Joan, Thank you for your comments, I really appreciate it.
You gave me alot to think about. She is independent in simple meal prep, light house cleaning...more like straightening things up, someone runs her errands. She is very high functioning cognitively so I do not doubt she can make a shopping list. She said this weekend she is going grocery shopping with her son. She is doing well socially, she has a ring of friends and neighbors that check on her and other contacts. She even carried the phone with her to her room while I was evaluating her. As for community involvement, I think she stays at home, I did not ask that question. I asked her what she would like to do better and she kept returning to the flowers and gardening. Her prior level of function was independent and was able to get around in the community. I really appreciate your comments, any other comments you have would be welcomed. Shellie She did off handedly mention that is was hard for her to keep house, a friend does laundry. ----- Original Message ----- From: "Joan Riches" <[EMAIL PROTECTED]> To: <[email protected]> Sent: Thursday, April 14, 2005 4:59 PM Subject: RE: [OTlist] Home Health Question > 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 > > > ---------------------------------------------------------------------------- ---- > -- > Unsubscribe? > [EMAIL PROTECTED] > > Change options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > > Help? > [EMAIL PROTECTED] > -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
