Reason for Services
Why is Will receiving OT services?
He is recovering from a left CVA with right spastic hemiparesis, impacting his ability to complete ADLs and mobility tasks.
What profession did Will retire from?
Accountant.
Who does Will live with?
His husband, Mark.
What is Will’s main motor impairment?
Right spastic hemiparesis.
What is Will’s immediate self-care goal?
Regain independence with bathing and dressing.
What symptoms prompted emergency care for Will?
Unbearable headache, slurred speech, and right-sided weakness.
What outdoor activities was Will excited to do after retirement?
Traveling and going on fishing and hunting trips.
What home barrier could impact Will’s mobility recovery?
He lives in a two-story townhome with a non-adapted bathroom (tub-shower combo).
What level of assistance does Will currently require?
Maximal assistance for bathing, dressing, toileting, and mobility.
What leisure activity goal is important to Will?
Resume traveling and participating in fishing/hunting trips.
When did Will experience his stroke?
Yesterday.
What role did household chores play in Will’s daily routine?
He shared household responsibilities equally with Mark.
How might Will’s grandchildren influence his rehab motivation?
He is motivated to recover to continue active involvement in family activities like dinner and game nights.
How might spasticity impact Will’s mobility?
It may cause stiffness, limiting smooth movement and posing a fall risk.
Why is community reintegration (e.g., family outings) important for Will?
Maintains his emotional well-being and life satisfaction.
What additional medical conditions does Will have?
Coronary artery disease and diabetes.
How did Will’s retirement influence his daily habits?
He shifted focus toward leisure and family activities.
What emotional strength is evident in Will’s family support?
Mark is very supportive and willing to help Will regain his independence.
Why is early mobility training important for Will?
To prevent deconditioning and promote functional recovery.
How can Mark’s involvement improve Will’s rehabilitation outcomes?
Provides consistent support and promotes motivation to engage in therapy.
Why is early rehabilitation critical for Will’s recovery?
To maximize neuroplasticity, regain function, and prevent complications like contractures or further decline.
Why are Will’s past hobbies important in goal setting?
They offer meaningful activities that motivate participation in therapy.
What environmental adaptations could be needed for Will’s safe return home?
Bathroom modifications, possibly first-floor living space setup, and adaptive equipment.
How might Will’s daily patterns need to change after his stroke?
He will need assistance initially for self-care and mobility, with gradual reintroduction of leisure activities as recovery progresses.
Name one therapy strategy that could help Will achieve greater independence.
Task-specific training, adaptive techniques for ADLs, or upper/lower extremity strengthening.