Shellie Is your client independent in cooking, cleaning, gardening, shopping, transportation, community involvement, maintaining her family connections and her social circle etc.? In other words does she have meaningful occupations and the practical or adapted activities necessary to support them? What is her cognitive status? Sounds as though it is pretty good. There is more involved in gardening than balance. Are there potential difficulties? What is her plan? In my opinion the best assessment to identify occupational deficit is the Canadian Occupational Performance Measure. I realise you may not have fast enough access so I suggest: - a typical day interview. - identify client's goals Test with questions such as - Do you want to do........................... - Do you need to do ..................... - Can you do ...................... - Does someone else want you to do .............. - Are you satisfied with the way you do ............... Then you mutually come up with a plan and you state in the form of Instrumental Activities of Daily Living. Good luck, Joan
Joan Riches
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