ughte
r phy
sicall
y pla
ce th
em on
the
pictur
e. Be
hind
/But
tock
s
Arm
pit
Han
d
Arm
pit
Han
d
Hai
r
Foot
Foot
Text
copy
right
ed b
y the
Van
derb
ilt Ke
nned
y Cen
ter (
VKC)
and
cann
ot b
e us
ed in
ano
ther
cont
ext w
ithou
t writ
ten
perm
ission
of V
KC C
omm
unica
tions
(kc@
vand
erbil
t.edu
, 615
-322
-824
0).
Teac
hing
Bod
y Pa
rts
– Vi
sual
sAp
pend
ix
The T
anne
r Stag
es
can s
how
her h
ow he
r br
easts
will
chan
ge an
d ha
ir will
grow
.
TAN
NER
STA
GES
OF
LIFE
- FE
MAL
E
Stag
e 1
Stag
e 2
Stag
e 3
Stag
e 4
Stag
e 5
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Firs
t/Th
en B
oard
– B
lank
Tem
plat
eAp
pend
ix
Firs
tTh
enTo
mot
ivate
your
child
to d
o th
ings t
hat m
ay b
e ha
rd o
r un
pleas
ant f
or h
er, li
ke e
xerc
ise, t
ry u
sing
a vis
ual s
uppo
rt lik
e a
Firs
t/The
n Bo
ard.
Put
the
less-
pref
erre
d ac
tivity
first
and
the
rewa
rding
acti
vity s
econ
d. F
or e
xam
ple, “
Firs
t Ex
ercis
e” fo
llowe
d by
“The
n Vi
deo
Gam
es.”
You
can
use
pictu
res o
r wor
ds, d
epen
ding
on yo
ur ch
ild’s
read
ing sk
ills.
You
can
also
lamina
te th
ese
card
s and
use
velcr
o wi
th
pictu
res o
r a d
ry-e
rase
mar
ker t
o m
ake
them
reus
able.
REM
EMBE
R: A
lway
s put
the
mor
e fu
n ac
tivity
in th
e Th
en
box.
This
show
s you
r chil
d wh
at sh
e is
work
ing to
ear
n.
Firs
tTh
en
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Enco
urag
ing
Good
Hyg
iene
– H
ygie
ne S
uppl
ies
Visu
als
Appe
ndix
Sham
poo/
Cond
i!on
erRa
zor
Max
i pad
Toot
hbru
sh a
nd
toot
hpas
te
Box
of M
axi p
ads
24 Flos
s
Shav
ing
crea
m
Wet
wip
e
Take
med
icine
Lo!o
n
Don’
t pick
at a
cne
Deod
oran
t
deod
oran
t
Clea
n pa
n!es
Hair
brus
h
Soap
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Enco
urag
ing
Good
Hyg
iene
– S
how
erin
g Sc
hedu
le V
isua
lsAp
pend
ix Fill
tub
with
war
m w
ater
Turn
on
show
er
Was
h w
hole
bod
yRi
nse
soap
off
Turn
off
the
wat
erDr
y off
with
tow
el
Take
off
cloth
es
Put s
ham
poo
on
my
hand
Put o
n de
odor
ant
Get i
n tu
b
Rub
into
hai
r
Put o
n cle
an cl
othe
s
Get i
n sh
ower
Rins
e ou
t sha
mpo
o
I did
a g
ood
job
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Enco
urag
ing
Good
Hyg
iene
– S
tory
Appe
ndix
Mes
sy v
s. ne
at
#
Was
h w
hole
bod
y
Was
h ha
ir
Put o
n de
odor
ant
Soap
Deod
oran
t
deod
oran
t
Wha
t’s T
hat S
mel
l?
I am
grow
ing up
and m
y bod
y is c
hang
ing. I
am gr
owing
ha
ir in m
y arm
pits a
nd on
my p
rivate
parts
. Som
etime
s my
armp
its an
d priv
ate pa
rts m
ay sm
ell ba
d. Th
is sm
ell is
calle
d bo
dy od
or. P
eople
don’t
like t
o sme
ll bod
y odo
r. If I
smell
bad,
peop
le ma
y not
want
to be
arou
nd m
e. I c
an st
op bo
dy od
or by
wa
shing
my h
air, a
rmpit
s, pr
ivate
parts
and f
eet e
very
day w
ith
warm
wate
r and
soap
. Afte
r I w
ash,
I can
put d
eodo
rant
on
my ar
mpits
. Deo
dora
nt wi
ll help
my u
nder
arms
smell
nice
and
stay d
ry. I w
ill us
e deo
dora
nt un
der m
y arm
s eve
ry mo
rning
to
get r
id of
my bo
dy od
or. I l
ike to
smell
nice
. Sme
lling g
ood w
ill ma
ke m
y par
ents,
frien
ds, a
nd te
ache
rs ha
ppy t
oo.
Put o
n cle
an cl
othe
sSm
ell n
ice
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Enco
urag
ing
Good
Hyg
iene
– B
rush
ing
Teet
h Sc
hedu
le V
isua
lsAp
pend
ix Toot
hbru
shTo
othp
aste
Rins
e w
ith w
ater
Flos
s
Sque
eze
toot
hpas
teon
toot
hbru
shBr
ush
teet
h 2 m
in.
Spit
in si
nk
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Publ
ic/P
rivat
e –
Sort
Boa
rd B
lank
Tem
plat
eAp
pend
ix
Publ
icPr
ivat
eYo
u can
teac
h you
r da
ughte
r abo
ut wh
at be
havio
rs ar
e oka
y for
pu
blic p
laces
and w
hat
activ
ities s
hould
be ke
pt pr
ivate
using
pictu
res.
In the
activ
ity be
low, y
ou
can h
elp he
r sor
t whic
h ac
tivitie
s and
plac
es ar
e pu
blic v
ersu
s priv
ate.
You c
an us
e the
pictu
res
on th
e pag
es to
follo
w or
ad
d you
r own
pictu
res.
Once
your
daug
hter
unde
rstan
ds w
hat p
ublic
an
d priv
ate m
ean,
you
can u
se th
e “pu
blic”
and
“priv
ate” p
ictur
es as
a vis
ual re
mind
er. F
or
exam
ple, if
she b
egins
pic
king h
er no
se, h
old
up th
e “pr
ivate”
card
and
tell h
er to
find a
priva
te pla
ce.
Thes
e pict
ures
or vi
sual
remi
nder
s also
can b
e us
ed to
prep
are y
our
daug
hter f
or go
ing to
a pu
blic p
lace,
such
as an
ou
ting t
o a re
staur
ant.
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Publ
ic/P
rivat
e –
Sort
Boa
rdAp
pend
ix
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Publ
icPr
ivat
e
Play
ing
ball
Ea!n
gSc
hool
Bedr
oom
Hand
s in
pant
s Sh
ower
Publ
ic/P
rivat
e Be
havi
ors
– Vi
sual
sAp
pend
ix
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Publ
icPr
ivat
e
Clas
sRe
stau
rant
Danc
ing
Ea!n
g
Scho
ol
Ge!
ng d
ress
ed
Hand
s in
pant
s
Groc
ery
stor
e
Talk
ing
with
frie
nd
Show
er
Faith
Com
mun
ity
Curs
ing !
!@
#$
Bus
Publ
ic/P
rivat
e Be
havi
ors
– Vi
sual
sAp
pend
ix Pass
ing
gas
Hand
s on
tabl
e
Bath
room
Scra
tchi
ng y
our b
ehin
d
Play
ing
ball
Wav
e
Scra
tchi
ng y
our a
rm
Alon
e
Rew
ard
Bath
room
stal
l
No
hand
s in
pant
s
Rew
ard
Bedr
oom
Was
hing
han
ds
Spec
ial a
c!vi
ty
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Publ
ic/P
rivat
e Be
havi
ors
– Vi
sual
sAp
pend
ix
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Pats
on
the
back
Pick
ing
your
nos
e
Kiss
Hold
ing
hand
sHi
gh fi
veHu
g
Priv
ate
Part
s –
Visu
als
Appe
ndix
Teac
h you
r chil
d whe
re
she c
an to
uch o
thers
and w
here
it is
okay
for
othe
rs to
touch
her
by us
ing th
ese fi
gure
s. Po
int to
a bo
dy pa
rt an
d sa
y “Ca
n we t
ouch
?”
If yes
, put
a gre
en ci
rcle
on th
at bo
dy pa
rt for
“g
o.” If
no, p
ut a r
ed
circle
for “
stop.”
For e
xamp
le, yo
ur
daug
hter s
hould
put a
gr
een c
ircle
on th
e han
d bu
t a re
d circ
le on
the
botto
m. Yo
u can
use t
he
same
activ
ity an
d ask
“W
here
can p
eople
tou
ch m
e?”
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Priv
ate
Part
s –
Visu
als
Appe
ndix
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Publ
ic/P
rivat
e Be
havi
ors
– St
ory
Appe
ndix
Pick
ing
Your
Nos
e is
Priv
ate
Some
times
I migh
t pick
my n
ose i
n priv
ate. I
will o
nly pi
ck m
y no
se w
hen s
ometh
ing is
stuc
k in m
y nos
e, an
d I ca
n’t bl
ow it
out w
ith a
tissu
e. Pi
cking
my n
ose c
an sp
read
germ
s. I s
hould
us
e a tis
sue w
hen I
pick
or bl
ow m
y nos
e. I m
ust w
ash m
y ha
nds a
fter I
touc
h my n
ose.
Peop
le do
n’t w
ant to
see m
e pick
my
nose
. Whe
n I ne
ed to
pick
my n
ose,
I will
go to
a pr
ivate
place
, like
insid
e the
bathr
oom
with
the do
or cl
osed
. I wi
ll not
pick m
y nos
e in f
ront
of oth
er pe
ople
or ta
lk ab
out p
icking
my
nose
to ot
her p
eople
.
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Pick
ing
your
nos
e
Was
hing
han
ds
Blow
ing
your
nos
e
Bath
room
stal
l
Tiss
ue
Priv
ate
Publ
ic/P
rivat
e Be
havi
ors
– St
ory
Appe
ndix
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Priv
ate
Part
s
Publ
ic pla
ces a
re w
here
oth
er pe
ople
can s
ee
me. P
rivat
e mea
ns
away
from
othe
r peo
ple,
like i
n my b
edro
om or
ba
throo
m wi
th the
door
clo
sed.
Ever
yone
has
priva
te pa
rts of
their
bo
dy. I
can t
ell w
hat
parts
of m
y bod
y are
pr
ivate
beca
use I
cove
r the
m wi
th my
unde
rwea
r. I d
on’t t
ouch
my p
rivate
pa
rts in
publi
c whe
re
other
peop
le ca
n see
me
. I do
n’t ev
er pu
t my
hand
s ins
ide m
y pan
ts in
publi
c. I c
an he
lp my
self
reme
mber
not to
touc
h by
puttin
g my h
ands
by
my s
ide, c
ross
ing
my ar
ms, o
r fold
ing m
y ha
nds.
Some
times
I ne
ed to
touc
h my p
rivate
pa
rts, li
ke w
hen I
itch o
r my
unde
rwea
r is un
com-
fortab
le. I c
an as
k to g
o to
the ba
throo
m. W
hen I
am
alon
e in m
y bed
room
or
bathr
oom,
I can
touc
h my
priva
te pa
rts.
Publ
icPr
ivat
e
Keep
arm
s at s
ide
Fold
you
r han
ds
Need
to to
uch
Bedr
oom
Bra
and
pan!
eson
priv
ate
part
s
Scra
tchi
ng y
our b
ehin
d
Alon
e
Don’
t tou
ch se
lf
Bath
room
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Publ
ic/P
rivat
e Be
havi
ors
– St
ory
Appe
ndix
Don’
t tou
ch se
lf
Bath
room
Alon
e
Clos
eddo
or
Bedr
oom
Was
hing
han
ds
But I
t Fee
ls G
ood!
Ever
yone
has p
rivate
parts
of th
eir bo
dy. I
can t
ell w
hat p
arts
of my
body
are p
rivate
beca
use I
cove
r the
m wi
th my
unde
rwea
r. I d
on’t t
ouch
my p
rivate
parts
in pu
blic w
here
othe
r peo
ple ca
n se
e me.
Whe
n I am
alon
e in m
y bed
room
or ba
throo
m wi
th the
door
shut,
I can
touc
h my p
rivate
parts
. Whe
n I to
uch m
y pr
ivate
parts
, som
etime
s it fe
els go
od. S
ome p
eople
like h
ow it
feels
when
they
touc
h the
ir own
priva
te pa
rts. It
’s ok
ay to
touc
h my
priva
te pa
rts w
hen I
am al
one.
Some
times
touc
hing m
y pr
ivate
parts
can b
e mes
sy. I
will c
lean m
y han
ds an
d priv
ate
parts
whe
n I am
done
. I wi
ll not
talk a
bout
touch
ing m
y priv
ate
parts
with
othe
rs. If
I hav
e que
stion
s or if
touc
hing h
urts,
I will
ask m
y ___
____
__ (in
sert
docto
r or t
ruste
d adu
lt’s na
me.)
Clea
n up
Don’
t tal
k ab
out i
tw
ith o
ther
sTa
lk to
mom
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Publ
ic/P
rivat
e Be
havi
ors
– St
ory
Appe
ndix
High
five
Hold
ing
hand
s
Pats
on
the
back
Touc
h sh
ould
er
Shak
ing
hand
s
Swim
suit
To T
ouch
or N
ot to
Tou
ch, T
hat i
s th
e
Ques
tion!
Whe
n I am
with
my f
riend
s and
fami
ly, it’
s usu
ally o
kay t
o tou
ch
them
and f
or th
em to
touc
h me o
n the
arm,
back
, sho
ulder
s, or
ha
nds.
Thes
e are
“Go”
area
s of th
e bod
y. Fo
r exa
mple,
I can
giv
e high
-fives
, pat
them
on th
e bac
k, or
touc
h the
m on
the
arm
to ge
t their
atten
tion.
It’s no
t oka
y for
me t
o tou
ch ot
her
peop
le on
parts
of th
eir bo
dy co
vere
d by u
nder
wear,
such
as
their
butto
cks,
brea
sts, p
enis,
or va
gina.
It’s no
t oka
y for
an
yone
(but
my do
ctor/p
aren
t/___
____
)* to
touch
me o
n par
ts of
my bo
dy co
vere
d by m
y und
erwe
ar ei
ther. T
hese
are p
rivate
pa
rts of
the b
ody a
nd ar
e “St
op” a
reas
. If so
meon
e tou
ches
me
in my
priva
te ar
ea, I
shou
ld sa
y “ST
OP” o
r “NO
” and
tell m
y Mo
m, D
ad, o
r tea
cher
s. So
metim
es m
y Mom
, Dad
, ___
____
(in
sert
name
of tr
usted
adult
) and
my d
octor
will
need
to se
e my
priva
te ar
eas t
o help
me s
tay cl
ean a
nd he
althy
. If I d
on’t
want
them
to se
e my p
rivate
area
s, I c
an as
k the
m for
priva
cy.
* May
need
to al
ter to
inclu
de ca
regiv
ers o
r med
ical
profe
ssion
als w
ho ne
ed to
assis
t with
daily
living
skills
or
perfo
rm ne
eded
med
ical p
roce
dure
s.Ta
lk to
mom
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Publ
ic/P
rivat
e Be
havi
ors
– St
ory
Appe
ndix
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Fam
ily, F
riend
s, a
nd
Othe
rs
Using
a so
rting g
ame t
o ex
plain
relat
ionsh
ips ca
n he
lp yo
ur ch
ild un
derst
and
what
type o
f beh
avior
is
appr
opria
te for
diffe
rent
types
of re
lation
ships
. For
ex
ample
, stra
nger
s are
in
the fa
r colu
mn, a
nd yo
ur
child
can s
ee th
at it i
s oka
y to
wave
or sh
ake h
ands
with
the
m. B
ehav
iors t
hat a
re in
the
first
row
are f
or ro
manti
c pa
rtner
s and
spou
ses.
Fami
ly an
d frie
nds f
all in
betw
een.
Your
fami
ly ca
n dec
ide w
hat
beha
viors
shou
ld be
inclu
ded
in ea
ch bo
x. Yo
u may
wan
t to
take p
ictur
es of
peop
le to
illustr
ate ea
ch gr
oup.
Prac
tice.
Take
it wi
th yo
u on
outin
gs an
d use
it to
help
your
child
unde
rstan
d how
to
gree
t som
eone
. For
exam
ple,
get o
ut the
char
t whe
n you
r ch
ild se
es so
meon
e the
y kn
ow fr
om sc
hool
and s
how
them
what
beha
viors
are
okay
to us
e to s
ay he
llo.
Kiss
Hug
High
five
Wav
eM
arrie
d or
dat
ing
Fam
ilyFr
iend
sOt
hers
& s
tran
gers
Moo
ds a
nd F
eelin
gs –
Em
otio
ns V
isua
lsAp
pend
ix
Thes
e pict
ure c
ards
sh
ow di
ffere
nt fee
lings
an
d fac
ial ex
pres
sions
. Yo
u can
use t
hese
card
s to
a) la
bel h
ow yo
ur
daug
hter is
feeli
ng an
d b)
help
her t
ell yo
u how
sh
e fee
ls. F
or ex
ample
, if
she s
eems
happ
y, sh
ow
her t
he “H
appy
” car
d wh
ile yo
u lab
el tha
t feel-
ing (“
You s
eem
happ
y tod
ay”).
She
can l
earn
to
give y
ou th
e car
d to t
ell
you h
ow sh
e fee
ls, to
o.
Lazy
Tire
dRe
ady
to w
ork
Grum
py
Frus
trat
edCo
nfus
edHu
rtDi
sapp
oint
edEx
cited
Happ
yCu
rious
Rela
xed
Love
Prou
d
Sad
Depr
esse
d Em
barr
asse
dAn
gry
Shoc
ked
!!
??
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Moo
ds a
nd F
eelin
gs –
Dia
ryAp
pend
ix
Keep
trac
k of y
our
daug
hter’s
moo
d and
be-
havio
r usin
g a di
ary l
ike
this o
ne.
e hav
e fille
d ou
t the fi
rst lin
e as a
n ex
ample
. You
can t
ake
this d
iary s
heet
to yo
ur
daug
hter’s
next
medic
al vis
it and
talk
abou
t you
r co
ncer
ns.
Date
Hours o
f slee
p Ap
petite
Behavio
r Me
dicati
ons/
Supp
lements
1-‐8-‐20
12
8-‐10
hrs, up
with
nig
htma
re 11
-‐4
Skipp
ed br
eakfa
st
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Teac
hing
Abo
ut P
erio
ds –
Sto
ryAp
pend
ix
Grow
ing
up
Bath
room
Clea
n pa
n!es
Thro
w a
way
Max
i pad
Talk
to D
octo
r
My
Perio
d
Soon
I wi
ll get
a p
erio
d lik
e m
y __
____
__(e
.g.,
aunt
, mom
, big
sis
ter).
Thi
s m
eans
I am
gro
wing
up.
Oth
er g
irls
my
age
are
star
ting
thei
r per
iods
too.
Whe
n I g
et a
per
iod,
blo
od w
ill co
me
from
my
vagi
na. T
his
is ok
ay. I
’m n
ot h
urt!
My
perio
d m
ay c
ome
ever
y m
onth
. Per
iods
are
mes
sy a
nd c
an g
et o
n un
derw
ear
and
pant
s. I
will u
se a
pad
in m
y un
derw
ear s
o th
e bl
ood
won’
t ge
t on m
y pan
ts.
he pa
d may
feel
weird
at fir
st wh
en u
se it,
bu
t it w
ill he
lp k
eep
my
pant
s cle
an fr
om th
e bl
ood.
I wi
ll kee
p m
y pa
d on
. Whe
n th
e pa
d sm
ells
or b
ecom
es fu
ll of b
lood
afte
r __
_ ho
urs,
I wi
ll cha
nge
the
pad
in th
e ba
thro
om. I
will
take
off
my
dirty
pad
and
wra
p it
in to
ilet p
aper
. I w
ill th
row
it aw
ay in
the
tras
h can
. wi
ll not
ush i
t dow
n the
toile
t. he
n th
row
away
my
dirty
pad
I ne
ed to
put
on
a ne
w pa
d. S
omet
imes
my
stom
ach
may
hur
t whe
n I h
ave
my
perio
d. I
will t
ell m
y m
om
or d
ad o
r the
sch
ool n
urse
. My
pare
nts
will b
e pr
oud
of m
e fo
r ta
king
care
of m
y pe
riod
and
chan
ging
my
pads
.
Talk
Buy
1 bo
x
24
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Teac
hing
Abo
ut P
erio
ds –
Pai
n Sc
ale
Appe
ndix
Durin
g he
r per
iod,
you
r da
ught
er m
ay fe
el ti
red
and
moo
dy. H
er s
tom
ach
may
swe
ll or c
ram
p.
Usin
g a
pain
sca
le lik
e th
is ca
n he
lp h
er te
ll you
ho
w m
uch
she
hurts
or
feel
s un
com
forta
ble.
No hurt
Hurt
sw
orst
Hurt
sli!
lebi
t
Hurt
sw
hole
lot
Hurt
sli!
lem
ore
Hurt
sev
enm
ore
109
87
65
43
21
0 None
Mild
Mod
erat
eSe
vere
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
How
to U
se
My
Pad
#1
Open
wra
pper
.
#2
Take
pad
out
of w
rapp
er.
#3
Open
up
pant
ies.
#4
Teac
hing
Abo
ut P
erio
ds –
Poc
ket S
ched
ule
Appe
ndix
Inst
ruct
ions
:
1. P
rint a
col
or c
opy
(3 p
ages
tota
l).
2. C
ut a
long
the
dotte
d lin
es to
mak
e in
divid
ual
pict
ure
card
s.
3. P
unch
a h
ole
in th
e cir
cles
in th
e to
p le
ft.
4. U
se th
e nu
mbe
rs to
ord
er th
e pi
ctur
e ca
rds.
If
you
are
usin
g pa
ds w
ithou
t win
gs, o
mit c
ards
8-
10.
5. P
lace
the
pict
ure
card
s on
a ri
ng to
kee
p th
e sc
hedu
le o
rgan
ized.
6. T
o sh
ow y
our c
hild
wha
t a d
irty
pad
look
s lik
e,
you
can
use
red
food
col
orin
g or
a m
arke
r to
dye
a pa
d at
hom
e. Y
ou c
an e
ven
take
a p
ictur
e an
d ad
d it
to th
is vis
ual s
ched
ule.
7. T
his
visua
l sch
edul
e is
porta
ble!
It c
an g
o in
a
back
pack
, pur
se, o
r hyg
iene
kit.
8. Y
ou c
an a
lso p
ut v
elcr
o on
the
back
of e
ach
pict
ure
and
mak
e a
velcr
o bo
ard.
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd
cann
ot b
e us
ed in
ano
ther
cont
ext w
ithou
t writ
ten
perm
ission
of V
KC C
omm
unica
tions
(k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Teac
hing
Abo
ut P
erio
ds –
Poc
ket S
ched
ule
Appe
ndix Ta
ke o
ff st
icker
.
#5
Unfo
ld p
ad.
#6
Pres
s pad
into
pan
ties.
#7
Peel
off s
ticke
r.
#8
Fold
win
g ar
ound
pan
ties.
#9
Pres
s win
gs o
n pa
nties
.
#10
Teac
hing
Abo
ut P
erio
ds –
Poc
ket S
ched
ule
Appe
ndix
How
to
Thro
w A
way
M
y Pa
d
#11
Fold
dirt
y pad
in to
ilet p
aper
.#12
Thro
w pa
d in
tras
h ca
n.
#13
Was
h ha
nds.
#14
Inst
ruct
ions
:
1. P
rint a
col
or c
opy
(3 p
ages
tota
l).
2. C
ut a
long
the
dotte
d lin
es to
mak
e in
divid
ual
pict
ure
card
s.
3. P
unch
a h
ole
in th
e cir
cles
in th
e to
p le
ft.
4. U
se th
e nu
mbe
rs to
ord
er th
e pi
ctur
e ca
rds.
If
you
are
usin
g pa
ds w
ithou
t win
gs, o
mit c
ards
8-
10.
5. P
lace
the
pict
ure
card
s on
a ri
ng to
kee
p th
e sc
hedu
le o
rgan
ized.
6. T
o sh
ow y
our c
hild
wha
t a d
irty
pad
look
s lik
e,
you
can
use
red
food
col
orin
g or
a m
arke
r to
dye
a pa
d at
hom
e. Y
ou c
an e
ven
take
a p
ictur
e an
d ad
d it
to th
is vis
ual s
ched
ule.
7. T
his
visua
l sch
edul
e is
porta
ble!
It c
an g
o in
a
back
pack
, pur
se, o
r hyg
iene
kit.
8. Y
ou c
an a
lso p
ut v
elcr
o on
the
back
of e
ach
pict
ure
and
mak
e a
velcr
o bo
ard.
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd
cann
ot b
e us
ed in
ano
ther
cont
ext w
ithou
t writ
ten
perm
ission
of V
KC C
omm
unica
tions
(k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
Teac
hing
Abo
ut th
e Fe
mal
e Ex
amAp
pend
ix
Take
off
cloth
es
Put f
eet i
n s!
rrup
s
Put o
n go
wn
Dr ch
ecks
you
r bod
y
Lay
on ta
ble
Stan
d up
Show
your
daug
hter a
pictu
re sc
hedu
le of
what
will h
appe
n at
the ex
am. Y
ou ca
n cro
ss pi
cture
s off a
s the
visit
happ
ens
to sh
ow yo
ur da
ughte
r wha
t com
es ne
xt an
d how
muc
h of th
e vis
it is l
eft.
Take
off
gow
nPu
t on
cloth
esRe
war
d
All te
xt an
d illu
strat
ions a
re co
pyrig
hted
by t
he V
ande
rbilt
Kenn
edy C
ente
r (VK
C) a
nd ca
nnot
be
used
in a
noth
er co
ntex
t with
out w
ritte
n pe
rmiss
ion o
f VKC
Com
mun
icatio
ns (k
c@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
This
publi
catio
n wa
s de
velop
ed a
nd w
ritten
by
Vand
erbil
t Lea
dersh
ip Ed
ucati
on in
Neu
rode
velop
menta
l Disa
bilitie
s (L
END)
long
-term
train
ees
Amy
Weit
lauf,
PhD;
Stor
mi W
hite,
PsyD
; Oliv
ia Ya
ncey
, MDE
; Cait
lin N
icholl
Riss
ler, M
SN;
Docto
r of A
udiol
ogy s
tuden
t, El
izabe
th Ha
rland
; Con
g Va
n Tr
an, P
hD; a
nd L
END
facult
y mem
bers
Jenn
ifer B
ower
s, RN
, MS
N, C
PNP,
Pedia
tric N
urse
Pra
ctitio
ner, D
ivisio
n of D
evelo
pmen
tal M
edici
ne; a
nd C
assa
ndra
New
som,
Psy
D, A
ssist
ant
Profe
ssor
of P
ediat
rics,
Divis
ion of
Dev
elopm
ental
Med
icine
, Dire
ctor o
f Psy
cholo
gical
Educ
ation
, Tre
atmen
t and
Res
earch
Ins
titute
for A
utism
Spe
ctrum
Diso
rder
s (TR
IAD)
/Van
derb
ilt Ke
nned
y Cen
ter. It
was
edite
d, de
signe
d, an
d pro
duce
d by t
he
Comm
unica
tions
and
Gra
phics
staff
of t
he V
ande
rbilt
Kenn
edy C
enter
for E
xcell
ence
in D
evelo
pmen
tal D
isabil
ities (
Kylie
Be
ck, B
A; Ja
n Ro
seme
rgy,
PhD;
Cou
rtney
Taylo
r, MD
iv) w
ith th
e su
ppor
t of t
he V
ande
rbilt
LEND
(Pam
Gra
u, BS
; Evo
n Le
e, Ph
D; Te
rri U
rban
o, RN
, MPH
, PhD
). W
e are
grate
ful fo
r rev
iew an
d sug
gesti
ons b
y man
y, inc
luding
facu
lty of
TRI
AD
and m
embe
rs of
Autis
m Te
nnes
see.
All te
xt an
d illu
strati
ons a
re co
pyrig
hted
by th
e Va
nder
bilt K
enne
dy C
enter
and
cann
ot be
use
d in
anoth
er co
ntext
witho
ut wr
itten p
ermi
ssion
of V
ande
rbilt
Kenn
edy C
enter
Com
munic
ation
s (kc
@va
nder
bilt.e
du, 6
15-3
22-8
240)
.
his p
ublic
ation
may
be
distrib
uted
as is
or,
at no
cost,
may
be
indivi
duali
ed a
s an
electr
onic
file fo
r you
r pro
ducti
on a
nd
disse
mina
tion s
o tha
t it in
clude
s you
r org
aniza
tion a
nd its
mos
t freq
uent
refer
rals.
For
revis
ion in
forma
tion,
pleas
e con
tact
cour
tney.t
aylor
@va
nder
bilt.e
du, (
615)
322-
5658
, (86
6) 93
6-88
52.
This
publi
catio
n wa
s m
ade
poss
ible
by G
rant
No.
T73
MC0
0050
from
the
Mat
erna
l and
Chil
d He
alth
Bure
au (M
CHB)
, He
alth
Reso
urce
s an
d Se
rvice
s Adm
inistr
ation
(HRS
A), D
epar
tmen
t of H
ealth
and
Hum
an S
ervic
es (H
HS).
Its c
onte
nts
are
solel
y the
resp
onsib
ility o
f the
aut
hors
and
do
not n
eces
sarily
repr
esen
t the
offic
ial vi
ews o
f the
C
, A,
.
Cove
r pho
to a
nd ill
ustra
tions
top
of p
age
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o.co
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