Diagnosis
What is Frank's Primary diagnosis?
Parkinson's disease & recent stroke
What interventions are included in Frank's OT plan?
Environmental modifications, adaptive equipment education, medication management and fall prevention strategies.
What are some of his daily habits and routines?
Self-care activities, home management, leisure like playing cards, and social interactions
What are some goals for Frank in OT?
Improve mobility, independence, medication management, and fall prevention.
What should we consider when planning for Frank's discharge from OT?
Progress towards goals, safety in the home, caregiver support, and community resources/integration
How does PD impact Franks' daily occupations?
Balance, coordination and mobility
How do we select appropriate interventions for Frank?
Client centered goals and needs, assessment data and evidence-based practice
How does Frank's living environment influence his ability to engage in meaningful occupations? Or what are things to consider for safety within his home?
Safety and accessible features such as grab bars, non-slip surfaces, and good lighting could improve safety and independence.
When or how should OT goals be modified based on Frank?
Based on his progress, functional status and feedback
How can we include frank's family in the discharge plan?
Collaboration, caregiver education and meetings
What are some common symptoms of PD?
Tremors, stiffness and impaired balance
What is the purpose of environmental modifications for Frank?
Safety, accessibility, and independence in home setting.
Does his cognitive limitations and sensory impairments affect his performance skills and participation in daily activities? If so, How?
It may affect his ability to plan, follow the sequence of tasks, and maintain balance or coordination.
What should be considered when creating goals for Frank?
His level of functions, environment, social support and his interest.
Adhere to therapy recommendations, medication management, and community support services.
What are some complications or limiting factors for his diagnosis of PD, stroke, or Lewy body dementia?
Falls, cognitive limitations, stiffness, and memory deficits.
What AE or AD would you recommend to improve Frank's balance and mobility?
2WW or a cane
What are some of his personal values and interests?
Playing cards, participating in social activities, and engaging in home tasks.
What are some potential barriers to achieving Franks OT goals?
cognitive impairments, environmental challenges, or social support.
What is the importance of interdisciplinary collaboration for Franks discharge planning?
It could include a team of nurses, therapists, and aids for continuity of care to address his needs.
How does PD progress over time?
Symptoms worsen overtime
What strategies can we implement to limit falls and promote safety for Frank?
Fall Prevention- Proper footwear, using handrails/grab bars, balance activities, and environmental modifications.
What are some performance skills that are affected by Franks' tremors and fine motor limitations?
Grasping, manipulations, and coordination.
What can OTs use to address Frank's cognitive limitations and promote cognitive rehabilitation?
Cognitive training activities, memory strategies, problem solving tasks, and attention-building activities
What are some recommendations and referrals for Frank?
OT follow-up, Home Health services, Vision Specialist, Fall Prevention programs/services