Jim endures incredible life changing hardship. The issues an OT encounters relating to motivation were Jim's grief of losing his mother, the fatigue and pain from chemotherapy and radiation therapy. To increase participation, an OT can use therapeutic use of self (greeting Jim with a hug) and collaborative mode (let Jim choose the activities that are meaningful to him in his natural environment ). Adaptations for home environment include removing throw rugs, taping down electrical cord, wrapping sharp corners of furnitures in foam tape, installing nonslip strips in the shower, placing bump-ons on the microwave at 1 minutes, 2 minutes, and 3 minutes setting so Jim can heat up a simple meal.To make an OT intervention fun for Jim, an OT can take
