Intervention plan 2
- List areas of weakness in occupational performance for Ms. T
Ms.T faces shoulder and wrist aches when she is teaching at the school, be it while writing on the blackboard, or just trying to hold a book. She faces troubles in knitting, and playing cards, due to the same problem. Her physical agility is very weak, and she takes a long time to do her household chores. She is also having trouble in walking without support, and turning about the bed every night. She faces trouble in the toilet too. Her capability to bathe the lower half of her body and to change her underclothes is also affected. She needs verbal cues to remember the hip precautions. Her volunteering activities put her at discomfort, as well, and she complains of numbness in her body. (Rheumatoid Arthritis: Disease or Syndrome, 2009)
- What are priorities that need to be addressed with Ms. T while she is hospitalized? Why? (Provide a rationale.)
Ms.T has to reduce her pain, and go back home to lead a comfortably better life. The main aim of the hospital staff would be to assist the physical agility of Ms.T. She should regain her physical mobility, so that she can resume work at school, as well as do her household chores with considerable ease.(Occupational therapy practice framework: Domain and process, 2006)
- Write three problem statements for Ms. T?
Ms. T is having trouble working at the school, due to her Rheumatoid Arthritis.
Ms. T is facing a problem in doing her household chores, due to the constant ache in her shoulder and wrists.
Ms. T is facing problem in bathing the lower part of her body, due to her pain in the hip movements.
- Write 3 long term goals and 3 short term goals for Ms. T. Use proper goal format. Long term goals should be functional or occupation-based. Each set of short term goals should either be listed directly under its long term goal or provided in chart format as given below:
Intervention plan 3
- Describe the OT Approach(es) that will be used for each long term goal. (Your description for each long-term goal should include the following: a) type of approach and b) an example. Refer to OTPF Table 8.)
Long-term goals are those which take place, and give a result over a long period of time. These take considerable effort, and strength of mind. These need a planned approach, and lots of motivation. To achieve these, Ms.T has to set objectives, and those are enumerated in the table depicted below.
Intervention plan 4
- Choose two of Ms. T’s short term goals. For each short term goal, provide an example of each of the following: Preparatory, Purposeful, Occupation-based, Education & Training (Refer to OTPF Table)
Intervention plan 5
Intervention Plan 6
- Based on the data given in the case, what factors may influence Ms. T’s participation in and outcome from OT intervention? (Intrinsic/extrinsic facilitators and barriers).
Barriers to Ms.T’s participation are due to fear of further pain and pressure on her right hip. Besides, her mental state might affect her overall happiness, and state of mind. Her lack of confidence is also a barrier for her to progress. Ms. T doesn’t want any “handicapped devices” in her life, and she is resistant there too.OT intervention can improve her confidence level, and motivate her to try these devices. She must be made to understand that she can go back to her normal life, once she is confident enough to overcome her resistance, and exercise with the self-help devices.
- When and how will Ms. T be re-evaluated? What data would reflect progress? What data would reflect decline?
Ms. T’s performance will be re-evaluated during her training sessions, and once she goes home after her treatment. Based on how she manages to do her daily activities, she will be monitored.(The People with Arthritis Can Exercise (PACE) Program: A Qualitative Evaluation of Participant Satisfaction, 2005)
If her pain has reduced, and she is able to resume her daily life with better vigor, it indicates success.
If her pain is just as it was, or worse and her daily life is not improved in any way, it indicates decline.
- Ms. T has explicitly expressed a preference to not use any “handicapped” devices. Describe how you will remain client-centered and use therapeutic use of self to facilitate Ms. T’s use assistive devices?
Ms.T doesn’t want to use any devices, further. However, her resistance has to be overcome by telling her that these devices are temporary only, and need to be used to reduce her pain. If temporary use of these devices make her return home faster and she is able to regain her old life, then the use of such devices isn’t a necessary evil. So, I will convince her to use these devices, for her own betterment.
- Identify 3 devices you would recommend to assist Ms. T with her self-care activities? (Provide a picture of the devices.) Why? Identify 2 vendors that sell the recommended equipment? What is the cost or range of cost of the equipment by each of the vendors?
I would recommend Ms. T with a sock aid to put on her socks ,without bending much. The sock aid is sold online and at stores for $ 5 to $ 10 at Amazon and Ebay.(Ebay.com,2014)
Intervention Plan 7
I would recommend the long handled sponge for Ms. T . This would help her to bathe the lower half of her body easily. The long handle sponge is sold at Amazon for $8.95 and at Ebay for $ 9.10 . (Amazon.com,2014).
I would recommend a shower chair for Ms. T so she can bathe without worry. It has bars and a back supporting assistance feature. This equipment can be found at Amazon for $27 and at ArthritisSupplies for $ 34.(ArthritisSupplies, 2014)
- Describe other modifications could assist Ms. T with performing basic self-care activities?
Ms. T should have things within reach. She must use elevated toilet seats, to reduce hip-ache. Tub bars and handrails can be useful in the bathroom, to get into the tub. Wide key holders and big gas can openers can be used in the cars.
- Identify devices that could help Ms. T with the completion of two housekeeping tasks. (Provide a picture of the devices.) Identify a vendor that each device can be purchased from? How much does each device cost?
The first device is a broom that has an ergonomic handle which makes it easy to grasp, as well as
a dustpan that can be used without bending much. It is sold at amazon.com for 15.99. The second device is a universal knob turner, which will help her turn off the stove, after cooking . It is sold on amazon.com for 6.99.
15. Given the information in the case, describe two strategies (1 device and/or 1 non-device) that could help Ms. T. with performance of each of the following: employment, leisure, and volunteer activities.
Intervention Plan 8
For each of these activities, I would suggest to use a gripper to keep the hand wrist pain to bare minimum, and do the activities with considerable ease. I would also advise her to keep her self- confidence up, and do such activities like walking with a cane, using holders for books, etc. to fasten her own recovery.
Intervention Plan 9
- Occupational therapy practice framework: Domain and process (3rd ed.).American Journal of Occupational Therapy, 68(Suppl.1), S1–S48.http://dx.doi.org/10.5014/ajot.2014.682006
- Health and Personal Care.ArthritisSupplies.com.Retrieved from www.arthritissupplies.com
- Health and Personal Care.Amazon.com.Retrieved from www.amazon.com
- All Listings.Ebay.com.Retrieved from www.ebay.com
- Callahan,Leigh F., Schoster, Britta,Meier Andrea,Mielenz,Thelma,& Dimartino,Lisa. The People with Arthritis Can Exercise (PACE) Program: A Qualitative Evaluation of Participant Satisfaction.Preventing Chronic Disease.2005 June; 15:1-10
- Stanich,Jessica A, Carter,John d,Whittum-Hudson, Judith,et al.Rheumatoid Arthritis:Disease or Syndrome?.Open Access Rheumatology Research and Reviews.2009 December;8: 179—192