Case Study Of A Client Centered Approach

Patient History Mary is a 77-year-old female who was recently diagnosed with a rare esophagus, achalasia. Achalasia is a disease that prevents relaxation of the lower muscle in the esophagus. Mary was having trouble swallowing her food, having quite intense chest pain and when she was able to eat she was having trouble keeping the food down. Just a few weeks after her diagnosis, Mary was having continued issues with swallowing and shortness of breath. Upon doing an x-ray doctors found food stuck in her esophagus that was causing infection and immediately started antibiotics. Previously to this diagnosis, Mary lived at home with her husband of over 50 years in a two story home in Florence, Cape Breton. Mary has also been living with rheumatoid …show more content…
In some case it might be appropriate for me to fill out a consultation form for the designated health care provider. In addition, when all these issues/concerns were brought up in conversation, I mentioned to Mary how other health care professionals could help and asked for her consent in passing along this information. The information can also be expressed through the note that will be written in the chart.
Client Centered Approach The approach of doing the COPM with the client is client centered in my opinion compared to therapist driven. As a recreation therapist this assessment becomes more a conversation and allows the client to express what they want. When doing this assessment with my grandmother she was able to talk about how she felt and what goals were most important to her. In addition, this assessment was client centered approach because it allows us to learn about the client, building rapport and begin to turn their problems into solutions.
Transfer of Knowledge from Group …show more content…
One important thing that I learned was to be okay with awkward silence and to not always fill the silence with talking. I also learned to try and make the process of doing the assessment more like a conversation instead of an interview. I also learned that by doing this assessment we are not necessarily just learning about recreation therapy needs but other needs outside of our scope. This means that it is important to have an efficient way to pass along knowledge. As well, it is important to acknowledge that the person you are interviewing may not disclose all needs especially if this is the first time meeting them. To help with this, it is important to review the plan and possibly change or create new goals to meet the needs of the