The setting that is most appropriate for the client will vary due to the severity of the injury. The client has burns in various locations on her body and is a lower extremity bilateral amputee (Willard, Crepeau, Cohn, & Schell, 2013). The occupational therapist can provide therapy during the clients hospital stay. For example, the occupational therapist began ADL training in bathing within the five weeks of the client’s hospital admission when the burns improved. Next, the occupational therapist can provide therapy during outclient rehabilitation. Outclient rehabilitation may provide training in self-care, energy conservation techniques, and training on the use of adaptive equipment (Willard, Crepeau, Cohn, & Schell, 2013). Community settings …show more content…
Since the client utilizes a wheelchair for mobility, environmental modifications are necessary. When the client was discharged, they resided in an ADA apartment. The apartment was fully accessible for the client. Then the clients moved into their own 2-story condominium. The occupational therapist can make recommendations for the client. The recommendations include widening the width of the doorways for wheelchair access, installing a lift for ease of access of the second floor, walk in shower with bench, and accessing if the ground is leveled to prevent falls. In addition, IADL completion such as front loading washer and dryer and an accessible office space are also considered. Assessing the environment is important for the client because she will use …show more content…
19. What steps will you take as part of the termination process? (Does the group describe proper and complete steps to take as part of the occupational therapy termination process?)
During the termination process, a discharge-planning meeting with the rehabilitation team will occur (Sames, 2013). A reevaluation of the client functional status to determine if the goals are met is necessary (Centers for Medicare & Medicaid Services (U.S.), 2014). The occupational therapist should provide the client with any recommendations and a home care plan in order to increase occupational performance. Making any necessary arrangements the client may need to increase their independence at home (Centers for Medicare & Medicaid Services (U.S.), 2014). Caregiver information on task breakdown, energy conservation, back protection, organization, communication strategies and safety measures may be implemented for her husband who also incurred an injury. Lastly the occupational therapist should provide education for the client, and the family about the client’s post care (Sames,