Question

J is a 64 year old male with R CVA ( cerebrovascular accident or stroke) with L hemiparesis(complete paralysis of half of the body can be caused by stroke) . and neglect(not having any sensory loss to that side of the body) . The patient is currently hospitalized in the acute wing of the hospital. To return home to live with their spouse, J must be S with transfers and ADL

Utilize universal precautions.

Precautions: cardiac, fall, IV antibiotics delivered in R forearm

PMH(Past medical history): osteoarthritis, depression, afib

Prior level of function ( PLOF): J was independent and living with their spouse in their ranch style home. The patient is a retired mechanical engineer. They were driving and taking care of all yard work and gardening. The patient enjoyed riding their bike with their adult children. The week prior to the CVA J and one of their children enjoyed a 10 mile trail ride. Since retiring, they spend a lot of time with their 5 grandchildren who all live in the same small town.

Current Level of Function (CLOF):  

ADL & Functional Mobility:

Dressing UB with Max A (GG 2)

Dressing LB with Mod A (GG 3)

Toilet transfer with Mod A (GG 3)

Toilet hygiene with Min A (GG 4)

Functional Mobility with Quad Cane with Mod A (GG 3)

Balance:

Standing balance is 1 on KU scale

Sitting balance is 1+ on KU scale

MMT:

RUE - grossly 4 / 5

LUE - grossly 2+ /5

Pain:

J reports pain of 4/10 with the movement of L UE

Orientation:

J is A & O X 3

1. Identify words/terms that you do not understand.  

2. Determine what those words/terms mean via textbooks, OTPF document, peer discussion, google, etc.

2. Complete Occupational Profile Using the questions below. You may freehand the profile or use the blank Occupational Profile template. You will need to be creative in order to answer some of the questions.

AOTA OCCUPATIONAL PROFILE TEMPLATE

“The occupational profile is a summary of a client’s occupational history and experiences, patterns of daily living, interests, values, and needs” (AOTA, 2014, p. S13). The information is obtained from the client’s perspective through both formal interview techniques and casual conversation and leads to an individualized, client-centered approach to intervention.

Each item below should be addressed to complete the occupational profile. Page numbers are provided to reference a description in the Occupational Therapy Practice Framework: Domain and Process, 3rd Edition (AOTA, 2014).

Client /Date:      

Client Report	Reason the client is seeking service and concerns related to engagement in occupations	Why is the client seeking service, and what are the client’s current concerns relative to engaging in occupations and in daily life activities? (This may include the client’s general health status.)
	Occupations in which the client is successful (p. S5)	In what occupations does the client feel successful, and what barriers are affecting his or her success?
	Personal interests and values (p. S7)	What are the client’s values and interests?
	Occupational history (i.e., life experiences)	What is the client’s occupational history (i.e., life experiences)?
	Performance patterns (routines, roles, habits, & rituals) (p. S8)	What are the client’s patterns of engagement in occupations, and how have they changed over time? What are the client’s daily life roles? (Patterns can support or hinder occupational performance.)
	What aspects of the client’s environments or contexts does he or she see as: Supports to Occupational Engagement Barriers to Occupational Engagement
Environment	Physical (p. S28) (e.g., buildings, furniture, pets)
	Social (p. S28) (e.g., spouse, friends, caregivers)
Context	Cultural (p. S28) (e.g., customs, beliefs)
	Personal (p. S28) (e.g., age, gender, SES, education)
	Temporal (p. S28) (e.g., stage of life, time, year)
	Virtual (p. S28) (e.g., chat, email, remote monitoring)
Client Goals	Client’s priorities and desired targeted outcomes: (p. S34)	Consider: occupational performance—improvement and enhancement, prevention, participation, role competence, health and wellness, quality of life, well-being, and/or occupational justice.

Answer 1