Patient details: Female, 56
Event leading to admission: Prolonged hypoglycemia - unconcious episode, lowered GCS
Pre-admission occupational performance
- Independent with grooming, and personal care tasks
- Independent mobility
Social Situ
- Lives with Husband - primary carer
OT input - Assessments:
Basic cognitive assessments - orientation, attention, object naming/use, working memory
Basic tasks - writing, reading,
Joint session with SLT - ruled out language problem - more cognitive problems
AMPS observation of grooming - combing hair and brushing teeth
Observations from AMPS
- Prompt to start task
- Indep with manipulating toothpaste - fine motor
- Chose appropriate tools and used them appropriately
- Assistance gathering and organising task environment - therapist intitated
- Sitting in chair, stabilising body on table
- Assistance to position table appropriately to perform task
- Coordinating bilateral hand tasks effectively
- Reduced grip strength ? due to arm positioning akwardly
- Obtaining and holding task objects effectively
- Poor endurance throughout task
- Pace slow, however ? due to difficulty with terminating task
- Attends to task, however distracted by others talking, however contiunes with tasks indep
- Handles task objects appropraitely
- Sequencing task appropriately
- Repeats steps ? difficulty terminating task
- Searches and locates objects
Overall minimal assistance with task and safe performing task with environment set up
Next step:
Further assessment of ADL's - showering and dressing
Determining a good understanding of prior level of cognition - mixed reports
Goal setting with rehab team - realistic goals
JESS
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