Reason for Services
Why is Frank receiving OT services?
He is recovering from a right CVA with left spastic hemiparesis and needs support with self-care and mobility.
What was Frank’s job before retirement?
Postal worker
Where does Frank live?
In a ranch-style home with his wife.
What is Frank’s main motor performance challenge?
Left spastic hemiparesis.
What is one of Frank’s short-term goals?
Improve self-care abilities and basic mobility.
What specific challenge makes OT essential for Frank right now?
His impaired ability to use his left side is affecting basic ADLs.
Name two hobbies Frank enjoyed before his stroke.
Gardening and woodworking.
What environmental factor currently limits Frank’s independence?
The five steps at the front door and lack of adaptive devices.
How do Frank's deficits impact his ability to complete ADLs?
He needs moderate assistance for dressing and toileting.
What is one of his long-term goals?
Return to gardening and woodworking independently.
How does OT help in Frank’s current rehab phase?
Improves independence in daily tasks, enhances mobility, and addresses psychosocial impacts.
What is one area Frank continues to feel confident in?
He is eager and motivated to resume his hobbies.
Name one environmental/contexual support in Frank’s life.
His supportive wife and friends.
What kind of assistance does Frank need for functional mobility?
Moderate assistance and use of adaptive devices like a walker.
What role does his wife play in supporting these goals?
She provides encouragement, emotional support, and helps him engage in therapy.
Why is it important to understand Frank’s view of his challenges?
To ensure interventions are meaningful and aligned with his goals.
How has Frank’s occupational history influenced his rehab goals?
His past involvement in hands-on activities motivates him to regain fine motor skills.
What personal factors influence Frank’s engagement in therapy?
His age, previous occupation, and internal motivation.
What role do routines play in Frank’s daily function?
They help him stay structured but require adaptation due to his stroke.
What therapy strategies could help Frank regain independence?
Adaptive equipment, strength training, and task-specific practice.
What role do safety concerns play in Frank’s referral to OT?
He is at risk for falls and injury due to decreased function and lack of home modifications.
How might Frank’s habits from his postal career help or hinder rehab?
His structured routines may help adherence, but rigidity may challenge adjustment to new strategies.
What home modification could significantly support Frank’s recovery?
Installing grab bars, ramps, and using a walker or adaptive tools.
What social interaction patterns might be impacted by his condition?
He may feel frustrated or withdrawn due to his limitations, affecting confidence in social settings.
Why is it essential that Frank’s therapy plan include his hobbies?
Engaging in meaningful activities improves motivation and promotes neuroplasticity.