Occupational Therapy Case Study

What are the ‘realities of the situation’ (ontology) that present themselves in Setting A? The occupational therapy practitioners in setting A realize that all clients are different and therefore have different priorities. Practitioners in this setting address this by collaborating with the client to prioritize self-care and activities of daily living. All of the new additions including the occupational spaces allow all clients to participate in their prioritized occupation. The practitioners also realize that they must challenge the client in order for them to succeed beyond therapy. They do this by the occupational projects. The practitioners base the client’s project on interests and also occupations that will challenge them. The practitioners

For example, in the morning every client receives occupational therapy for basic ADL needs. The practitioners are not allowing the clients to participate in the occupations that are meaningful to them. This will cause the clients to become discouraged because they may not be interested in getting better. The client would be more motivated if they enjoyed the occupation. They later focus on physical components of function, much like a physical therapist would do. Physical and occupation therapy should be kept separate because they are very different and both very

In setting B productivity is valued. Each client receives occupational therapy for ADL’s in the morning. Each client is given the same therapy so they are not getting the individual care they need. This is not an effective treatment because not all clients will succeed with the same care. They then follow a strict schedule throughout the day to ensure they meet the high productivity demand of the setting. They do not focus on individualizing the occupations to the clients wants and needs. I feel like this is less helpful and successful to the client. They will not get the proper care and therapy that they need. It seems like the practitioners in this setting are more selfish and working for themselves rather than the client. Even though ADL’s and other basic tasks are important for someone to be able to do, it will not be meaningful to each client. The client will not improve if they are not focusing on their specific occupations. For example, the tasks presented in setting B will not help a woman who wants to be able to knit sweaters for her grandchildren. It is important to focus on the patients needs and wants. There is a clear problem when the patient can not see the difference between occupational therapy and physical