University:
The University Of Western Ontario
Course:
Biology 2290F | Scientific Method in Biology
Academic year:

2024
Views:

166

Pages:

3
Author:

Kyuwon J.

Margaret’s Non-Retirement (Case 10.1) ● Margaret, an older adult with vision loss (age-related macular degeneration), seeks continued employment despite progressive mobility loss. ● She lives alone, relies on community services, and has been employed as an outreach worker at a non-profit agency. ● Occupational therapy intervention focuses on: ○ Reading fine print on food and medication labels. ○ Workplace accommodations to help her stay employed. ○ Employer collaboration regarding promotion, accommodation, and retirement discussions. ● The Canadian Occupational Performance Measure (COPM) and Visual Function Questionnaire (VFQ-25) were used for assessment. ● Margaret and the therapist discuss values, expectations, and work-related challenges to determine feasible occupational goals. The Canadian Practice Process Framework (CPPF) ● The CPPF organizes occupational therapy practice into eight action points: 1. Enter/initiate – Establish initial engagement and referral. 2. Set the stage – Identify expectations and client-centered goals. 3. Assess/evaluate – Collect data and assess occupational challenges. 4. Agree on objectives and plan – Define intervention strategies. 5. Implement plan – Apply interventions. 6. Monitor/modify – Adjust strategies based on progress. 7. Evaluate outcome – Measure success and impact. 8. Conclude/exit – Summarize progress and transition out. ● The CPPF aligns with the Canadian Model of Occupational Performance and Engagement (CMOP-E), ensuring client-centered, evidence-based intervention. Set the Stage ● The therapist and client establish the rules and expectations of therapy. ● Margaret discusses her occupational challenges, values, and long-term work goals. ● The therapist fosters rapport by understanding her job role, workplace challenges, and future concerns. ● Informed consent is established, ensuring Margaret understands her participation in occupational therapy. ● Community and population health data may be considered in Margaret’s case. Assess/Evaluate ● The therapist determines what assessments are needed based on Margaret’s work-related vision challenges. ● Key occupational issues (OIs) include: ○ Difficulty reading fine print. ○ Workplace uncertainty about accommodations. ○ Margaret’s anxiety about future employment. ● The COPM and VFQ-25 are used to evaluate Margaret’s occupational performance. ● The therapist and Margaret review environmental factors, support systems, and workplace modifications.