Again, however, some children may require evaluation and medication by a neurologist for hyperactivity if it seriously interferes with learning. Organising their things, and keeping things or ideas in order are frequently difficult for children with spina bifida. Young children should be encouraged to put things away in clearly labelled places. Help children schedule their daily activities and decide on the order of these activities, even writing them down to aid memory. To help children learn to make decisions, parents can give choices to even very young children.
Children then learn that consequences go with their decisions.
Help children think through situations, exploring the options, listing advantages and disadvantages of each action and then trying out solutions. The degree to which a child has any or all these problems varies a great deal. Unless the problems are severe, they do not prevent the child from actively participating in the classroom. However, specific strategies and interventions may need to be put in place to maximise educational outcomes. In spite of these difficulties, most children with spina bifida are able to attend mainstream education, thanks to the commitment of parents, teachers, teacher aides and the resources of advisory teachers and visiting nursing services.