Occupational Therapy Report

Private and Confidential

Participant Details
AHPRA REGISTRATION
PARTICIPANT NAME Jarrod Hewitson
DATE OF BIRTH 31/08/1978
NDIS NUMBER 431242732
CONTACT
ADDRESS
DATE OF ASSESSMENT 16/02/2020
DATE OF REPORT Zara Paygham

Mr Abdul RahmanZreika was referred for an Occupational Therapy (OT)

assessment by his Plan Support Coordinator. The OT assessment was
completed on Tuesday 12th February 2018. People present in the assessment
included Abdul RahmanZreika, his wife, Plan support Coordinator (Shahnaz
...) and Zujaja Paygham (Occupational Therapist). This report is based on
semi-structured carer interview, clinical observation and informal
assessments.

Medical:
X is an …. Male/female with his/her primary diagnosis being xxxx. This disease is charactersed
by……..

Mr X reported that she/he had a …. Which resulted in …. His symptoms include

Mr X reported that she has seen a …

Social history:
X lives with x in a property. X works/previously worked as a X and now recives disability
pension.
X reported that she has a daughter/son who XXX. Her son/daughter is not/is a main support

Employment
Jarod was employed as a chef 10 years ago, transitioning to being a forklift driving. He however
has not been employed for 5 years. Jarrod is motivated to find work but is unable to do soas he
has not passed a police check due to his past history of drug and alchol abuse.
Current function:

Activity Equipment Comments/Observation

Mobility Abdul mobilises with a
wheelchair outdoors and
crotches indoors.
Due to pain in lower
limbs, Abdul reports
finding it difficult to
ambulate within the
house. He is unable to
weight bear due to pain
in feet and ankles. He is
seated in the lounge
room during the day.
 Abdul uses a manual
wheelchair when
outdoors. He reports that
his wife finds it difficult
to access the community
with his wheelchair and
would like more
opportunities to visit
cafes and friends. He
would like a carer to take
him to a café. This aligns
with his long term goal of
“I Would like to maintain
my wellbeing so I can
maintain an active
lifestyle”
Transfers Rail Toilet: Abdul reports
Bed stick requiring assistance
Over toilet frame fromhis wife to transfer
Shower stool on and off the toilet. His
wife also assists with
pulling his pants down
and up.
Bed: Abdul reports taking
his time to get off the bed,
he utilizes a bedstick to
assist with transfers.
Shower: Abdul reports
that his wife assists with
transferring in/out of the
shower. His ability to
perform this is impacted
by reduced power in his
lower limbs which
increases his risk of
falling particularly after
the shower when the
floor is wet.
Lounge chair: Abdul
reports wife assists with
getting up from chair due
to weakness in lower
limbs and pain in
shoulder.
Falls Abdul resides in a one
bedroom Department of
Housing unit. His house is
very cluttered and finds it
 difficulty to ambulate
within the home. His pain
and limited space in the
house causes him to
spend most of his time in
the lounge chair to avoid
falls.
Personal Care Shower Stool Toileting: Abdul has
agrabrail installed on the
wall next to his toilet. He
also has a over toilet
frame to assist with
transfers. Abdul reports
his wife assists with
wiping due to pain in
shoulder.
Showering: Abdul has a
shower stool in place the
shower. Wifeassists with
showering.
Dressing: Wife assists.
Grooming: Wife assists
with grooming.
Medication: OT observed
Abdul being confused
with consumption of
medication.
Eating: Wife assists.
Domestic Abdul is dependent on
his wife for all domestic
duties.
Community Abdul is unable to drive
and his wife is currently
on her Learner’s Permit.
Abdul reports finding it
difficult to access the
community and would
like a career to take him
to a café or shopping.
Leisure Abdul reports feeling
depressed and has often
had suicidal thoughts as
he is home most of the
time.

Home environment
Abdul resides in a one bedroom department of housing unit with his wife and
new born son. Abdul uses the front door to access the home, which consists of
steps. He shares a bedroom with his wife and new born son adjoined with an
ensuite bathroom. The house appeared cluttered, small

Recommendations
The following recommendations have been made in consultation with Abdul:

1. A carer to assist Abdul with personal care tasks for one hour 4 times a week.
Currently Abdul’s wife assists with all personal care tasks, which has
ultimately affected her physically and mentally. Abdul states that she feels
overwhelmed as she is still adjusting being a mother to their new son, and
constantly feels tired assisting him with transfers and personal care tasks.. A
carer will provide relief for Abdul’s wife and also provide independence to
Abdul. This aligns with Abdul’s second goal of “I want to be maintain my
wellbeing so I can maintain an active lifestyle.

2. Abdul will needfortnightly psychology therapy sessions

This is due to his depression, negative thought system and low mood. This
will assist him to boost his morale and to engage in tasks that he enjoys and
to be a proactive father to his son. Currently Abdul states he feels depressed
and often has sucidial thoughts, as he confined in his house due to mobility
issues. Attending psychology sessions and managing his depression will
allow him to be receptive to engage within the community.

3. He would like a career to take him to social outings, café’s so maintain his
wellbeing as stated in his goal “ I would like to maintain my health and wellbeing
so I can maintain an active lifestyle.
4. Abdul will need ongoing weekly physiotherapy appointments to assist with
lower limb and upper limb strengthen. This will provide confidence to
ambulate both indoors and outdoors, relating to his goal of ‘ I would like
to explore supports to help me become more independent”

5. Abdul will require equipment to provide independence in self care tasks,

including bidet to assist with wiping, and hand held shower head to
provide more reach whilst showering.

6. Abdul requires a bigger house as current house is confined and cluttered

posing a falls risk and reduce his confidence in ambulating within the
house.

The contents of this report are true to the best of my knowledge and belief.
Please do not hesitate to contact the Occupational Therapist on the details listed
below, should you have any queries regarding the contents and
recommendations of this report.

Kind regards,
Zara Paygham
Occupational Therapist
Fitbyphysio

Falls rsk.
1 step.

When nervous it comes to eye and can’t see.

He wants a carer to help with shopping

Does not want to use crutches, physio for upper body strength 1 hour.

Wheelchair
More pain when pushing on shoulder..

Career
To help with self fcare as wife has anxiety.

Hobby.
Needs career to take back

Psychologist due to depression

Memory maybe needs a doset. Forgets.

He wants to do course, recreational activity. Social supports.

Really nervous,
Likes to go for coffee.

Sucidial thoughts.

Doesn’t have space for 4wf.

Medical diagnosis
Back shoulder eye in accident 2 years ago. November . 2017.

Social:
Wife and son.
Interpretor required yes.

NDIS finished.
Wife applied carer for centrelink but decline due to citizen issues.
.

Vision: o0/0 .Sydney eye hospital.

Hearing: impaired

Personal ADL:
Showering: limited mobility unable to move arm. Has shower stool.
Maybe need hand held shower.

Toileting: sometimes gives jars.

Swife undress and puts on toilet. .
Wife at times help with wiping.
Ask for bidet.
Dressing:
Wife assists even with shoes.

Eating:
Able to feed himself.

Domestic
Wife assists.

Community
Does not drive, wife is on L’s .
Taxi card.

Functional trasfers:
Assisted with transfers.
Bed trasfers.

Functional mobility
Low endurance with crutches.Maximum 5 metres on crutches.

Outdoors
Wheelchair.

Home environment
Housing commission .

Access

Aisha

Support class in grade prep.

Verbal and not showing her full piotential.
Doesn’t go toilet and doesn’t eat there.
Toilet: she forgets to go, or do you need to constantly remind or she doesn’t want
to go with you. At first week she wouldn’t go at all and.
She enjoys it with motiviation. She can do potty training and does accidents
again. ....
Teachers offer to get her to the toilet. Able to do everything.... ....

Social skills.
Punched a boy in the face...
Sometimes cranky and hit or something triggers.
0-100...
Emotional regulation.
Only a little boy at a daycare who was on the spectrum who got along. . the last
day of daycare. ....

Fine motor skills

Hand strength very weak...

Can’t open and shut scissors. She can’t repeat
Fisted grasp with pencil. .
Prewriting shapes
Only able to draw circle.
Still practicing with writing name.

Self care.
Yes.
Can’t open twisty one.
She can wear her pants and underwear.
Can’t put on jumper.

Bilatercoordination. ...

Gross motor skills.

Able to run and jump but unable to skippl.
Unable to ride bike even with scootr unable.

Follow step intrctions at times.

Picky eater sees a dieticin
She loves play doh slime, and likes water.

She flaps when she is excited. \

Plan
OT.
Teacher. Lidcome public school ,Ms Mary.
K6E.
17. Speech (weekyly), behavior ( weekly) and dietician fortnight.
17K.
Weekly

1. communication is importantttt
2. gross motor skills

Tuesday 4pm......