I carried out this case study on Mrs. Casey (Pseudonym), any 86 year old woman who underwent an elective left total hip replacement (THR). After the OT student studied Mrs. Casey's past medical history in her medical chart, it was noted that she had previously undergone a right THR in 2011, which had been successful and free from complications. Ms. Casey had no other significant past medical history and had been an independent and active woman before the progression of her arthritis. Ms. Casey was required to have total hip replacements carried out on both hip joints as a result of severe Osteoarthritis (OA), which lead to stiffness, pain, and an eventual decrease in mobility, affecting her quality of life and involvement in meaningful occupations. …show more content…
Casey was that of the Person Environment Occupation Performance Model. This model was developed by Charles Christiansen and Carolyn Baum in 1991 (Lee, 2010). The PEOP is a client centred approach that looks at occupational performance and how it is influenced by the relationship that exists between a person and their environment (Cole and Tufano, 2008). The OT student felt this model applied to Ms. Casey, as it was evident that her physical impairment had impacted on her performance of meaningful occupations and engagement within her environment. There are four components to this model: Occupations, Performance, Person, Environment (Cole and Tufano, 2008). Person comprises of the ‘physiological, psychological, neurobehavioural, cognitive and spiritual factors’ that are intrinsic factors (Cole and Tufano, 2008, pp. 128), while Environment consists of the ‘physical, natural, cultural, societal, and social interactive factors and social and economic systems’ that are extrinsic factors (Cole and Tufano, 2008, pp. 128). The PEOP model supports client centred practice, as partnership between the client and therapist is necessary in order to enable the client to set goals and establish an approach that supports performance and participation in occupation (Christiansen and Baum, 2015). Initial assessment was guided by the PEOP model, which was conducted by the OT student in order to identify Ms. Casey’s
The Occupational Therapy Practice Framework defines an occupational profile as “the initial step in the evaluation process that provides an understanding of the client’s occupational history and experience, patterns of daily living, interests, values, and needs (2014).” During this process the client’s problems and concerns about daily occupations are identified then the client’s main concerns are determined (American Occupational Therapy Association, 2014). Occupational Therapists strive to be holistic and client-centered, and the occupational profile is one method to ensure treatment takes on these characteristics. During the occupational profile the clients share their priorities based on what is important to them, and the therapist
Dott “Dorothy” Case was an extremely influential woman in the health care field. She became a doctor, instructor, associate professor, surgeon, and cheifship of surgery. She created her own private practice, became director of public health for the Philadelphia Federation of Women’s Clubs and allied organizations, and created the Dorothy Case-Blechschmidt Cancer Health Clinic of Doctor’s Hospital. In addition to all her accomplishments Dorothy was also a mother, and a wife. She is an exceptional example of the endless limits a woman can reach in the field of health professions.
Sandra Lombardino is a recently retired school teacher facing a multitude of crisis’ regarding her personal life and growth. Sandra has a strong desire to vacation and enjoy her retirement via travel and volunteering, however there are barriers that will not allow those things to occur. Sandra is unhappily married to Benedito, an offensive and abusive long-time alcoholic. The couple shares four children, all of which are estranged because of Benedito’s abusive behavior. Though Sandra is overweight and has arthritis, Benedito is the only thing holding her back from achieving her retirement dreams. Sandra has thought about leaving Benedito on many occasions but realizes that he will be entitled to half of her money
Joyce Stewart is seventy two year old, white female that lives in the small town of Candor New York. She has spent the majority of her life taking care of other people, including her eight children; now six due to tragic circumstances. She also was a house wife trying to survive being a mother to her children while her husband was away in the Navy. She now is a widow; her second husband passed away about ten years ago. She grew up on a farm with a low socio economic status; she overcame circumstances that she was dealt by working her entire life and eventually living a more financially stable life. Joyce is not rich by any means, but is able to live comfortably. She owns her own house that she and
Though occupation usually refers to a job, a person’s occupation is initially determined by what their everyday life consists of. When a person becomes incapable of performing the tasks that they are expected to do in their everyday life due to developmental delays, physical injury, or psychological problems they are often referred to an occupational therapist. Occupational therapists, or OTs, usually have occupational therapy assistants, often called OTAs. The OT gives the OTA a set of objectives to help the patient achieve. Since people go through numerous occupations during the course of their lives, OT’s and OTA’s prov...
On 08/05/2016 at approximately 1:50 AM, this Investigator with Investigator V. Shroyer arrived at 12211 N. Paradise Village Parkway, Phoenix, AZ for Case # 537001 report of Child Neglect for victim Fiona McFadden (DOB: 03-05-2013) against her mother Monica Katich (DOB: 09-17-89). Upon arriving on the scene, this Investigator met with the report source, Phoenix Police Officer E. Gomez # 7977 in reference to Phoenix Police DR: 2016-00001441605. According to Officer Gomez, Phoenix Police received an emergency 911 call from Monica Katich that her friend later identified as Ashley Brook Post (DOB: 06-21-83) had overdosed on Heroin. Upon Officer Gomez arriving on the scene, Monica told Officers Gomez and Officer Cambell (#9021) that her friend Ashley
Occupational Therapists perceive people, without discrimination, as active and creative “occupational beings” who crave engagement in activities of daily living, sequentially to maintain not merely their health but their wellbeing (COT, 2010). Occupation is a channel which directs people to better social inclusion, which in turn can result in dignity, independence, and social contribution (Waddell and Aylward, 2005) and one of the core foundations of Occupational Therapy is the necessity and value of occupations and re-engagement in occupation as an essential intervention (Ross, 2007a). Occupational Therapists who work with adults with different severities of learning disabilities experience difficulty with their everyday occupations, or activities of daily living (ADLs) and have both a clinical and a consultancy role (Lillywhite and Haines, 2010). People with a learning disability are a diverse group, and the severity of their condition can inhibit their abilities and independence (Cumella, 2013). But, how can Occupational Therapists use their professional skills to help those adults with a learning disability? How can these healthcare professionals promote their independence at home? This piece will look at the contribution of an Occupational Therapist giving an adult with a learning disability as much independence in their own locality.
Occupational therapist and occupational therapy assistances work with a wide variety of populations throughout their career. Some of these different populations can include different types of backgrounds, genders, ages, economic statuses, ethnicities, and more. While working with these populations, occupational therapists and occupational therapy assistances have to be aware of different types of influences that can not only affect the client, but the client’s occupations as well. In this article, “Psychosocial Aspects of Occupational Therapy,” it discusses the different types of psychosocial aspects that are in the field of occupational therapy.
Townsend & Polatajko (2007) state that “Occupational therapy is the art and science of enabling engagement in everyday living, through occupation; of enabling people to perform the occupations that foster health and well-being; and of enabling a just and inclusive society so that all people may participate to their potential in the daily occupations of life”.
Various occupational therapy models aim to explain the relationship between the person, environment, occupation, and adaptation with different degrees of emphasis on the person (MOHO), environment (EHP), the transaction between the person and environment (PEOP, PEO) and adaptation (PEOP). However, the OA framework views occupational performance as a result of occupational adaptation in which all three components, the person, environment, and interactions between the two are equally important. For Julia, the deficits in the person system, the influence of her occupational environment and the ongoing interaction between the two contribute to Julia’s perception of occupational demands and her occupational
A., de Rijk, A., Van Hoof, E., & Donceel, P. 2011). The therapist has to assess the patient to see if they have a need for splints or supports which may benefit the patient and then step in to help design the specific assistive devices needed. It is the job of the occupational therapist to come up with plans to overcome the inconvenient limitations while still helping the patient to reduce strain and prevent further damage by teaching them techniques that will conserve their energy. There are a variety of different ways to make daily living much easier. The most crucial part of therapy is assessing the patient's environment. All the people, cultural conditions and physical objects that are around them, create their environment. The behavior and development of people is a direct result of the interaction between them and their surroundings. A patient's behavior is greatly affected when they are mismatched with their environment. A person's environment match is present when the person's level of competence matches the demands of the environment. Full participation by the patient is required to make it practicable. “The science and practice of occupational therapy are well suited to develop, refine, and test approaches to translate therapeutic gains into
Occupational therapy was based off of psychology; we evolved from treating mentally ill patients with isolation as an efficient treatment plan. We must never forget we are known to be “the art and science of helping people do the day-to-day activities that are important and meaningful to their health and well being through engagement in valued occupations” (Crepeau, Cohn, & Schell, 2008). To other professional disciplines this article explains the difference between each of us, yet can also express our relation to one another. The basic goal of all therapeutic disciplines is to better our clients life, through physical, speech or occupational therapy. Every discipline targets different goals, may it be body mechanics, reducing a stutter or buttoning a shirt, at the end of the day our clients well being may it be through science, art or both is all that matters. To the occupational therapy field this article means progress for what we do. Reading this article today in the year 2015 did not seem like old information to me, it is still relevant, I am proud that our field is not only evolving with contemporary time but it is also maintaining its
An understanding of occupation and its science dimension enables the therapist to gain knowledge about how patients orchestrate their lives through the doing of occupations in any given context. The occupational therapy proce...
I always thought that occupational therapy in geriatrics simply meant the delivery of a ball for men and a pair of knitting needles for woman. It is a fallacy that many still believe, just because someone is moving their hands does not mean they are exercising nor using their brain. For example, one of the main causes of my father’s sadness is because he in not occupying his time properly. ...
community or institution) of individuals with age-related disabilities, the physical environment contributes immensely and serves as a bedrock which their remaining cognitive and physical abilities can be supported (Iwarsson 2005; Oswald et al. 2007). Verbrugge and Jette’s (1994) devised a disablement process model and Lawton and Nahewow’s (1973) competence-environmental press model which both examine the relationship between the physical environment and disability. According to Verbrugge and Jette (1994), their model distinguishes between intrinsic ability (i.e. an individual’s ability to perform an activity irrespective of context) and actual ability (i.e. an individual’s ability to perform an activity when supported by the physical or social environment). With reference to the model, the physical environment has the potential to help an individual overcome his or her intrinsic disability through either the removal of environmental barriers or the provision of environmental