Patient is a 45-year-old female who sustained a left-sided CVA with right-sided hemiparesis. She lives in a 3-story house with her daughter. She is currently on medical leave from her job as human resources manager. She has prior history of CVA and she is also diabetic. She plans on returning to her job and regain her independence. She also expressed that she want to live close to normal life. After her hospitalization, the patient has been receiving occupational therapy services at a skilled nursing facility. The rehab program will last for 12 weeks addressing any deficits so that that patient can be functionally independent again. The patient is currently on the third week of the rehabilitation program.
Current level of function: Right …show more content…
• Patient tends to choke on liquids
• Patient displays impulsivity.
Occupational Therapy Problems & Treatment Goals
1. Dressing – UE/LE dressing is one of the areas that should be addressed. Due to weakness on the right side and moderate dressing apraxia, donning and doffing of clothing will be difficult for the patient.
• Goal: Patient will complete UE/LE dressing in a sitting position with the use of assistive devices with minimum assistance to regain independence.
2. Grooming and hygiene – Involved side of the body is still weak and doing hygiene and grooming task will also be a challenge for the patient.
• Goal: Patient will be independent with grooming tasks for the purpose of regaining independence in home environment.
3. Transfers – most transfers will be difficult for the patient (ex. w/c to bed, bed to w/c, toile transfers). Due to paresis, maximum assistance is required during transfers.
• Goal: Patient will be able to transfer on/off (toilet, chair, w/c) with minimum assistance and with the use of AE/DME to regain independence in bathroom
Current level of function: Right …show more content…
• Patient tends to choke on liquids
• Patient displays impulsivity.
Occupational Therapy Problems & Treatment Goals
1. Dressing – UE/LE dressing is one of the areas that should be addressed. Due to weakness on the right side and moderate dressing apraxia, donning and doffing of clothing will be difficult for the patient.
• Goal: Patient will complete UE/LE dressing in a sitting position with the use of assistive devices with minimum assistance to regain independence.
2. Grooming and hygiene – Involved side of the body is still weak and doing hygiene and grooming task will also be a challenge for the patient.
• Goal: Patient will be independent with grooming tasks for the purpose of regaining independence in home environment.
3. Transfers – most transfers will be difficult for the patient (ex. w/c to bed, bed to w/c, toile transfers). Due to paresis, maximum assistance is required during transfers.
• Goal: Patient will be able to transfer on/off (toilet, chair, w/c) with minimum assistance and with the use of AE/DME to regain independence in bathroom