<p>Howard Rombey Jr. was assisted grasping the tissue in the middle of its upper edge with verbal prompt.  He pulled the tissue from the box independently. Howard Rombey Jr. was assisted grabbing the corner of the tissue with (his/her) other hand with verbal prompt.  </p><p>Howard Rombey Jr. was assisted sliding (his/her) first hand to the other side of the top with verbal prompt.  Howard opens (his/her) fingers flat under the tissue independently. Howard Rombey Jr. was assisted moving (his/her) open hands together under the tissue with verbal prompt.  </p><p>Howard placed the opened tissue over (his/her) nose independently. He took a deep breath through (his/her) mouth independently. Howard closed (his/her) mouth independently. </p><p>Howard Rombey Jr. was assisted pinching one nostril shut with (his/her) finger on hand with verbal prompt.  He pushed air out through one nostril independently. He took a deep breath through (his/her) mouth independently. </p><p>Howard closed (his/her) mouth independently. Howard Rombey Jr. was assisted pinching other nostril shut with (his/her) finger of other hand with physical prompt.  Howard Rombey Jr. was assisted pushing air out through (his/her) open nostril with verbal prompt.  </p><p>Howard Rombey Jr. was assisted holding (his/her) hands in praying position with verbal prompt.  Howard slid the tissue down over (his/her) upper lip independently. Howard grasped the tissue between (his/her) two hands independently. </p><p>He moved the tissue away from (his/her) face independently. Howard Rombey Jr. was assisted going to the waste paper basket with verbal prompt.  He went to put the tissue in the waste paper basket independently. </p><p>Howard Rombey Jr. was assisted returning to the tissue box with verbal prompt.  Howard Rombey Jr. was assisted grabbing the tissue in the middle of the upper edge with (his/her) dominate hand with verbal prompt.  Howard pulled the tissue gently from the box independently. </p><p>He grasped the middle of the opposite side of the tissue with (his/her) other hand independently. Howard Rombey Jr. was assisted folding the two edges of the tissue together with verbal prompt.  Howard Rombey Jr. was assisted grasping the two edges with (his/her) dominate hand with verbal prompt.  </p><p>Howard Rombey Jr. was assisted wiping the area around and under (his/her) nostril with the folded tissues three times with verbal prompt.  Howard Rombey Jr. was assisted walking to the waste paper basket with verbal prompt.  Howard dropped the tissue in the waste paper basket independently. </p><p>He walked up to the sink independently. Howard Rombey Jr. was assisted washing (his/her) hands with verbal prompt.  </p><p>09/06/21</p>