Intervention Plan
edited
... Secondary diagnosis/concern: Hypertension, Arthritis in right hand, primarily R D2, knee arthr…
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Secondary diagnosis/concern: Hypertension, Arthritis in right hand, primarily R D2, knee arthroscopy
Reason for referral to OT: (or questions to be answered)
Therapist:Lindsay Barker S/OTLauraS/OT, Laura German S/OTAaronS/OT, Aaron Jacobs S/OTKendraS/OT, Kendra Paulus S/OTMorganS/OT, Morgan Podach S/OTSabreanaS/OT, Sabreana Wright S/OT
FINDINGS
Occupational profile: (Describe the client's occupational history and experience, patterns of living, interests, values and needs that are relevant to the current situation.)
Pre-Surgery Report
Mary is an 81 year old woman who is experiencing pain in her hip. She is scheduled to have a right hip replacement on 10-31-2011. She has also had a left knee arthroscopy, and she experiences arthritis in her right hand, primarily in her 2nd digit. She attributes the arthritis to her work with wires and flowers in the flower shop. She was diagnosed with hypertension a few years ago during a physical with her doctor. Mary states that she experiences pain the most when moving in and out of her bed. She states that when she is moving, the pain is about a 9 out of 10; however, when she is sitting she does not feel any pain at all.
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also has stabilizedraised her rocking chair and
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a reacher for dressing, and aalso has her own sock aid for dressing.aide. She also has two
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shop, putting arrangmentsarrangements together or
Problems and concerns: (Listed by client)
Lack of endurance and fatigue (due to lack of mobility)
Intervention Plan
edited
... controlling LE limbs
proper gait cycle
balance
Required body functions:
moblility of …
...
controlling LE limbs
proper gait cycle
balance
Required body functions:
moblility of joints
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the whole body:
arms
hands
fingers
eyes
nose
fingers
eyes
nose
trunk
legs
feet
feet
toes
Client factors:
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Client will be mod I in returning to previous occupation as a florist in 4-6 weeks.
Short Term Goals
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will transition formfrom using walker
1b. Client will complete a simple painting in standing in 2 weeks, increasing the consecutive time she stands each session.
1c. Client will be mod I in ambulation from car to church with rolling walker in 2 weeks.
Intervention Plan
edited
... Rituals: Planned yearly activities w/in church, family functions, and traveling.
Roles: Mothe…
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Rituals: Planned yearly activities w/in church, family functions, and traveling.
Roles: Mother, grandmother, great grandmother, wife, florist, and friend.
Activity demands: Activity of ambulating through nursing home
Objects and their properties:
walker
shoes
gait belt
glasses
Space demands:
nursing home 2-person room: bed, chair, bathroom, low lighting
large hallways
noisy
Social demands:
friendly
roommate and other residents
socially appropriate behavior
Sequence and timing:
3 step sequence: walker, right foot, left foot
pivoting
Required actions and performance skills:
gripping walker
control of walker
controlling LE limbs
proper gait cycle
balance
Required body functions:
moblility of joints
level of conciousness
strength of UE
Required body structures:
the whole body:
arms
hands
fingers
eyes
nose
trunk
legs
feet
toes
Client factors:
Values/Beliefs/Spirituality: Christian faith
Intervention Plan
edited
... Client's name: Mary German
Date of birth &/or age: 7-23-30
... of referral: 10-31-11M…
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Client's name: Mary German
Date of birth &/or age: 7-23-30
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of referral: 10-31-11M10-31-11 M F
Primary intervention diagnosis/concern: R Hip Replacement
Secondary diagnosis/concern: Hypertension, Arthritis in right hand, primarily R D2, knee arthroscopy
Intervention Plan
edited
... Roles: Mother, grandmother, great grandmother, wife, florist, and friend.
Activity demands:
…
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Roles: Mother, grandmother, great grandmother, wife, florist, and friend.
Activity demands:
Objects and their properties:
Space demands:
Social demands:
Sequence and timing:
Required actions and performance skills:
Required body functions:
Required body structures:
Client factors:
Values/Beliefs/Spirituality: Christian faith
