I began teaching this week as an intervention specialists for a medically fragile unit. I have had experiences with students with severe multiple disabilities, but never students this profound. I am struggling with things to do. I am suppose to be doing things using the grade level standards. All of my students are in wheel chairs, all are nonverbal and all have very low cognitivie abilities. All but two of my students are visually impaired and two students are tube fed. Only one students is able to use her hands without any assistance (sometimes). I am at a loss for ideas to teach them the standards. I know that the past four teacher only did crafts with them, but basically that just made the students mad as well as the parents because they are too old for that. A lot of the activities are forced too because half of the students tense up or flail their arms. In addition, the teacher basically did all the crafts while holding the student's hand. I also use switches all day long for "calendar activities", however I am holding their hand and placing it on the switch and pushing it because they are not capable of doing so. Any ideas would be greatly appreciated. Thanks!