CaseStudy: Rehabilitation Program
Variousfactors have an impact on the physical Walter’s wellbeing. Beforebeing diagnosed with Transient Ischemic Attack (TIA), the patientcould drive and perform other activities. Mild Left hemisphereleaves patient weak and paralyzed on the right side of his body(Hoeman,2008).Walter’scognition has been lacerated by Mild Alzheimer’s disease that makesit difficult for him to remember simple things like names of peopleand what he reads. The illness also reduces the capacity to plan andorganize daily activities. Therefore, he has to live with familymembers or close relatives.TIA on the other hand, causes loss ofvision. The impact on the Left hemispheric also causes trouble inspeaking, so the client’s social interaction is negatively affected(Hoeman,2008).
First,I would examine the client’s capabilities of completing tasks. Iwould take into consideration some of the environmental barriers aswell as specific impairments that can hinder the execution of sometasks. While assessing the environmental barriers I would evaluatewhether the client would be able to navigate some of the barriersaround him, for instance walls while making vital movements (Hoeman,2008).
Itis imperative to have a chair that is comfortable to the clientplaced adjacent to the bed. It will be particularly beneficial tocounter the effects of Mild Left Hemisphere. The modifications willallow the client to look into the direction of the person talking tohim in a comfortable manner (Hoeman,2008).
ActivityProgram in his Home
Iwould teach him some isolated patterns that would enable himalternate movements. Rehearsing complex actions would also becritical in the activity schedule. The program would require muchcoordination and balance and it would include walking cautiouslybetween obstacles. Also as an occupational therapist I am concernedwith bettering the client’s sensory and motor abilities in additionto ensuring his safety. I would improve Walter’s capacity toundertake some activities that would help him relearn the basicskills and restore his physical functioning (Hoeman,2008).
ActivityProgram at his Daughter’s Place
Beforedeveloping an activity program, I would evaluate whether the patienthas the capacity to plan and solve problems. It would also involveassessing the stage of his illnesses and work with the daughter indeveloping a therapeutic intervention. I would encourage the daughterto engage the client in some day activities like moving around thecompound. The client should not be allowed to stay indoors most ofthe time since it would bring further complications such ascontractions. Other activities like typing may also appear helpfulsince it would enhance the brain function of the client. Introducingthis training method would allow repeated activation as well asstimulation of the attention kind of systems which would bring aboutpositive alterations in cognitive capacity. The program would alsocontribute to polished attention permanence. However, repetitivedrills will be necessary to achieve the results (Hoeman,2008).
Theclient is in level three of cognitive identification since he isseverely impaired. Therefore, he requires moderate attention to haltperseveration as well as preventing unsafe and unpredictable actionswhich would probably interfere with appropriate sequencing (Hoeman,2008).
Hoeman,S. P. (2008). Rehabilitationnursing: Prevention, intervention, and outcomes.
St.Louis, Mo: Mosby Elsevier.