So I don't know if this will help.... I hope it does...
In my internship, I have three "target" students. For those three students, I do a full assessment, treatment plan, data, weekly progress notes, the works basically. I have spent time digging into their files, talking to their teachers, observing in the classroom, getting to know them individually, etc. One of my target students unexpectedly passed away this weekend... He was seven years old and profoundly disabled. He was nonverbal, wheelchair bound, and had horrible muscle contractions. It was so difficult to know how much of his behavior was intentional....except when he smiled - that was his form of communication. And he had the most beautiful smile. I lived for those smiles. I would do virtually anything to get a smile from him.
We have this bell tree instrument. It looks like this:

We would use it in our sessions to make the "all finished sound". Basically after we completed an activity, we would use the bell tree to make the "all finished sound". I use it primarily as a form of reinforcing good behavior. I usually say something to the effect of "[student's name] was doing a super fabulous job so he gets to make the all finished sound". BUT for my target student, we used it solely to get that smile. We would bring the bell tree to him and play it a few times and he would break out into the world's biggest smile - it would melt your heart. Then we would put the mallet into his hand and help him play the bell tree. He would just grin from ear to ear.
It's so hard to believe I won't ever see that smile again. I've never lost a student or a client before....it's so hard....
Sometimes I think in my profession there is a tendency to get stuck on numbers and data. I'm not saying that there shouldn't be an emphasis there - we need those numbers to further our field. But right now, my little seven year old student is gone and I could care less about the numbers...at the end of the day I'm just glad I got him to smile. At the end of the day, I'm glad for a little while he wasn't crying in pain because he was smiling.
I know he is in a better place....but he is missed and loved down here.