Istituzione scolastica



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ASSE NEUROPSICOLOGICO

ORGANIZZAZIONE E ORIENTAMENTO SPAZIALE

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Riconosce rispetto a se’: sopra/sotto

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davanti/dietro










in alto/in basso










a destra/a sinistra










vicino/lontano










dentro/fuori










Riconosce rispetto ad altra persona: sopra/sotto










davanti/dietro










in alto/in basso










a destra/a sinistra










vicino/lontano










dentro/fuori










Sa orientarsi: nella stanza










nella scuola










nell’ambiente esterno










Conosce i punti cardinali










Legge una cartina geografica










Legge una cartina tematica










Sa orientarsi su una cartina










Conosce il linguaggio specifico di base









Osservazioni: ______________________________________________________


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ASSE NEUROPSICOLOGICO

ORGANIZZAZIONE E ORIENTAMENTO TEMPORALE

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Sa distinguere: prima/dopo

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giorno/notte










tempo breve/lungo










presto/tardi










mattina/pomeriggio










Conosce i giorni della settimana










Sa dire in quale giorno si trova










Conosce i mesi










Sa dire in che mese si trova










Conosce le stagioni










Sa dire in che stagione si trova










Sa dire in che anno si trova










Conosce e usa l’orologio










Sa raccontare con esatti riferimenti temporali










Sa ordinare una storia in sequenze figurate










Sa orientarsi sulla linea del tempo










Sa ordinare i principali fatti storici










Conosce il linguaggio specifico di base









Osservazioni: ______________________________________________________


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ASSE DELL’AUTONOMIA

CONOSCENZA DI SÉ

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Conosce: il proprio nome e cognome

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la propria età










la data di nascita










il proprio sesso










il proprio indirizzo










il proprio numero di telefono










il nome dei genitori










i bisogni fondamentali










i propri desideri










i componenti della famiglia










il lavoro del padre/della madre









Osservazioni: ______________________________________________________


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ASSE DELL’AUTONOMIA

CURA DELLA PERSONA

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Sa sbottonarsi

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Sa vestirsi










Sa svestirsi










Ha il controllo sfinterico










Va in bagno da solo










Sa aprire e chiudere il rubinetto










Sa soffiarsi il naso










Sa lavarsi da solo









Osservazioni: ______________________________________________________


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ASSE DELL’AUTONOMIA

COMPORTAMENTO E ORDINE

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Sta seduto a tavola

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Sa versarsi da bere










Beve in modo corretto










Mangia in modo corretto










Mette spontaneamente a posto gli oggetti dopo l’uso










Tiene in ordine il proprio banco










Ripone correttamente il materiale in cartella










Ha cura del materiale









Osservazioni: ______________________________________________________


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ASSE DELL’AUTONOMIA

AUTONOMIA SOCIALE

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data

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Conosce l’uso del denaro

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Conta il denaro










Sa attraversare la strada










Sa usare un mezzo di trasporto










Sa usare l’ascensore










Sa usare il telefono










Sa usare il computer










Conosce l’edificio scolastico













ASSE DELL’AUTONOMIA


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data

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Conosce le persone che lavorano nella scuola e le loro mansioni

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*

*

Si orienta nella scuola










Arriva a scuola con i genitori










Arriva a scuola con i compagni










Arriva a scuola da solo/ con il pulmino










Conosce l’orario scolastico









Osservazioni: ______________________________________________________


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INTERESSI

SI

IN PARTE

NO

  • Manifesta interesse per attività ludico – motorie













  • Manifesta interesse per attività musicali













  • Manifesta interesse per attività grafico – pittoriche













  • Manifesta interesse per attività manipolative

























  • Mostra interesse per la comunicazione scritta














ALTRE EVENTUALI RILEVAZIONI: ______________________________________________
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SINTESI RELATIVA ALLE DIFFICOLTÀ DELL’ALUNNO

ASPETTI CARATTERIZZANTI RELATIVI ALLE DIFFICOLTÀ INDIVIDUATE NELLE SCHEDE OSSERVATIVE



AREA AFFETTIVO-RELAZIONALE:














AREA COGNITIVA:


















AREA LINGUISTICA E DELLA COMUNICAZIONE:












AREA SENSORIALE:















AREA MOTORIO-PRASSICA:




















AREA NEUROPSICOLOGICA:




















AREA DELL’AUTONOMIA




















A CURA DELL’INSEGNANTE DI SOSTEGNO

SINTESI CONOSCITIVA

Desunta dall’incontro Operatori USL/Scuola
CONCORRE AL COMPLETAMENTO E AGGIORNAMENTO DELLA DIAGNOSI FUNZIONALE; VA COMPILATA SINTETICAMENTE DOPO OTTOBRE

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MODALITÀ DI INTERVENTO

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PIANO DI LAVORO

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A CURA DEL CONSIGLIO DI CLASSE

PROGRAMMAZIONE DEGLI INSEGNANTI CURRICOLARI

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MOMENTI SIGNIFICATIVI DELL’ALUNNO/A

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RELAZIONE FINALE


SINTESI DEL PERCORSO SCOLASTICO, (PER L’ULTIMO ANNO DELLA SCUOLA SECONDARIA AGGIUNGERE: PROGRAMMA SVOLTO, CRITERI DI SVOLGIMENTO DELLE PROVE SCRITTE, DEL COLLOQUIO E DELLA VALUTAZIONE)

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SUGGERIMENTI PER L’ANNO SUCCESSIVO

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                                    L’INSEGNANTE DI SOSTEGNO


                                ______________________________________

GLI INSEGNANTI DELLA CLASSE


_________________________________                                                 FIRMA DEI GENITORI
_________________________________                                I QUADRIMESTRE
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_________________________________                               II QUADRIMESTRE
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MODULISTICA



VERIFICHE

AREA:__________________________________________DISCIPLINA:_____________________________________



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obiettivo

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risultato della prova

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