<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. He moved (his/her) open hands together under the tissue independently. </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>He pinched one nostril shut with (his/her) finger on hand independently. 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 pinched other nostril shut with (his/her) finger of other hand independently. He pushed air out through (his/her) open nostril independently. </p><p>He hold (his/her) hands in praying position independently. 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.  Howard Rombey Jr. was assisted putting the tissue in the waste paper basket with verbal prompt.  </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>Howard Rombey Jr. was assisted grasping the middle of the opposite side of the tissue with (his/her) other hand with verbal prompt.  Howard folded the two edges of the tissue together independently. He grasped the two edges with (his/her) dominate hand independently. </p><p>Howard wiped the area around and under (his/her) nostril with the folded tissues three times independently. Howard Rombey Jr. was assisted walking to the waste paper basket with verbal prompt.  Howard Rombey Jr. was assisted dropping the tissue in the waste paper basket with verbal prompt.  </p><p>He walked up to the sink independently. Howard Rombey Jr. was assisted washing (his/her) hands with verbal prompt.  </p><p>5/4:21</p>