Hisham’s Case

Scenario Based Learning 2

AT3: Presentation [2]
[Joud fawaz]
[443000674]
Introduction
• Learning Objectives
• Model Application
• Problem list
• Assessment plan
• Intervention plan
• Conclusion
• References

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Learning Objectives
• Learning Objective 1: The impact of DMD on the independence of individuals,
specifically on the occupational performance. the impact of amputation on the independence of
individuals in the context of self-care. the impact of amputation on the independence of individuals in the context of self-
care. the impact of amputation on
Justification: This objective is importent for me as student because it will Allow me to devolep a •
comprehensive understanding of how the person's physical condition, in this case, hisham DMD, interacts with
.his environment and how it affects his ability to the occupational performance
Also, it is linked to course learning objective no. 4 which is to Understand the relationship between the person,
the environment (physical, social, institutional and cultural) and purposeful and meaningful occupation as the
.basis for occupational therapy practice

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Learning Objectives
• Learning Objective 2: To identify appropriate occupational therapy assessments to assess and
address Hisham's occupational challenges.
• Link to the course Objective 6
It allow me to gain the knowledge and skills needed to identify and utilize appropriate occupational
therapy assessments in assessing and addressing Hisham's occupational challenges. achieving this
learning objective will enhance my ability to provide client-centered and evidence-based occupational
therapy services.

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PEO Model

• Justification The PEO model recognizes Hisham as the center of the assessment and intervention
:

process. By considering his abilities, strengths, limitations, and personal goals, I can gain a better understanding

of his unique needs and acknowledges the influence of the environment on a person's occupational performance.

In Hisham's case, it is essential to assess his home environment. and it recognizes the importance of meaningful

occupations in a person's life. For Hisham, this includes ADLs (such as bathing, toileting, and dressing). By

considering the dynamic interaction between Hisham, his environment, and his occupations, the PEO model can

help me develop a holistic intervention plan that addresses his specific needs.

(OCC215,2023) [Joud Fawaz] 5

 PEO Model application
person occupation environment

Physical: DMD, limited fine Limited leisure Physical: rental home, small bathroom,
motor skills, 13 years seperated toilet

Afecctive: dependence on his Self-care: dependence on his Social :He lives with his parents,
parents parents The only child

Cognitive: no problems. Productivity: Institutional: acute children’s hospital.

School age child
Use computer

(OCC215,2023)
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 Problem List
Problem Hypothesis: Possible cause Hypothesis: how it may affect
occupational performance
Transfer difficulties Limited movement, and post-surgery fusion affecting his engagement in life.
Lack of assistive devices or adaptations

Limited social support and Language barrier and Hisham's physical
sense of isolation limitations may make it challenging for him
to engage in social activities and the cultural
differences
self care Environmental issue , Post-surgery fusion
Limited community participation
Psychosocial challenges
loss of independence, Psychosocial
challenges .

Sleep difficulties The bed is too low increased stress, unable to turn himself
in bed and becomes uncomfortable
Affects quality of life (rest).

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 Assessment Plan
Assessment Justification
Wheelchair Assessment is to optimize client’s comfort, safety,
and mobility by providing them with a
wheelchair and seating system that
meets their specific needs.
Home Assessment to identify any barriers or challenges
that may affect his ability to engage in
daily activities and his bed problem.
Functional Independence Measure To know the amount of assistance
(FIM). required.
Canadian Occupational Performance Due to the circumstances he lived,
Measure (COPM) there is risk of anxiety and sleep
difficulties and sense of isolation whice
.affect quality of life
(Martin, 1990) (NHS , 2022) (Owens & Davis, 2021) (Zeltzer, 2011) [Joud Fawaz]
Expected information to be gathered
Seating evaluation, body weight pressure,
wheelchair measurements, social and
cultural factors, functional impairment.
Assess : Access, Transfer, Functional
Mobility, Domestic ADL, Support Network,
Need for Modification.
Evaluate client’s level of independence in
performing (ADLs)
Evaluate client’s quality of life.
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Intervention Plan
• To enhance Hisham’s ability to participate in meaningful occupations
independently and improve pscyhosocial wellbeing by social interaction.
• Individual level:
• Environmental modifications
• Training and education
• To justify: By modifying the environment and providing education, the
focus is on enabling Hisham to actively participate in self-care tasks to the
best of his abilities. These strategies address the physical and environmental
barriers that may hinder Hisham's independence, and provide him with the
necessary skills and resources to overcome challenges and achieve his self-
care goals.
(NHS , 2022)
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Intervention Plan
Community level:

Support groups offer the benefits of emotional support, the exchange of

information, and the chance to establish social connections.

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Conclusion and Q&A
In conclusion, improving Hisham's independence in self-care
activities is a crucial aspect of his intervention plan. By
implementing strategies such as environmental modifications and
providing training and education, Hisham can gain the necessary
skills and support to perform self-care tasks more independently.
These strategies aim to enhance his safety, and contribute to his
overall well-being and quality of life.

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References

• NHS . (2022). Home adaptations. NHS. https://www.nhs.uk/conditions/social-care-and-support-guide/care-

services-equipment-and-care-homes/home-adaptations/

• Owens, J., & Davis, D. D. (2021). Seating And Wheelchair Evaluation. PubMed; StatPearls Publishing.

https://www.ncbi.nlm.nih.gov/books/NBK559231/

• Zeltzer, L. (2011, October 15). Functional Independence Measure (FIM).

• OCC215.2023 Ecological Models in Occupational Therapy.

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