OSOT 1250 Occupational Therapy

OSOT 1250 Occupational Therapy

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OSOT 1250 Occupational Therapy

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OSOT 1250 Occupational Therapy

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Course Code: OSOT1250
University: St. Catherine University

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Country: United States

Question: 

What things do you need to consider about your client (and their family) when coming up with suggestions and recommendations?
What was your client’s reaction to the things that you suggested for their home?
What kinds of questions did they have for you during this entire process?
What resources did you recommend to them?
What is the most valuable thing that you learned from this assignment?

Answer: 

Entrance to Front Door and Front Yard

Lack of railings or unstable railing

Unsafe steps (too steep/cracked)
Unmarked or raised threshold
Lack of lighting at night
Lack of a ramp for a wheelchair
Uneven/cracked pavement
Ice or snow on driveway/walkway
Lack of an outdoor grab bar
Other:
Solutions/Modifications/Recommendations:
Presence of unstable railing provides no support to the client whereas it should be present to provide support while getting down the stairs present at the front door of the house. Lack of support might result accidents such as falls. A wooden railing or any such provision should be present in the front yard of the house.
Entrance to Back/Side Door
Lack of railings or unstable railing
Unsafe steps (too steep/cracked/chipped)
Unmarked or raised threshold
Lack of lighting at night

Lack of a ramp for a wheelchair

Uneven/cracked pavement
Ice or snow on walkway
Lack of an outdoor grab bar
Other:
Solutions/Modifications/Recommendations:
With ageing there is always an uncertainty of health. Situations may arise where the client might need a wheelchair for provision of proper healthcare. If such situations arise, presence of a ramp will be required for convenient movement of the wheelchair.
Hallway or Foyer

Uneven or slippery flooring

Cluttered area
Dark or poor lighting
Lack of access to ceiling light
Other:
Solutions/Modifications/Recommendations:
As already mentioned, old age often takes a toll on the strength of the muscle of the individuals. This reduces their capability to stay steady during walking or any other activity, therefore uneven or slippery flooring might increase the client’s difficulty to stay steady and might face an accident like fall.
Living Room
Presence of throw or scatter rug
Presence of clutter
Presence of electric cords across the floor
Poor lighting
Presence of unstable furniture
Presence of unstable chair

Difficult to access light switches

Not enough space to move around
Other:
 Solutions/Modifications/Recommendations:
With growing age there is impairment mobility along with vision. Therefore if the switches of the light are available at an easily accessible location it would be quite beneficial to the client as well as his family.
Kitchen
Cabinet too high or low
Not enough counter space

Using a stool or a chair to reach things

Not enough room to maneuver
Presence of throw/scatter rug
Slippery floor
Poor lighting
Presence of a pet underfoot when preparing meals
Other:
Solutions/Modifications/Recommendations:
Use of stools is not a good option during old age as it there is always a risk of fall. Such situations can be avoided if the shelves are located at more convenient heights.
Bedroom
Presence of clutter
Presence of electric cords across the floor
Unsafe carpet (uneven, torn, curled up)
Presence of throw/scatter rug

Height of bed (too low/high_

Lack of a telephone near the bed
Lack of nightlight
Arrangement that causes difficulty to reach items (TV remote, lamp)
Lack of device to get in/out of bed
Other:
Solutions/Modifications/Recommendations:
Height of the bed might provide inconvenience to the client because getting up on the bed regularly which are high enough becomes difficult. Low beds are much more convenient since there body movement required is less as compared to that of getting up on high beds. Excessive body movements often becomes difficult at old age therefore such should be avoided.
Bathroom
Presence of unsafe bath rugs

Lack of grab bars in the tub

Lack of grab bars in the shower area
Lack of grab bars near the toilet
Toilet is too high or low
Slippery tub (lack of bath mat, etc.)
Claw foot/tub that is too high to get into
Lack of bath chair in the shower area
Clutter
Incorrect placement of grab bars
Other:
Solutions/Modifications/Recommendations:
While getting out of the tub individuals often face difficulties since the water makes the spot slipper. Therefore provision of grab bars would be helpful for the client.
Staircases
Lack of or poor lighting
Lack of railings
Clutter
Steps too steep

Slippery steps without tread/carpet

Other:
Solutions/Modifications/Recommendations:
With growing age there is a tendency to show mobility impairment since the muscles become weak. Therefore in such situation, to reduce the risk of falls, slippery steps should be avoided at any cost. Carpeting provides friction which reduces the slippery nature and hence enhances the grip of the foot on the floor, thereby preventing the chances of fall.
Laundry Room/Basement

Poor or lack of lighting

Lack of railings
Clutter
Steps too steep
Slippery steps without carpet/luminous light
Presence of cords across the floor
Same colored floor at bottom of stairs
Other:
Solutions/Modifications/Recommendations:
Proper lightning like use of high voltage bulbs is especially required in the basements as there is no provision of natural light to come in.

For recommending suggestions for the respective client, it is important to identify mainly the health background. The individual is an older adult therefore chances of suffering from any disorder related to old age or any chronic disorder is high (Pergolotti et al., 2015). Once health conditions are recognized it would become easier for me to analyze the situations around the individuals and suggest ways in relation to the existing situation. Apart from the health issues, factors like family members or availability of caregivers and the quality of care that the individual has been receiving is also required. Moreover it is also important to aware of the daily activities of the individual so that it can be kept in mind before suggesting recommendations to improve his conditions or betterment of the conditions around him.
At first the client was not sure of the recommendation that were suggested to him since he has been living in the existing situation or with the resources for the past 40 years. Therefore all of a sudden the need for change was not that convincing for the patient. However later when the client went through the checklist in details, and was made to understand the need for the changes, it appeared to be more or less convincing and he agreed to implement the changes for the betterment of his lifestyle in the later years of his life.
As already mentioned the changes that were recommended to the client did not appear to be quite convincing initially. Therefore the client continuously questioned regarding the usefulness of the suggested changes in his home. According to the checklist I had recommended that it was not a wise choice for the switch boards to be located at such odd places or the shelves were too high in the kitchen due to which there was a need for using stools (Liu et al., 2013). The client questioned this because he has been using these resources for many years now and have yet not realized the disadvantages of the current situation.
The resources that were recommended to him were all related to his home like installing proper lighting wherever possible. It is an established fact that with growing age there is a tendency to have impaired vision and in conditions proper lighting becomes necessary. Absence of this can increase the risk of falls. Additionally I recommended change in the location of the switch boards especially in the living room. With growing age there is impairment mobility along with vision (Giné-Garriga et al., 2014). Therefore if the switches of the light are available at an easily accessible location it would be quite beneficial to the client as well as his family. Similarly use of stools is not a good option during old age as it there is always a risk of fall. Such situations can be avoided if the shelves are located at more convenient heights.
The assignment has given me an insight to the problems that the older adults generally face in their day to day lives. The assignment also helped me to understand the client’s mentality regarding their home and their resources and how they are attached to such things. The study also reflected the fact that the individuals who are in the latter stages of their life are more tend to show more rigidity in their thought process hence are more difficult to convince. They are less bothered regarding the quality of their life or care and focus more the health outcomes (Golisz, 2014).

References:
Giné-Garriga, M., Roqué-Fíguls, M., Coll-Planas, L., Sitjà-Rabert, M., & Salvà, A. (2014). Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: a systematic review and meta-analysis. Archives of physical medicine and rehabilitation, 95(4), 753-769.
Golisz, K. (2014). Occupational therapy interventions to improve driving performance in older adults: A systematic review. American journal of occupational therapy, 68(6), 662-669.
Liu, C. J., Brost, M. A., Horton, V. E., Kenyon, S. B., & Mears, K. E. (2013). Occupational therapy interventions to improve performance of daily activities at home for older adults with low vision: A systematic review. American Journal of Occupational Therapy, 67(3), 279-287
Pergolotti, M., Deal, A. M., Lavery, J., Reeve, B. B., & Muss, H. B. (2015). The prevalence of potentially modifiable functional deficits and the subsequent use of occupational and physical therapy by older adults with cancer. Journal of geriatric oncology, 6(3), 194-201.

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