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I teach in a self-contained, severe/profound K-5 classroom. So much of our time is taken up with diaper changing, feedings and other physical busy work. We finally came up with a schedule that seems to be able to address all of those tasks and also incorporates academic activities. Because our students require physical assistance to participate in most academic activities, we were finding it difficult to get in enough lesson time. The schedule we came up with is an "A" day, "B" day schedule. We have 6 students, 1 teacher, me :) and 2 teacher assistants. We rotate students every 15-20 minutes with 2 students working on math on "A" day, language arts on "B" day. The other students are with a staff member getting out of their wheelchairs and getting diapers changed. We continue the rotation until every student has had academic time, diaper changed and time out of chair. So far it's working. It only took us most of the school year and lots of trial and error to come up with this plan. We do this in the morning and in the afternoon we set aside about 30 minutes for a group type of activity. I'm curious to learn what some of you in this setting have come up with.