Informal Patient Interview

Informal interview with patient and wife An informal interview will be conducted with the patient and his wife to develop the occupational profile and together pertinent information.
Canadian Occupational Performance Measure (COPM) The COPM will be used to determine how important it is to the client for him to be able to perform self-care tasks. It will also be used to determine what leisure activities he enjoys.
Motor Assessment Scale (MAS) The MAS will be used to assess the client’s sitting balance. His sitting balance will be assessed before transfers and ADLs so that the therapist will have a baseline. Sitting balance is important for transfers and ADLs. By the therapist knowing how much assistance he needs for sitting balance, he/she
According to the scenario, he is unable to transfer in and out of the shower/bathtub. This assessment will help the therapist identify goals and a treatment plan to help the client increase his independence with shower/bathtub transfers.
Barthel Index of ADL The Bartel Index will be used to identify the client’s level of independence in dressing and bathing.
Clock Drawing Test To determine the severity of the patient’s left side neglect. It is important for the patient to attend to his left side in order to increase his level of independence in ADLs and decrease his chance of accidently harming the left side of his body.
Wolf Motor Function Test To determine available AROM in unaffected RUE to be used when employing compensatory methods.
Functional Test for Hemiparetic Upper Extremity The Functional Test for Hemiparetic Upper Extremity will assess movement and control of his LUE. This assessment will help the therapist determine if the patient can use his LUE.
Volumeter To measure the amount edema of the patient’s left hand.
Pain Patient Profile To address the patient’s level of pain left shoulder. The pain is interfering with him sleeping and causing him to not want to move his left
It is imperative that the patient’s wife know the proper transfer techniques to prevent her from injuring herself. It is also important for the client to help as much as possible with the transfer. The wife will bring him in for outpatient therapy, so she needs to know how to transfer him safely. Rehabilitative
Unable maintain balance in sitting While the patient is sitting on the end of the mat (EOM), the patient will reach across midline to place items cones on a table. The therapist will give moderate to maximum support at patient hips to help him sit upright. As the patient’s sitting improves the therapist will give less support. The patient is unable to maintain balance while sitting. As much as possible, the majority of his therapy will be done with him sitting on the EOM to help improve his sitting balance. Good sitting balance is needed for the patient to be able to sit upright, to donn/duff his shirt while sitting on the edge of his bed, and to be able to perform transfers.