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DEGENERATIVE DISEASES OF THE CNS

Name: Vanessa Li 6/25/2015

The OT Process Worksheet for Case study: PND Huntingtons


PROCESS STEPS
1

Referral

Screening

Evaluations
Functional problem list:
(Home Health)
- Community mobility
- Functional mobility at
home
- Sequencing
- Attention span

STANDARDIZED:
- AMPS (assessment of
motor and process
skills)
- COPM
- FIMS
- KELS
- CASPAR

NON-STANDARDIZED:
- Handwriting samples
- Leisure activity checklist
- Occupational history
- Timed movement with
stopwatch
- OTR assessment (on the
road)

FOR/MOP APPROPRIATE FOR


DX:
FOR:
- MOHO
- COPM
MOP:
- PNF
- Biomechanical
- Sensorimotor

Tx/intervention Planning
(must identify at least 3
LTGs and 2 STGs for each
LTG to achieve minimal
requirements)

TYPICAL FUNCTIONAL LTG:

TYPICAL FUNCTIONAL STGs:

1. Client will utilize AT, AE and


techniques to diminish effects of
uncontrollable movements in hands,
feet, face, and trunk in order to
maintain independent functional
community mobility within 6 months.

1a. Client will participate in a game of


Twister with family that addresses
ROM, coordination, attention span,
sequencing for 15 minutes three
times a month.

2. Client and family will be educated on


compensatory methods and home
modification techniques to maintain
safe mobility within home within 3-6
months.

1b. Client will plan and execute an


alternative means of transportation
from home to work during next
treatment session.
2a. Client and caregivers will addresse
3/5 safety concerns identified in
CASPAR within 4 months.

3. Client will incorporate work


simplification, energy conservation
and stress management techniques to 2b. Client and family will attend
maintain ability to work within one
education and support group for
year.
Huntingtons Disease within 2
months without the client exhibiting
aggressive behavior at least 3/4
meetings.
3a. Client will independently choose and
participate in at least 1 leisure
activity each week for 3/4 weeks.
3b. Client and family will be educated on
cueing strategies to minimize
outbursts and stress to allow the
client to successfully participate in
family activities of interests on a
monthly basis.

5 Tx/intervention
Implementation

ACTIVE OCCUPATIONS:
- Fishing
- Employment at
restaurant
- Boating (john boat)

- Camping (survival)

PURPOSEFUL ACTIVITIES:
- Assemble tent
- Make camping packing
list
- Reading around
- Meditation management
- Calling a cab
- Obtaining bus schedule
- Role play depicting
workplace scenario
- Completing employee
schedule

PREPARATORY ACTIVITIES:
- Deep breathing
- Stretching
- Therapeutic ball balance
exercise
- Strengthening and
endurance exercises
- Meditation
- Heat pack

Reevaluation Methods

Discharge Planning
(typical locations your
patients may be
discharged to)

Patient will continue OT services unless he refused treatment due to DX progression

Comments :

CASPAR
FIMS
KELS
AMPS