Reason for Services
What is Amanda’s primary diagnosis?
Osteoarthritis (OA)
What was Amanda’s profession before she retired?
Certified Nursing Assistant (CNA)
Where does Amanda live?
In a two-story townhome with her cat, Waffles
What fine motor skills are most impacted by Amanda’s OA?
Gripping, twisting, and pinching (like opening jars or using a phone)
What is Amanda’s primary self-care goal?
Complete basic ADLs (dressing, grooming) with minimal pain
What other medical conditions does Amanda have?
Hypertension, gout, macular degeneration, and a history of rotator cuff repair
What hobbies does Amanda enjoy?
Reading, knitting, gardening, and playing cards with friends
What accessibility challenge exists in Amanda’s home?
Her bedroom and full bathroom are on the second floor
What weight-bearing joints are affected by OA?
Her knees, hips, and lower back (impacting standing and walking)
What home management goal does Amanda value?
Continue cooking and maintaining her garden independently
Why was Amanda referred to occupational therapy?
Difficulty completing daily activities due to pain and stiffness
How does Amanda’s past work experience impact her rehab?
Her caregiving experience may enhance compliance but also make her resistant to asking for help
Who are Amanda’s primary social supports?
Her three children and a large group of friends from church
What symptom impacts Amanda’s ability to complete ADLs
Pain and stiffness in her hands and shoulders
What social activity is important for Amanda?
Playing cards with her friends regularly
What specific activities is Amanda struggling with?
Opening pill bottles, cutting vegetables, pulling weeds, and using a phone
What is one leisure activity Amanda values?
Playing cards with her friends
How does Amanda’s pet Waffles provide emotional support?
The cat gives her comfort and companionship
How does OA affect Amanda’s leisure activities?
Pain limits her ability to garden and knit for long periods
How can adaptive equipment support Amanda’s independence?
Jar openers, button hooks, built-up utensil handles
Why is joint protection education important for Amanda?
To prevent further joint damage and manage pain
Why is it important for Amanda to maintain independence?
She prides herself on being self-sufficient and taking care of herself
Why is Amanda’s social network important to her mental health?
Her strong social ties prevent isolation and maintain emotional resilience
Why is energy conservation a critical skill for Amanda?
It allows her to balance her daily activities without excessive fatigue
Why is maintaining social engagement critical for Amanda?
Prevents isolation and supports emotional well-being