Posted: September 28th, 2016

Dolly experiences difficulty with accessing the community due not having a suitable means of mobilising Chanel in the community setting.

Problems identified
1. Chanel is unable to independently feed herself finger food as she experiences increased adduction in her thumbs.
2. Chanel experiences difficulties with grasping toys during play due to her poor fine motor control.
3. Chanel experiences difficulty sleeping through the night as she is a light sleeper and wakes for a feed.
4. Chanel is unable to sit independently at home to play due to spasticity and poor trunk control.
5. Dolly experiences difficulties with dressing Chanel’s upper limb due to her increased spasticity.
6. Dolly experiences difficulty don and doff Chanel
7. Dolly experiences difficulties bathing Chanel due to her limited postural control.
8. Dolly experiences difficulty with accessing the community due not having a suitable means of mobilising Chanel in the community setting.

Goals for occupational therapy EXAMPLE
1. Within 3 weeks, Dolly will be able to bathe Chanel by using modified seating in the bath. Dolly will be provided with the importance of manual handling techniques to decrease the physical demand placed on her. This will be reviewed weekly in occupational therapy sessions at Dolly’s house. It will be measured by how long it takes Dolly to bath Chanel with the aim of taking 30 minutes to complete the task.