Occupational Profile

1. Client name: Stefano Maranzana

2. Age: 40
3. Sex: Male
Briefly discuss each of the following:
4. Who is the client?
a) The client is a male immigrant from Italy who studies full time as a PhD
student at the University of Arizona. He has a 5 year old daughter whom
he sees several days a week. He enjoys writing and playing musical
instruments such as the piano, guitar, bass guitar, drums, and singing.
5. Why is the client seeking services and/ or what are the clients concerns relative
to engaging in occupations and in daily life activities?
a) The client has a difficult time playing the guitar in particular ways.
Depending on the cords being played, he must make adjustments or not
play the song the way it is intended to be played at all. He would like to be
able to play the guitar and those particular cords correctly and without
having to make adaptations. He has no other concerns relating to
occupations outside of playing the guitar.
6. In what occupations does the client feel successful and what barriers are
affecting his or her success?
a) The client feels successful in all occupations of daily living other than
playing the guitar (either the acoustic or electric guitar). This is the only
meaningful occupation that he has difficulty completing. Barriers may only
exist within the clients own body, specifically his arms extensor muscles.
7. What aspects of his or her environments or contexts does the client see as
supporting engagement in desired occupations and what aspects are inhibiting
engagement?
a) The client has been playing the guitar for over 25 years which has become
a part of his cultural and personal identity. Playing the guitar is a
prominent activity in this clients life, and playing music in general gives
way to his group memberships as well. Temporally, the client plays the
guitar in his spare time as a hobby on a daily or weekly basis.
b) Environmentally, he is able to practice in the comfort of his home, or at
small venues with others and this activity or occupation can be supported
by social interaction with others or by himself depending on the physical
environment.
c) There are not many aspects within the clients contexts or environment
that inhibit him from completing this occupation. The client will typically
play along with a backup track on the computer, and unless something is
wrong virtually (computer, or wireless internet issues) then he is able to
complete the occupation.
8. What is the clients occupational history?

a) The client has played a variety of sports; tennis, soccer, boxing, judo, and
more over the course of his lifetime. He began playing different musical
instruments in his teens and into his early twenties. He enjoys writing
music as well. The client has also been a student for many years attaining
his bachelors, masters, and is now pursuing a second masters and a PhD.
He also likes learning languages and speaks four languages fluently. All
other basic ADLs and IADLs are properly maintained independently.
9. What are the clients values and interests?
a) The client is an immigrant from Italy and holds many Italian cultural
values important. He moved from Italy to the United States to be with his
daughter and has a great commitment to his family here and for those
that he left behind in Italy. Most of his interests revolve around his family,
school, research, learning language, and music.
10.What are the clients daily life roles?
a) The client is a full time student, and a part time graduate student teacher
of Italian. He is also a father, and a musician.
11.What are the clients patterns of engagement in occupations?
a) The client has a set morning routine before going to school. The client also
frequently takes naps in the afternoon though, it is not every day. The
client also has an evening routine where he smokes anywhere from 2-5
cigarettes throughout the evening before turning in to read a book
typically for 30-60 minutes. Smoking cigarettes could also be considered a
habit that the client engages in but only during the evening.
b) The client may also see his daughter on weeknights and weekends
depending on her school schedule.
c) The client practices, plays, and writes music anywhere from 4-7 days a
week.
12.What are the clients priorities and desired targeted outcomes related to
occupational performance?
a) The client would like to be able to play the guitar without having to adapt
and modify from the correct technique to do so. In that, motor skills and
proper processing skills should be at an optimal occupational functioning
level.

Occupational Analysis
1. Occupation: Practice playing the guitar.
Categorization of occupation for the client:
a) Activities of daily living
b) Instrumental activities of daily living
c) Education
d) Work
e) Play
f) Leisure
g) Social participation

Subcategory:

Leisure Participation

2. Values, beliefs, spirituality associated with participation:

a) This occupation is valuable to the client because he sees it as
something that brings him back to his early adulthood and his home.
He believes that this occupation (and hobby), provides him with an
outlet for intense emotions and stress.

3. Contexts:
Context
Physical/sp
ace
demands

Supports
Stefano has a small, but
comfortable space within
his home to play.

Social

Stefano could be playing

and practicing with friends
in a mutual environment
outside of the home.
He began playing when he
was young and living in
Italy. This helps to facilitate
feelings of happiness and
good memories.
Stefano lives alone and
therefore is able to play the
guitar when he wants.

Cultural

Personal

Temporal

As Stefano has aged, he

has become more affluent
in playing the guitar with
persistence and practice.

Inhibits
There is not a lot of room to
walk around or play in multiple
places within the home. He
must pull the chair away to
clear space to play in front of
the computer.
The neighbor may not
appreciate the noise so he must
play when the neighbor is not
home.
Playing the guitar can also be
an act of melancholy. Writing
music and playing along to it
can inhibit his good feelings
of home.
Although Stefano lives alone,
he does have neighbors and
must be conscious of their daily
life schedules that he may
interrupt.
Time may also be contributing
to the lack of being able to play
if his muscles, tendons, or other
body parts are degrading over
time.

Virtual

Stefano uses YouTube to

play music or back up beats
on to facilitate learning.

If the virtual aspect of his

environment is not working
properly, the client must find
other ways to play back up
music.

4. Objects and their properties used:

a) Tools: Computer to play music.
b) Materials: A pic that may need to be replaced with time.
c) Equipment: The guitar and any necessary accessories.
5. Social demands:
a) The client should be cognizant of the neighbors that may be at home
therefore, he should be aware of the sound disturbances he may be
causing from playing the music too loudly. There are no other social
demands for completing this activity unless the client is playing or
practicing with friends outside of his home.
6. Sequence and timing:
1. Lift the guitar from the stand by the neck with the left hand.
2. Raise the guitar to a height equal to the midline of the body with the left hand.
3. With the right hand, grasp the strap to hoist upward over the top of the head.
4. Turn and adjust the guitar to an appropriate fitting using both hands.
5. Step towards desk in 1-2 gait cycles.
6. Reach with right hand towards the desk.
7. Pick up pic with right hand from the desk.
8. Bring pic towards mouth with right hand.
9. Place pic between lips with right hand.
10. Hold pic between lips.
11. Place right hand on bottom portion of guitar for stability.
12. Turn body to left towards computer chair.
13. Step towards computer chair in one gait cycle.
14. Reach towards chair with left hand.
15. Pull chair back from computer space with left hand.
16. Turn to the right to face the computer.
17. Step towards computer in one gait cycle with both feet on ground.
18. Reach for mouse with right hand.
19. Place right hand on mouse.
20. Move mouse on the screen towards desired icon.
21. Click on Google Chrome icon on screen.
22. Wait for internet to open.
23. Click on search box within Google.
24. Search/type YouTube website.
25. Click on YouTube link.
26. Click in search box within YouTube.
27. Search/type a song to play along with.
25. Press the play button on the screen once it has loaded.
26. Step back approximately 1-2 gait cycles from the computer.

27.
28.
29.
30.
31.
32.
33.
34.
35.

Reach back to make hand/ finger contact with the guitar.

Place left hand properly over the strings at the top.
Place right hand properly over the strings at the bottom.
Move fingers about the guitar.
Practice playing the guitar for the duration of the song.
Step towards computer with both feet.
Raise right hand towards mouse.
Place hand on mouse to move on computer screen.
Repeat steps 26- 34 until finished completing the activity.

7. Body functions required:

Function

How It Is Used

Judgment

Judgment is used when

deciphering which cord
or string to pluck.
Understanding concepts
or a difference in how a
song is played that may
vary across different
types of music.
Stefano may realize a
mistake is made while
playing and may think
about why the mistake
was made in order to fix
it the next time they
practice.
Stefano modified his
technique of strumming
if the sound was not
correct.
Stefano was aware of
what he could and could
not play on the guitar.
Stefano concentrated on
the task at hand. He
concentrated on each
individual string of the
guitar to correctly play
the song.
Sustained attention was
used when playing one
song from beginning to
end.

Concept formation

Metacognition

Cognitive flexibility

Insight/awareness

Concentration

Sustained attention

Non
e

Minimal
ly
Challen
ged

Greatly
Challeng
ed

Selective attention

Divided attention

Short-term memory

Working memory

Long-term memory

Discrimination of senses:
Auditory

Discrimination of senses:
Tactile

Discrimination of senses:
Visual

Discrimination of senses:
Olfactory
Discrimination of senses:

He selectively attended
to certain cues within the
backup music to play a
certain note.
Stefano divided his
attention between what
he was playing and what
was playing on the
computer.
When playing in a
freestyle way, the client
merely played what he
wanted and did not
repeat it more than once.
Stefano was constantly
using his working
memory. While playing,
he learned, processed,
and stored the new
information that he took
in through each song.
The client used long term
memory when playing
old songs that he had
already learned. He used
some of these songs as a
warm up.
Stefano was able to
distinguish which notes
were being played
correctly and which
notes were not played
correctly according to its
sound effect.
He distinguished
between the smoothness
of the guitar and the
rough feel of the strings.
Stefano discriminated
between different items
he looked at such as the
computer and the guitar
itself.
No olfactory senses were
used.
Stefanos internal

x
x

Vestibular-proprioception

Multisensory processing

Sensory Memory

Spatial relationships

Temporal relationships

Recognition

vestibular and
proprioceptive
respondents reacted to
external stimuli and
therefore kept the client
upright with slight flexion
to play the guitar.
Stefano experienced
multiple sensory stimuli.
He listened to the
backup music, and his
own. He received tactile
cues on his fingers from
the guitar. He saw the
difference between the
guitar, computer screen,
and a person in the
room. All of these were
taken into consideration
when playing the guitar.
Sensory memory was
established through
auditory (music), visual
(the guitar or screen)
and tactile sensation
(playing the guitar)
which translated to short
term memory.
Stefano took into
consideration his space
demands prior to
playing. He cleared the
way to practice and set
up an environment to
play well. Optimal
performance was
achieved when all
relationships were taken
into consideration.
Stefano had an idea
about when the song
may be coming to an
end by identifying
segments within the
song.
He recognized a beat to

Categorization

Generalization

Awareness of reality

Logical/coherent thought

Appropriate thought content

Mental functions of
sequencing complex
movement
Regulation and range of
emotion

Appropriateness of emotion

Coping

Behavioral regulation

Body image

a song as it began when

warming up.
Stefano categorized his
pics by color, which he
keeps close to his guitar
and computer.
Stefano performed
alternate picking styles
to different songs.
He does not need to
focus on an awareness of
reality.
Logical thought was used
when deciphering which
note to play next and at
what rate it was played.
Stefano became very
involved when playing
music. His thoughts are
only on playing music
unless interrupted by an
outside force.
He sequences fine motor
movement in his hands
to successfully play the
guitar.
Stefano regulated
emotion even if he did
not understand how to
overcome a challenge of
playing in a particular
way.
Stefano felt the
appropriate emotions of
when he was happy or
when he was stressed
when playing the guitar.
Stefano coped when he
was unable to play a
certain string on the
guitar.
He displayed appropriate
emotion by smiling when
he was practicing
correctly and happily.
Stefano had the strap for
the guitar adjusted

Self-concept
Self-esteem

Arousal

Consciousness
Orientation to self

Orientation to place

Orientation to time

Orientation to others

Energy level

properly to his correct

physical height and body
type.
He does not need to use
self-concept.
Stefano displayed
confidence within his
prior knowledge of
playing the guitar to
further his knowledge
and learning process
when continuing to
practice the guitar.
He was engaged and
reacting quickly to the
backup music throughout
the duration of playing.
He was awake while
completing this activity.
Stefano would
understand his name
being called if
interrupted during
practice.
Stefano understood that
he was practicing in his
home.
Stefano knew the
difference between the
current year and the
year the song he was
playings release such as
one that may have been
popular in the 80s.
Stefano was not with any
other people while
performing.
The moderate energy
Stefano displayed was
appropriate for the
activity demands.

Function

How It Is Used

Motivation

Stefano was motivated

intrinsically to learn how

x
x

x
x

Non
e

Minimal
ly
Challen
ged

Greatly
Challeng
ed

Impulse control

Appetite

to play the guitar.

Stefano would control
the urge to play loud
music when his neighbor
is home.
Appetite is not involved
in this occupation.

Sleep
Stefano remained awake
during this occupation to
complete it.
Detection/registration

Visual modulation

Integration of senses

Awareness at distances

Tolerance of ambient sounds

Location and distance of

sounds

Stefano was able to

visually detect and
register within his mind
the different objects that
he was visually using
throughout the activity.
He was able to focus on
what his fingers are
actually picking (the
strings) versus the
portion of the guitar that
is beneath the strings.
He integrated sensory
stimuli from visually
seeing what he is
playing, and from
auditory stimuli from the
music that is being heard
during the song.
Stefano saw the
computer, mouse, and
keyboard (all at different
distances) that he used
to change the backup
song.
Stefano blocked out
sounds that did not
correspond with the
music he was playing
and that of which was
being played on the
computer.
He was aware that the
sounds of the backup
songs were coming from

Moving against gravity

Taste
Smell
Body in space

Comfort with touch

Localizing pain

Thermal awareness

Joint mobility

Joint stability/alignment

Muscle power

the computers speakers.

Stefano rocked back and
forth during a practice
session and in that
needed to balance
himself and the guitar.
No taste is used for this
occupation.
No smell is needed for
this occupation.
Stefano was aware of
which way he was
rocking his body and
guitar to avoid contact
with anything in the
environment such as the
computer in front of him.
He was comfortable with
the feeling of the pic
between his lips when
using his hand to touch
something else such as
the computer keyboard.
Stefano felt pain when
extending his left 4th digit
on the dorsum of his
hand and in his wrist
when reaching for a
particular string.
If Stefano has been
playing the guitar for a
while, his fingers become
hot from the friction of
playing against the
strings.
Stefano displayed limited
range of motion within
the digits on the left
hand.
Stefano showed proper
upper body and lower
body alignment when
playing. His elbows and
wrists were properly
stabilized in a flexed
position as well.
Stefano exerted enough

x
x
x

Muscle tone

Muscle endurance

Stretch reflex

ATNR
STNR
Righting and supporting
reflex

Eye-hand coordination

Bilateral coordination

strength to pick up the

guitar and sling it over
his back when starting
the routine of playing the
guitar.
He had proper muscle
tone within his arms and
hands to create fluid
movements when
practicing.
Stefano endured a long
session with heavy
weight on his back and
upper body to maintain
the proper position of the
guitar.
He experienced a stretch
reflex when trying to flex
his fourth digit to a
certain point and
because of pain, he
extended gently to
release the pain.
The client does not have
ATNR.
The client does not have
STNR.
If Stefano bent forward
slightly to reach the
computer and with the
additional weight of the
guitar on the front half of
his body, his body may
trigger this reflex to keep
him from becoming off
balanced.
Stefano used eye hand
coordination throughout
the activity when looking
at what he was
strumming or picking on
the guitar with his hand.
He coordinated both
upper extremities in
different ways to
successfully play the

x
x
x

Crossing midline

Fine motor control

Gross motor control

Occulomotor control

Gait patterns

Blood pressure

Heart rate

Respiratory rate

guitar.
Stefano crossed the
midline with his right
upper extremity when
slinging the guitar over
his back and body.
He used fine motor
control to pic each
specific string that he
wanted to play.
Stefano exerted gross
motor movement
through movement of
the trunk when standing
and/ or rocking with his
legs.
He used the concept of
saccades when visually
looking at one end of the
guitar, such as at the
neck, and at the other
end of the guitar, such
as at the sound hole.
Stefano had normal but
minimal gait pattern
usage. He may have take
a small step forward,
backward, or to the sides
when playing the guitar
or using the computer.
Stefano engaged in this
occupation to release
stress. During this time,
his blood pressure may
have drop due to an
acquisition of stress
relief.
The heart may have
been pumping at a
normal rate or a slightly
elevated rate depending
on the physical exertion
being applied during the
activity.
He maintained a normal
respiratory rate during

Respiratory rhythm

Respiratory depth

Physical endurance, aerobic

capacity

Voice functions

Voice rhythm and fluency

Alternative vocalization

Digestive system

Metabolic system

Endocrine system

this activity.
Stefano maintained a
normal respiratory rate
therefore he most likely
had a normal or low
respiratory rhythm as
well.
Stefano took deep
breaths as compared to
shallow ones during the
activity if he was singing
along to the music.
He used minimal
physical endurance to
overcome besides
standing with heavy
equipment over his body.
He used voice functions
if he was singing along to
the song.
His voice flowed with the
tempo of the music or
along with the other
person singing in the
backup music.
Stefano sang along to
the music or words of the
song playing.
Stefano could have been
digesting food he ate
before beginning the
activity.
He may have ben
metabolizing the food to
create energy to sustain
playing the guitar for an
extended amount of
time.
The endocrine system is
in constant use to
regulate hormone levels
including those that
cause an influx in stress.
With that in mind,
playing the guitar could
neurologically change

the hormonal levels

within the body and
create a less stressful
self.
Function

How It Is Used

Urinary functions

The bladder maintained

the release of urine until
such time that Stefano
decided to go to the
bathroom after the
activity had finished.
No sexual activity is
pursued during this time.
The thick skin on the tips
of the fingers allows for
better friction against
the guitar strings when
playing.
If Stefano obtained a
callus from playing too
much, the skin will
automatically repair
itself and the callus will
eventually fade away.

Genital and reproductive

function
Protective functions of the
skin

Repair functions of the skin

Non
e

Minimal
ly
Challen
ged

x
x

8. Muscular analysis of movements required:

Muscle
Shoulder flexion
Shoulder extension
Shoulder abduction
Shoulder adduction
Shoulder internal
rotation
Shoulder external
rotation
Elbow flexion
Elbow extension
Wrist supination
Wrist pronation
Wrist flexion
Wrist extension
Thumb flexion
Thumb abduction

Not used

Minimally
challenged
X
X
X
X
X

Greatly
challenged

X
X
X
X
X
X
X
X
X

Greatly
Challeng
ed

Finger flexion
Finger extension
Trunk flexion
Trunk extension
Trunk rotation
Lower extremities

X
X
X
X
X
X

9. Performance skills required:

Skill- Motor

How It Is Used

Aligns

Stefano supported his

body weight through his
natural base of support
and used it as a means for
support in his changing
center of gravity.
He steadied his body
through his center of
gravity and base of
support as he moved
forward to lean over the
computer and keyboard to
change the song.
He stepped away
approximately 2-4 feet
from the computer to
allow for movement of the
guitar and himself as he
played.
He extended the right arm
towards the desk for the
pic he used to play the
guitar.
Stefano slightly rotated
the trunk as his hand to
reach and make contact
with the mouse on the
mouse pad of the
computer.
Pinched the pic between
the thumb and index
finger to strum along the

Stabilizes

Positions

Reaches

Bends

Grips

Non
e

Minimal
ly
Challen
ged

Greatly
Challen
ged

Manipulates

Coordinates

Moves

Lifts

Walks

Transports

Calibrates

Flows

Endures

strings of the guitar.

Used multiple fingers and
both hands to control the
strings on the guitar to
produce sound.
Stefano used both of his
arms and hands to
synchronize movement of
the guitar strings at
opposite ends of the
instrument to formulate
sound.
He pushed the mouse
around the mouse pad
with his fingers and hand
to produce movement of
the mouse on the
computer screen.
He lifted the guitar from
the guitar stand when
beginning the practice
session.
Stefano walked in small
steps around the
workspace in between
songs and sometimes
throughout the process to
keep the pressure from
building in his legs and
feet.
He carried the guitar from
place to place by holding it
with multiple body parts
including his back, arms,
and legs.
He calibrated his
movements as he puts on
his guitar in a careful
manor to not damage the
equipment.
He used fluid wrist
movement when
strumming the strings of
the guitar with a pic
slowly.
He completed each

Paces

section of the session by

practicing a song in its
entirety.
Stefano kept up with a
quicker pace when playing
a song with a faster
tempo.

Skill- Process

How It Is Used

Paces

He chose a slower song

knowing that he was not
physically capable of
playing a fast tempo song
perhaps because of pain
or fatigue.
Stefano kept his eyes and
attention on the guitar
strings as he played a
song in order to play the
correct cords.
He continued to practice
with the instrument until
such time he decided he is
finished or fatigued from
the session.
Stefano chose a song that
he knows how to play to
warm up. He later chose a
song that has a higher
difficulty level and tested
his abilities to play the
guitar.
He used the pic for the
guitars that he plays and
not for other means.
Stefano stabilized and
supported the guitar with
structured and careful
movements to avoid
damage to the guitar as
he was playing.
Stefano may review old
music books with the
musical notes written out
to confirm the correct way

Attends

Heeds

Chooses

Uses

Handles

Inquires

Non
e

Minimal
ly
Challen
ged

Greatly
Challen
ged

Initiates

Continues

Sequences

Terminates

Searches/locates

Gathers

Organizes

Restores

Navigates

Notices/responds

to play a song.
He initiated the next step
in playing a song after it
was chosen on the
computer.
He continued to play the
same few notes over and
over, to increase his
memory of how to play a
particular portion of a
song.
Stefano moved slowly to
promote the safety of the
expensive equipment.
He decided to end the
activity when tired or in
pain and then turned off
the computer.
When Stefano looked for
the pic, he first looked
where he would normally
keep it on the right side of
his desk.
Stefano gathered his
music books in an area
close by to consult if he
should need help.
He had the computer,
keyboard, and mouse all
at a reasonable level and
within reach to use as
needed in a timely
fashion.
Stefano took off the guitar,
and placed it back onto
the guitar stand to keep it
from falling on its side.
He moved the guitar
through space in his
environment to put it back
in its appropriate place
until he played the
instrument again.
Before beginning the task,
he noticed the chair
needed to be moved out of
the way to make room to

Adjusts

Accommodates

Benefits

Skill- Social interaction

***This activity does not

require the client to interact
with any other person except
in certain circumstances
(outside of this activity)
where he would practice
playing the guitar with
friends. ***
Approaches/starts
Produces speech
Gesticulates
Speaks fluently

Turns Toward
Looks
Places self
Touches
Regulates
Questions
Replies
Discloses
Expresses emotion
Disagrees
Thanks
Transitions
Times response
Times duration
Takes turns
Matches language
Clarifies
Acknowledges and

play.
He adjusted the speaker
sound knob on the speaker
to produce a lower or
higher sound effect.
Stefano cleared the
workspace prior to
beginning the activity to
ensure that he would play
at an optimal level.
Stefano modified his
performance to keep
problems from reoccurring
such as finger flexion over
a particular string that he
may need to overcome
with intervention.
How It Is Used

Non
e

Minimal
ly
Challen
ged

Greatly
Challen
ged

encourages
Empathizes
Heeds
Accommodates
Benefits
10.Performance patterns:
Parts of this occupation has elements of which of the following: (check all that
apply)
Pattern

Describe

Useful habit
One useful habit for this activity is when the client places the
pic in his mouth while changing the music on the computer.
This avoids placing the pic in a place where it may become
lost or difficult to pick back up.
Dominating
habit
Routine

The client always begins his practice session with a warm up

song that he likes to listen to.

Ritual
Role

The clients role as a musician, affects how he plays and

what he plays. The client enjoys incorporating different types
of music into his routine which demonstrates the wide array
of music that has influenced his role as a musician.

Intervention Plan
1. Identify 1 objective and measurable goal of the intervention:
a. Stefano will independently play the guitar chords that he is struggling
to play 5 times a week in 15-20 minute sessions to improve finger
dexterity.
b. According to OTPF what type of outcome is this?
i. There could potentially be multiple types of outcomes such as,
Occupational performance: Improvement, and Participation.
2. Intervention approach:
Approach

Describe

Create/promote
Establish/restore

Using an establish/ restore approach, the client may be able

to create a new way of playing the guitar more functionally
than what he may be doing presently, or the OT can try to
restore an old technique that may have worked better for
the client without induced pain.

Maintain
Modify
Prevent
3. Activity selection
a. Activity selection: Identify 1 example of each for the intervention plan

Activity
Occupation

Describe
The client will play the guitar as usual, but with certain
participation goals to increase both flexion and extension of
the digits.

Activity
As a part time teacher, the client can explore the usage of a
whiteboard marker, or even chalk, to present information to
the class (versus a PowerPoint) to increase finger flexion
while working.
Preparatory
method
Preparatory task

Provide the client with a splint to encourage extension within

the fourth digit of the left hand.
Assign the client strengthening exercises, as well as a stress
ball to squeeze approximately 30 times per session.

b. Discuss how activity selection relates back to occupational profile and

occupational analysis.
i. Although the activity does not explore the most significant
aspects of this occupation, it does address the functional need
and use of digit flexion within the right and left hands. The client
works as a part time graduate assistant teacher while attending
a university to obtain his PhD and is presenting information to
his classes 2 days a week in 3 hour increments. This activity
helps him to gain strength, dexterity, grip and functional usage

while completing another occupation in his life that is of great

importance to him.
c. Discuss how activity selection will support achievement of client
identified goals and goal of the intervention plan.
i. The activity chosen will provide extra practice time outside of
playing the guitar as an occupation. With teaching as his work
obligation and major occupation, he can use different pens,
markers, chalks, etc., to increase the usage of those same
muscles and fingers that need attention when playing the guitar
while he is at work.
4. Describe how intervention can be graded or adapted and why.
a. The intervention plan can be graded up by assigning more preparatory
tasks or longer sessions of playing the guitar in which the client only
plays the same string over and over.
b. The intervention plan could be graded down by decreasing the amount
of time playing or amount of time using hand writing tasks within the
classroom.
c. We could adapt any portion of the intervention plan to help the client
reach his goal of playing the guitar a particular way. If such a device
exists, the client could use a small extension device on the tip of his
finger to help reach to the strings he is having a hard time pressing
down on.
d. Adjusting any component of the intervention helps the client to
succeed at the Just Right Challenge.
5. Discuss any safety concerns and/or precautions.
a. OT will need to make sure to take into consideration his pain levels and
if any muscles, nerves, or tendons are damaged to avoid furthering
that damage. The OT could also make sure the client is comfortable
with all the tasks and activities given and tell the client that if he
experiences further pain or discomfort to stop immediately.
b. When splinting, the OT should always describe to the client what is
being made for them, how it works, and how it will help them to
achieve their goals. The OT should also make sure the splint fits well
and is not too tight or too loose for stretching purposes.
6. Discuss the role of the occupational therapy practitioner during the
intervention.
a. The OT would be providing the splint for the client, the stress ball (and
its exercise routine), and the expectations for the goals of the
activities.
b. The OT will explain to the client the significance of the occupational
therapy goals, activities, and other meaningful occupations in order to
restore and maintain the clients current occupational goals.
7. Discuss what is expected of the client during the intervention

a. The client is expected to complete the goals set for them by the OT
and themselves. The client is also expected to comply with precautions
and safety concerns that the therapist may describe to them for
certain activities.