Analyze Various Case Examples By Identifying Physical Perfor

Analyze Various Case Examples Bya Identifying Physical Performance I

Analyze various case examples by: a. Identifying physical performance impairments during an occupation. b. Selecting appropriate tests to assess the indentified physical performance deficits. c. Determining and defending which model of practice/frame of reference would best guide the treatment of the identified impairments. d. Implementing the selected frame of reference/model of practice in correcting, or compensating, for the identified impairments.

Curriculum thread(s) addressed: · Occupation centered practice Role Acquisition Assignment Objective(s) : · The student will demonstrate proficiency in applying Activity Analysis to a wheelchair activity that requires propulsion and mobility throughout a mall or shopping center. · Student will engage in IADLS: o Shopping o Car transfers o Functional Mobility to include: o Accessing a water fountain o Accessing the elevator o Accessing the restrooms. o Other functional mobility related activities · The students will be assigned the above described functional activity which they will perform resembling a patient with a pre-determined diagnosis and disability. · Students will analyze the functional activity outcome and submit a written assignment (minimum 3-4 pages) utilizing the following structure: o Description of the activity(including listing the most significant steps) o Analysis of client factors and performance skills, o Demands and requirements of the activity, o Environmental and physical context assessment, o List of recommendations that are evidence based.

Paper For Above instruction

The process of analyzing physical performance in occupational therapy requires a comprehensive approach that emphasizes understanding client impairments, selecting appropriate assessments, aligning interventions with suitable models of practice, and applying intervention strategies effectively. This paper illustrates these steps through the analysis of a case scenario involving wheelchair activities in a recreational shopping environment, with a focus on mobility and independence.

In the context of a client navigating a shopping mall using a wheelchair, physical performance impairments could include limited upper limb strength, decreased trunk stability, poor endurance, or joint stiffness. Identification of these impairments begins with detailed observation and client interview to uncover specific deficits affecting mobility, such as difficulty propelling the wheelchair efficiently or maintaining posture during extended periods of activity. For instance, a client experiencing shoulder fatigue or pain indicates impaired physical capacity that may hinder functional independence.

Assessing these impairments involves selecting appropriate tests. The Manual Muscle Test (MMT) can evaluate muscle strength in the upper limbs and trunk, while endurance can be assessed through the Six-Minute Walk Test modified for wheelchair propulsion. The Berg Balance Scale, adapted for seated balance, could evaluate stability, and joint range of motion assessments offer insight into flexibility limitations. Such assessments provide objective data to inform intervention planning.

The choice of a model of practice is crucial to guiding treatment. The Rehabilitation Model emphasizes restoring movement and strength, and would focus on strengthening exercises and activity modifications to enhance propulsion efficiency. Alternatively, the Biomechanical Frame of Reference highlights joint mobility and muscle strength for optimizing functional movements. The Model of Human Occupation (MOHO), emphasizing volitional aspects and environmental engagement, may be most appropriate for promoting occupational participation, such as shopping and transferring in different environments. Considering the client’s goals and impairments, MOHO often provides a holistic framework for intervention.

In implementing the model, interventions could include strengthening exercises targeting the shoulder girdle and upper limb muscles, endurance training for sustained propulsion, and activity modifications like ergonomic wheelchair adjustments. Environmental adaptations, such as accessible elevator controls or aisle clearances, complement therapy to facilitate independence. Cognitive-behavioral strategies may be employed to enhance motivation and symptom management.

In conclusion, a comprehensive case analysis involves identifying impairments through tailored assessments, selecting an appropriate model—most likely MOHO for holistic occupational engagement—and applying interventions that address both physical deficits and environmental barriers. This integrated approach maximizes client independence and promotes successful participation in community activities like shopping.

References

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