CMOP-E: Intervention Plan
1) To be assessed: Impact and extent of PD symptoms (motor and non-motor) on Ken’s everyday functioning. Since we are using the CMOP-E as our guiding occupation based theory, we must approach intervention planning in a client-centered way. In order to develop an intervention plan that is specific to Ken, we must get an overall picture of what his physical, cognitive, social, and emotional challenges are so that we can work with him to set realistic and achievable goals. Establishing a baseline of the extent to which his motor and non-motor symptoms of PD are affecting his functioning in everyday life will give us this information. The Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) …show more content…
It is a standardized measure that has been shown to be both reliable and valid, as well as capable of measuring change (Law et al., 2015) Also, there is precedence in using the COPM with people living with PD, for example, a randomized controlled trial was conducted with 191 people with PD to measure the efficacy of occupational therapy using the COPM as an outcome measure (Sturkenboom et al., …show more content…
Ken stated that he has been using his manual wheelchair for mobility the majority of the time. In order to mitigate the risks of skin integrity breakdown and optimize energy efficiency and functionality, a thorough assessment of his body (e.g.posture, range of motion, trunk control, length of legs, etc.), current wheelchair, and cushion must be conducted, keeping future declines in physical condition in mind (Pendleton, H., & Schultz-Krohn, 2013). An unstandardized, personalized wheelchair assessment will be conducted. It will be personalized by doing it after assessing Ken’s home environment, evaluating the impact of his motor and non-motor symptoms of PD, and defining his occupational goals. Keeping the results of these assessments in mind will allow us to find a balance between keeping the wheelchair as functional as possible (ability to maneuver, socialize, and interact with environment) while also meeting his postural and comfort needs. The assessment will consist of taking key measurements of Ken’s body and current wheelchair, assessing his skin integrity with a physical examination before and after sitting for an hour, and taking note of his seating tolerance (as
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