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Occupational Therapy, Case Study Example

Pages: 4

Words: 1009

Case Study

Occupational Therapy: A Client Centered Analysis and Project Planning

Client Demographic and Medical Information

The client is a female who lives alone in her own apartment. She has had a post open reduction internal fixation on the right femur fracture and from it has developed respiratory abnormalities along the way. The said health status has been a result of a past accident while the client was on vacation. After the accident, the client had an operation on her right leg and was then transferred to another hospital later on due to the swelling of the operated leg. From there the swelling has imposed another form of problem which resulted to her respiratory function abnormalities.

Target Point of Development: Goal of Therapy (Daily Activities)

The client basically wants to function normally again especially when it comes to moving the legs freely and specifically breathing normally with no specific hindrances to the function of the respiratory system. Considerably, the process by which the therapy entails to respond to these problems is through imposing regular slow-walking activities that would gradually increase in time-length as the client begins to adapt to the therapy’s everyday nature. Along with that comes the daily breathing exercise that shall be imposed so as to make sure that the client’s breathing process would be further defined for improvement. Like the first type of development, the client’s breathing exercise shall first pick up from slow and short span of therapies towards longer spans hence increasing the capability of the client to perform long term breathing exercises.

Other Goals

Short Term Goals:

Activity: Assistance  to patient when it comes to dressing herself up [this shall include a 20 to 30 minute dressing up so as to make a considerable approach in helping the patient train to do the task]

Rationale: Patient expresses her desire to dress on her own without assistance later on but accepts the fact that as of now she needs to practice regularly to be able to attain the said state.

Activity: Assistance to patient when walking to and from her own kitchen and dining room. [the distance is pretty close and the activity is expected to be held at least three times per day with at least 10 minute session each practice]

Rationale: The client asks that she be assisted to walk around the house freely after the therapy

Long Term Goals:

Activity: Walking outside the house within the neighborhood for at least 10 minutes each day

Rationale: The patient wants to be able to walk around the neighborhood freely as she follows the pattern of recovery that the therapy intends to impose on her current health status.

Activity: The therapy shall involve a more defined way of allowing the patient gain full control of herself especially when it comes to standing up. The activity shall involve points of development in a gradual manner that includes standing freely for three minutes and later on shall adjust up to five-ten minute practices.

Rationale: Patient asks for assistance in standing up for long minutes without the need to feel extensive pain.

Occupational Therapy Interventions

Preparatory Method

The client should be specifically prepared in three different aspects of development specifically considering physical, mental and emotional factors of individuality. This will help the client inhibit a positive outlook of the situation that she is supposed to undergo during the entire therapy session. With the assumption of mental preparedness, the OT attendant could provide a summation of the goals that are to be achieved in the course hence giving the client an overview of what she would expect to happen after the application of the process of development being imposed through the therapy. This ideal assumption of development could be further imposed in the aspect of emotional and physical preparedness.

Purposeful Activity

In the process of preparation, it is important to have a correlative talk with the client which shall further help her redefine her being alongside the developments that she is supposed to incur through the time frame being completed for the therapy. The purpose of this approach is to make sure that the client knows what she is supposed to expect and further help her make a list of goals she herself would like to accomplish during and after the therapy sessions.

Treatment Session

Activity Rationale Frames of Reference Contraindication

 

Level of Development
One Full month of walking exercises for at least twice a week for the first month To improve the walking capability of the client based on the gradual development of the therapy’s application.

 

Using particular equipment for the therapy, it could be realized that this therapy should be imposed with particular technical measures that define the process in a more refined manner.

Medication could be imposed along with this aspect of development hence helping with the therapy.

 

 

 

Dr H. S. Rissam. Endorphin, a natural painkiller and relaxant, is released into our bloodstream every time we take a walk—inducing a feeling of well being and positivity.

http://www.lifepositive.com/body/new-age-therapies/walk-therapy/walking-wellbeing.asp. (Retrieved November 3, 2011)

 

 

 

 

 

 

Walking needs to pick up from short and slow applications towards longer times depending on the capability of the client to identify himself along with the process.

 

 

 

 

 

 

Gradual increase of time and competence of walking based on the progress report of the client.

Continuing options of therapy involving a gradual development of the walking exercises from short-time operations towards a long-time operation.
Separate from the walking exercise, several breathing exercise lasting from at least 10 minutes increasing to 20 minutes in between walking exercises.  

Breathing exercises are designed to manage the function of the respiratory system.

 

The  breathing exercise noted herein is to make a definite impact on the level of development that would specifically work for the needs of the client.

 

Breathing therapy as a relaxing agent that reduces anxiety and respiratory system failure. http://www.breathaware.com/breathing.html.  (Retrieved on November 3, 2011)

 

Proper breathing exercises allow the client to develop a defense on the tiredness felt during particular aspects of the therapy.

If needed, medication could be applied to support the process.

 

 

 

Gradual increase of breathing time so as to make sure that the respiratory system responds to the therapy.

 

 

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