Developmental and fine motor delays in a four-year-old girl

A 4-year-old girl was recently referred to my occupational therapy clinic due to developmental delays in fine motor skills, self-care tasks, and play activities. Assessments revealed below-average hand-eye coordination, grasping difficulties, and sensory processing issues, particularly under-responsiveness to tactile input. Observations showed struggles with buttons, zippers, and utensil use, as well as limited engagement in imaginative play, favoring solitary activities.

In the care and management of this patient, what goals must we prioritize in her treatment and do you have any specific interventions that you think would be appropriate for her case?