occupational therapy

Mini Case Study Analysis 1 Part 1

OCTH 6055 Older Adults

Eryn Kaylynn

  1. OTPF-Case Analysis

1. Occupations & Activities

ADLs: Lower body dressing, toileting, functional mobility, personal hygiene/grooming.

IADLs: Pet care, meal preparation, cleaning/housekeeping, community mobility.

Specific Activity Limitations: Inability to bend or reach lower extremities for dressing due to R hip pain and PWB precautions. Inability to manage transfers safely during toileting and functional mobility due to strength and PWB status. Inability to tolerate prolonged standing required for grooming, cooking, and volunteering.

Etc. Church volunteering, senior center participation, dining out with friends, reading, crossword puzzles.

2. Client Factors

Decreased muscle power, reduced RLE joint mobility/stiffness, crepitus in bilateral shoulders, high pain level in right hip with movement/standing, atrial fibrillation, anxiety, frustration, and fear of falling.

3. Performance Skills

Motor Skills: Aligns, Positions, Moves, and Bends. Impaired due to hip pain, stiffness, and PWB status. Limited standing tolerance and endurance secondary to pain and weakness.

Process Skills: Impaired by anxiety and fear of falling, requiring instruction in adaptive strategies and energy conservation.

Social Interaction Skills: Generally preserved; expresses feelings clearly and maintains strong communication with support systems.

4. Performance Patterns

Habits: Daily routine of independent self-care, grooming, reading, and crosswords.

Routines: Regular schedule involving church volunteering, senior center visits, and dining out with friends.

Roles: Active volunteer, friend, independent pet owner/homeowner.

Rituals: Personal grooming and social/religious participation.

5. Contexts

Environmental Factors: First-floor apartment with entrance steps and a handrail, a pet cat requiring care, and a strong social support network.

Personal Factors: 82-year-old female, retired administrative assistant, highly motivated, values independence and presentation.



B. Problem Statements

  1. Client demonstrates difficulty with lower body dressing due to impaired motor skills and restricted RLE weight-bearing related to post-surgical R hip pain (7/10), 3+/5 muscle strength, and PWB restrictions s/p ORIF.

  2. Client demonstrates difficulty with toilet transfers and functional mobility due to decreased standing balance and transfer deficits related to R hip pain, lower extremity weakness (3+/5), and fear of falling.

  3. Client demonstrates difficulty with IADLs due to inability to tolerate prolonged standing related to RLE post-surgical stiffness and PWB restrictions.



C. Model and Frame of Reference Selection

  1. Model: Person-Environment-Occupation-Performance (PEOP) Model

Rationale: The PEOP model focuses on the interaction between Maria's personal factors, her environmental contexts, and her desired occupations. PEOP supports her transition home by modifying her environment and occupation to optimize performance.

  1. Frame of Reference: Rehabilitation Frame of Reference

Rationale: The Rehabilitation Frame of Reference emphasizes maximizing independence through compensation, adaptation, and environmental modification when body function deficits limit occupational performance. It utilizes adaptive equipment and energy conservation strategies to enable Maria to perform ADLs/IADLs safely despite current physical limitations.



From an occupational therapy perspective, community mobility and access are essential components of

successful aging in place. The ability to safely and independently move within one's community enables

older adults to engage in meaningful occupations, maintain social connections, access healthcare and

essential services, and participate in leisure and civic activities. Whether an individual is aging with or

without physical limitations, community mobility supports autonomy, quality of life, and overall health

and well-being.