If  we  see  a  client  that  has physical dysfunction but *they* do not
identify  occupational  dysfunction,  is  there  a  role for OT? Case in
point:

A  client  has a recent fall history. During the eval, the client scores
very  low  on the Berg Balance test (indicative of increased fall risk).
However,  the  client reports no difficulty using ambulating in her room
or  going  to  the  dining  room in her ALF. In other words, despite her
fall, she does not readily feel she had difficulty with mobility related
occupations.

Now,  I  could  probably  pry it out of her that she has difficulty with
going to/from the bathroom because she in fact fell coming back from the
bathroom.  But  the  *client* only sees that balance is her problem, not
the balance-related activity.

So,  what  to  do? The client doesn't see occupation as the problem, she
sees balance as the problem.

Maybe I have analysis paralysis!! <grin>

Ron


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