Reason for Services
What event led to Adam’s hospitalization?
Myocardial infarction (MI) and coronary artery disease
What is Adam’s current profession?
Executive for a technology firm
Where does Adam live?
In a two-story colonial home in the suburbs with stairs both outside and inside
What habits are likely impacting Adam’s cardiac health?
Smoking, excessive caffeine intake, and long work hours
What is Adam’s primary stated goal post-hospitalization?
Return to work quickly
What were Adam’s initial symptoms?
Chest pain, indigestion, and heartburn lasting several hours
How does Adam define his most meaningful roles?
Role as an executive and father
What environmental barriers might Adam face at home after discharge?
Stairs from garage and to second-floor bedrooms and bathrooms
What are Adam’s typical daily routines?
Early rising, long workdays, and limited family interaction
What family activity does Adam enjoy and prioritize during vacations?
Golfing and sailing in exotic locations
What is Adam’s discharge plan from the hospital?
Return home directly and resume work quickly
What is Adam’s typical workday like?
Starts at 5 a.m., works until around 9 p.m., averaging 70 hours per week
Who are the members of Adam’s household?
His wife Janice and one high-school-age son and a son who is a junior in college
What stress-related belief might hinder Adam’s recovery?
He denies experiencing stress and believes he thrives under pressure
What wellness goal could help Adam reduce future health risks?
Smoking cessation and managing work-life balance
Why is occupational therapy involved in Adam’s care?
To support his transition to home and improve occupational performance post-MI
What personal qualities does Adam associate with success?
Confidence, drive, and a belief that challenges are motivating and not stressful
What aspects of Adam’s personality may influence therapy?
High-achieving, perfectionist mindset, and denial of stress
How could Adam’s role performance expectations affect therapy outcomes?
He may push to return to work too soon and resist pacing strategies
What strategy could support Adam’s role as a father?
Encouraging more meaningful engagement and time spent with family
What lifestyle habits may interfere with his recovery?
Smoking two packs per day, drinking large amounts of coffee, and working 70-hour weeks
What impact might Adam’s work habits have on his occupational balance?
Limited time with family, high expectations, and potential neglect of self-care
What familial risk factor is relevant to Adam’s current diagnosis?
His father died of a heart attack at age 62
What ritualized activities might be important to address during therapy?
His early morning routine and high-intensity work style
What OT intervention goal could support occupational balance?
Restructuring routines to prioritize health, family time, and self-care