Reflective Personality Assessment

This evaluation was the first one that I have observed during the fieldwork experience. The client that I’ve observed the occupational therapist evaluate along with a physical therapist was a female client with expressive aphasia as a result of a left transient ischemic attack (TIA). During the evaluation, it was noted that the client had hemiparesis on their right side in her upper and lower extremities, more paresis on her extrinisic muscles than her intrinsic muscles.

Throughout the evaluation, the client was cooperative, cognizant, alert, responsive, and exhibited no visual inattention or neglect. Surprisingly, the client did not exhibit any signs of expressive aphasia, though it was stated in her medical chart. Her goals are to return to her her life functioning in everyday activities, such as feeding, and return to take care of her family and work as a nurse.

Based on both therapists’ inquiries of her abilities to perform self-care …show more content…
My rationale for the use of the Tinetti scale is because I can use this assessment to determine the severity of the client’s risk of falls whenever she is not surrounded by health care providers or family members. It is important for the client to have a steady base of support to maintain balance and to engage in self-care activities and functional mobility. The client has a strong desire to return to their life prior to their TIA. The results of this assessment tool could be used to develop relevant, measurable, and accurate long-term and short-term goals along with appropriate treatment plans to help the client rehabilitate and return back to an independent life. A copy of the Tinetti POMA scale was provided to me by my supervisor, in which I used to support my