Reason for Services
What is Larry’s primary diagnosis?
Chronic obstructive pulmonary disease (COPD).
What was Larry’s profession before retirement?
Welder and owner of his own welding company.
Where did Larry live prior to entering long-term care?
In a duplex with his wife Marie; bedroom and main bath are on the second floor.
What daily medical management task was Larry doing independently?
Managing COPD medications and using oxygen at night.
What is Larry’s main discharge goal?
To return home to live with his wife in their duplex.
What secondary health conditions impact Larry’s daily life?
Diabetes and bilateral knee pain.
What was a past leisure activity that Larry enjoyed?
Bowling in a local league and dancing with his wife.
What environmental barrier exists in Larry’s home?
Stairs leading to the bedroom and full bathroom.
What changes have recently occurred in Larry’s physical performance?
Increased need for rest, difficulty with stairs, and reduced endurance.
What leisure activity reflects Larry’s identity as a husband?
Playing games and watching TV with Marie.
What led to Larry’s hospitalization?
He contracted the flu and was unable to manage stairs at home afterward.
What factors forced Larry to retire?
Medical complications from COPD and aging-related decline.
Who lives in the other half of the duplex?
His daughter and her family.
What sign of cognitive change has the care team observed?
Mild cognitive decline.
How might therapy support Larry’s safety at home?
By addressing stair negotiation, energy conservation, and home modifications.
Why was Larry admitted to long-term care after his hospital stay?
He could no longer climb the stairs in his duplex home.
What does Larry’s history as a business owner suggest about his values?
Strong work ethic, independence, and pride in his skills and reputation.
What tasks does Larry’s daughter assist with?
Grocery shopping, vacuuming, and transportation to appointments.
What physical symptoms may be affected by his secondary diagnoses?
Knee pain may limit mobility and diabetes may affect energy levels and cognition.
What occupational area might need caregiver involvement to support Larry?
Mobility and potentially medication or oxygen management due to cognitive changes.
What is a concern about Larry’s discharge plan?
His medical status may make returning home unsafe, despite his goal to do so.
How has Larry’s activity level changed over the past 6 months?
He now needs more rest breaks and cannot manage stairs or maintain previous levels of activity.
What support does Larry’s wife provide at home?
Meal prep, light housekeeping, and laundry.
What activities still bring Larry joy and connection?
Playing cribbage, watching game shows, and spending time with grandchildren.
What quality-of-life outcome is most important to Larry?
Remaining at home with his wife and staying connected with family.