The Person-Environment-Occupation-Performance model (PEOP) has many similarities to the Occupation adaption model; however, it focuses more on the specific aspects of the person, environment, occupation and performance instead of the resulting overall process. This model was developed by Charles Christiansen and Carolyn Baum and it emphasizes that the therapist determines specific hindrances in each of the four categories referred to in the title by using a top-down approach with the client’s perception of the problem being the leading component (Cole & Tufano, 2008). It again looks at a person’s “innate drive to explore their environment and demonstrate mastery in it” (Cole & Tufano, 3008, …show more content…
Work was chosen because Stephen possessed a sense of urgency regarding this occupation that was not present with his other occupations. When asked about this, he claimed it was because he had so much research to do before he lost all motor function and was not able to communicate his thoughts. Digging deeper into the psychology behind this motivation, it was revealed that this stemmed from his initial diagnosis and conversation with a doctor that one day his thoughts would be unknown due to lack of speech. Stephen was unaware of the various communication devices capable of generating verbal speech. Even in cases of complete loss of motor control, “eye gazing technology allows patients to use their eyes to control a full functioning computer that also functions as an AAC system” (Regensburg et. al., 2016, p.1). Due to the possibility that Stephen could rely solely on his eyes for communication in the future, it is necessary to assess environmental aspects that could be detrimental to his eye functioning These include lighting, distance from computer screen or reading material, and precautions for protecting his eyes from digital strain such as computer lenses that filter out blue light. In addition, since Stephen’s current state of verbal communication has been in recent decline, collaboration with his speech therapist concerning adaptive speech equipment would greatly help his current performance issue. Other environmental concerns such as positioning and availability of materials at his work station should also be addressed to increase Stephen’s ability to function optimally during work