Interpretation: Upon completion of the LACLS, KT received a score of 3.2, as she was able to push the shoelace tip completely through one hole two places down from the consecutive hole, with maximal verbal cues. The score of 3.2 was fairly consistent with her overall performance, as KT was able to distinguish between objects, and is able to go through associated motions correctly (Allen, Erhart, & Blue, 1992). KT is also very easily distracted, and verbal cues are required to move from task-to-task. At this cognitive level, 24 hour safety is a primary concern, as the global cognition is severely impaired. Twenty-four hour supervision is required to prevent unsafe behaviors and to restrict access to danger. In regards to self-care activities, …show more content…
Staff are most concerned with the self-injurious behaviors, inflicting injurious or clingy behavior toward staff, as these are inappropriate social behaviors. KT’s under-responsive vestibular system, also presents does present as a problem for participation and social interaction among peers and staff. For equilibrium responses, the client loses balance easily, often falls or trips over surfaces with non-resistant terrain, and exhibits delayed protective response, which may be caused by lack of muscle tone. Functional mobility has also been negatively affected, as she demonstrates side-to-side gait when walking and a wide-based stance, in order to maintain balance. In regards to proprioception, KT exhibits clumsiness and awkward movements when getting on or off a chair. She also looks at her right hand before reaching for objects, which indicates difficulty with body image, motor skills or planning (Reisman & …show more content…
Her speech is slurred, which prevents her from communicating effectively as well as participating socially with her peers and staff members. She has decreased tone and finger strength in her right third digit, makes it difficult to use technology to communicate successfully as well. KT’s ACL score of 3.2, is indicative that she is dependent on caregivers for community mobility. Safety recommendation include security doors or locks to prevent wandering and/or getting lost She has an established health management routine as she demonstrates aversion when given new activities in addition to her expected normal routine. Performance skills that are in need of improvement include, maintaining self-control, and increasing participation in