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Evaluation and Intervention for Performance in Areas of Occupation

Evaluation and Intervention for Performance in Areas of Occupation. Daily living skills. Sexual Expression/Activity. The OTA in collaboration with the OTR Determine if sexual expression is valued Identify potential obstacles

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Evaluation and Intervention for Performance in Areas of Occupation

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  1. Evaluation and Intervention for Performance in Areas of Occupation Daily living skills

  2. Sexual Expression/Activity • The OTA in collaboration with the OTR • Determine if sexual expression is valued • Identify potential obstacles • Ex. Pathophysiological changes related to disease, disability, and or aging. • Ex. Psychological/cognitive • Judgment, impulse control, decision making skills • Determine if client’s knowledge of sexuality is appropriate for his/her age. • Potential realities of sexual abuse, assault, and exploitation must be considered for all individuals regardless of age.

  3. Self Care Intervention Activities that are valued and enjoyable to the person and related to desired role performance should be modified (ex. Brush one’s hair using an adaptive brush to maintain one’s appearance at work or school). Activities that are too difficult to perform should be eliminated or performed with the assistance of others (ex. If dressing is too difficult; fasteners can be modified or eliminated). Provide adaptive equipment to compensate for functional impairment

  4. Adaptive equipment Toileting and toilet hygiene equipment Grooming/oral hygiene Grab bars Bedside commode Bowel training Skin inspection mirror Toilet paper holder Universal cuff to hold toothbrush, razor, comb, brush Built up, angled, or long-handled brushes Blow dryer, nail clipper Faucet turners Electric toothbrush, floss holders

  5. Adaptive Equipment Bathing/showering Dressing Grab bars and non-skid mat Tub transfer bench/shower bench Handheld shower Built up, angled, long-handled bath sponge Soap on a rope, soap dish with suction cup Storage units Reachers, dressing sticks/hook, pants dressing pole Pull on clothing, velcro type or front opening closures Elastic shoelaces, slip on shoes Button hook, zipper pull and zipper loop

  6. Adaptive Equipment Feeding Medication management Adaptive nipple and bottles for infants Scoop dish or plate guards Rocker knife, spork Non-slip placemat or dycem Long handled or angled straws Easy open Non-child proof medication Pill organizer

  7. Adaptive Equipment • Train in safe use of adaptive equipment and assistive technology • Provide cues and assistance as needed • Verbal and prompts • Nonverbal gestures, written directions • Physical hand over hand assistance through complete activity movement • Use groups to develop needed skills (grooming group, medication management) • Teach principles of energy conservation • Educate family members/caregivers to provided needed cues, physical assistance and or supervision

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