Week 5 Discussion


Week5 Discussion


Part One

1. Describe whatmight be expected for Ms. Shapiro in each of the three stages ofadapting to her chronic disabling condition.

In the firststage of adjusting to her condition, Ms. Shapiro would be expected toacknowledge the changes in her physical capabilities. In this regard,she would be required to understand the extent of limitations due tomultiple sclerosis. In particular, Ms. Shapiro should have known thatthe condition was not only chronic but progressive (Cara &ampMacRae, 2013). Therefore, the symptoms would gradually worsen in anunpredictable manner.

In the secondstage, Ms. Shapiro would be expected to change her previousresponsibilities and commitments based on her physical abilities. Thedebilitating symptoms of tremors, visual problems, and weakness wouldhave such a devastating impact on her that she would have to conductan identity trade-off (Cara &amp MacRae, 2013). Nonetheless, shewould have to consider the demands of her environment, theexpectations of her family, and her personal needs (Cara &ampMacRae, 2013). The third stage of acceptance requires Ms. Shapiro toaccept and assimilate her physical changes into her routine. Shewould also be expected to respect her body’s limitations ratherthan striving to change physiological functions (Cara &amp MacRae,2013).

2. What might bethe role of occupational therapy and the OT practitioner during eachof these stages?

In the firststage, the OT practitioner would help Ms. Shapiro to appraise herphysical condition. Occupational therapy would also help by providinga definition of Multiple Sclerosis along with its limitations (Cara &ampMacRae, 2013). In the second stage, the OT practitioner would helpthe client to create a new identity based on her previousresponsibilities and commitments. In particular, the occupationaltherapist would help Ms. Shapiro to align her personal needs with herfamily’s expectations (Cara &amp MacRae, 2013). During the thirdstage, the OT practitioner would assist the patient to developrespect for her body’s deficiencies. The occupational therapistwould also help Ms. Shapiro to acquire perspective by accepting andincorporating the physical changes to her demeanor and routine.

3. How could anoccupational therapist assist Ms. Shapiro with improving both herlife satisfaction and her quality of life? Your answer should clearlyconvey the difference between these two concepts.

An occupationaltherapist would help Ms. Shapiro to improve her life satisfaction byfocusing on her mood and perceived view of herself. The OTpractitioner would ensure that the client adopts a favorable view oftheir life with regards to personal goals and ambitions (Vassar,2012). On the other hand, an occupational therapist would help Ms.Shapiro to improve her quality of life by focusing on the physical,emotional, and social aspects of life (Vassar, 2012). In this case,the client would consider her family, employment, environment, andother factors with a significant bearing on her life.

Part Two

1. Which OTevaluation tools would you recommend using with Mr. Kelley?

I would recommendusing the Older Adult Health and Mood Questionnaire and the GeriatricDepression Scale assessment tools. Such methods are sufficient sincethey make allowance for Mr. Kelley`s advanced age.

2. What types ofinformation would you expect utilization of these tools to yield?

The GeriatricDepression Scale would produce information on how Mr. Kelley feltabout his life. It would also reveal his fears, feelings, thoughts,and preferences regarding the scale of his daily activities. On theother hand, the Older Adult Health and Mood Questionnaire would yieldinformation on his behavioral, cognitive, and physiologic symptoms ofdepression (Cara &amp MacRae, 2013).

3. What suggestedOT intervention strategies would be relevant in the case of Mr.Kelley?

In the case ofMr. Kelley, it would be important to involve him in goal setting. Theclient had been very active during his old age as he participated indaily bowling and golf. He also attended frequent meetings of a localsenior men’s organization (Cara &amp MacRae, 2013). Consequently,it would be necessary to undertake relaxation training as he limitshis participation in previous activities.

4. How wouldthese interventions emanate from the information gleaned from usingyour recommended OT evaluation tools?

The GeriatricDepression Scale would reveal how the client viewed his life duringhis confinement at home (Cara &amp MacRae, 2013). The client wouldalso state his wish to be involved in the decisions pertaining to hiscare. Such information would justify the intervention to involve Mr.Kelley in setting realistic goals. Furthermore, the questionnairewould reveal the fatigue experienced by the client after physicalexertion. Subsequently, the occupational therapist would decide tolimit his daily activities.

5. What favorableoutcomes might you expect subsequent to your recommendedinterventions?

Subsequently, theclient would develop a modified self-concept that would allow him toovercome his anxiety. It is also expected that Mr. Kelley wouldsucceed in coping with any episodes of depression owing to hisdiminished physical capacity (Cara &amp MacRae, 2013). Moreover, theclient will have an increased motivation to initiate activity.


Cara, E. &amp MacRae, A. (2013). Psychosocial occupationaltherapy: An evolving practice (3rd ed.). Clifton Park,NY: Thomson Delmar Learning.

Vassar, M. (2012). Psychology of life satisfaction. New York,NY: Nova Science Publisher`s.