Please answer the questions in your best

Please answer the questions in your best ability. Below attached a case study. Use the information in the case study to fill in the template. To use the Profile and extract information from the case and fill in the profile is key to developing your skills as a clinical thinker. Again, these are clinical thinking/reasoning skills that OTs use daily as they approach client care. Knowledge: Analyze and apply case information to develop an Occupational Profile. Evaluate and choose a theoretical framework to create basis for assessment and intervention. Task: Using FRANK as the case study information and fill in Occupational Profile on Frank. Then choose two different theoretical approaches from the handout (on Canvas), list the approach and for each one explain why that would be an appropriate approach to guide assessment and intervention. Then chose one approach that you DO NOT think would be an appropriate framework and say why. Criteria for Success: Accurately and comprehensively fill in the Profile Template on Frank. “The occupational profile is a summary of a client’s (person’s, group’s, or population’s) occupational history and experi-ences, patterns of daily living, interests, values, needs, and relevant contexts” (AOTA, 2020, p. 21). The information is obtained from the client’s perspective through both formal and informal interview techniques and conversation. The information obtained through the occupational profile contributes to a client-focused approach in the evaluation, intervention planning, intervention implementation, and discharge planning stages. Each item below should be addressed to complete the occupational profile. Case Example: Meet Frank Frank is a 70-year-old, widowed, male of Caucasian descent, living in a senior complex for 10 years. His wife of 50 years died seven months ago. Frank is comfortable in his apartment and plans to stay. His daughter is 45 minutes away. She doesn’t visit often, but does call occasionally. During the interview, Frank spoke in a slow voice and was tearful when discussing his wife. Frank identifies his current roles as a father and husband. He is having difficulty accepting the loss of his wife and not really knowing how to live without her. Frank has become increasingly withdrawn and isolated; rarely engaging in social activities since his wife’s passing. Most of his time was spent with his wife doing things like planting tomatoes and basil in the garden and watching the daily news together every day. His wife was Italian and made homemade tomato sauce that she used on her lasagna. He says she made the most delicious lasagna anyone has ever tasted, and he will never have lasagna that good again. Frank has difficulty completing instrumental activities of daily living such as cooking meals, managing monthly bills, cleaning, and laundry as his wife did these activities. He is not really interested in learning to do these activities, but wants to know enough to remain as independent as possible. Frank is upset that he gets late notice for bills despite his report that he pays them on time. He forgets to pick up his medications at the pharmacy (another job his wife usually did) and when he does pick them up he often has trouble remembering how much to take at one time or forgets to take it at all. He has forgotten and left the stove on three times. The first two times resulted in setting off the carbon monoxide detector. He was fined by the senior living complex for these incidents, because the fire department was automatically called. The third time he left food in the oven leaving it burnt and inedible. He receives some assistance from the other residents in the apartment complex for cooking meals, but they are often busy with their own lives. Frank demonstrates difficulty maintaining his personal hygiene since his wife has passed away. For example, he has an unkempt appearance as his clothes are wrinkled, slightly malodorous and his hair is uncombed. Recently, Frank started a small fire in his apartment due to falling asleep while smoking in bed. He says that his wife always reminded him to put out his cigarette in the ashtray before they went to sleep, and he sometimes forgets to do that now. He was unable to respond to the emergency situation in a timely manner because he forgot where his wife kept the fire extinguisher. Fortunately, the smoke detector went off and a neighbor called the fire department after smelling smoke in the apartment. Frank also mentioned that he has been smoking more frequently since his wife’s death. He says before her passing he only smoked half a pack of Camels a day, and now he is up to a pack a day. He says smoking helps him relax when he begins to worry about all these life changes. Frank identifies his interests as gardening, watching television, and socializing with other couples in the senior home. However, he reports that he stops doing these activities as much since his wife’s death, because he does not enjoy doing them alone. He said that he feels uncomfortable doing things with his friends at the senior complex because they are all couples, and he is alone. Frank is a Vietnam Veteran and very proud of his service and wears his U.S. Army veteran baseball hat every day. He has been responsible for raising the American Flag every morning and takes this job seriously. He and his wife would walk together each morning, greeting and taking to residents and friends along the way. He was diagnosed with COPD three years ago. He often reports feeling tired and short of breath, and needs to sit down on a bench by the flag to rest. Sometimes he waits too long to take a rest, and it takes him at least 10 minutes to catch his breath and feel strong enough to walk back to his apartment. Lately, Frank has been missed days raising the flag because he is so upset over the loss of his wife. He reports feeling very guilty and upset because he says that if he doesn’t raise the flag, no one else will. Frank recently participated in a wellness screening at the senior housing complex. One of the screens was the Montreal Cognitive Assessment (MoCA). Frank scored a 24/30 which is indicative of a mild cognitive decline. OCCUPATIONAL PROFILE Client Report Reason the client is seeking service and concerns related to engagement in occupations (p. 16) Why is the client seeking services, and what are the client’s current concerns relative to engaging in occupations and in daily life activities? (This may include the client’s general health status.) Occupations in which the client is successful and barriers impacting success (p. 16) In what occupations does the client feel successful, and what barriers are affecting their success in desired occupations? Occupational history (p. 16) What is the client’s occupational history (i.e., life experiences)? Personal interests and values (p. 16) What are the client’s values and interests? Contexts What aspects of their contexts (environmental and personal factors) does the client see as supporting engagement in desired occupations, and what aspects are inhibiting engagement? Environment (p. 36) (e.g., natural environment and human-made changes, products and technology, support and relationships, attitudes, serv- ices, systems and policies) Supporting Engagement Inhibiting Engagement Personal (p. 40) (e.g., age, sexual orientation, gender identity, race and ethni- city, cultural identification, social background, upbringing, psychological assets, educa- tion, lifestyle) Supporting Engagement Inhibiting Engagement Performance Patterns Performance patterns (p. 41) (e.g., habits, routines, roles, rituals) What are the client’s patterns of engagement in occupations, and how have they changed over time? What are the client’s daily life roles? (Patterns can support or hinder occupational performance.) Client Factors What client factors does the client see as supporting engagement in desired occupations, and what aspects are inhibiting engagement (e.g., pain, active symptoms)? Values, beliefs, spirituality (p. 51) Supporting Engagement Inhibiting Engagement Body functions (p. 51) (e.g., mental, sensory, neuro- musculoskeletal and movement-related, cardiovascular functions) Supporting Engagement Inhibiting Engagement Body structures (p. 54) (e.g., structures of the nervous system, eyes and ears, related to movement) Supporting Engagement Inhibiting Engagement Client Goals Client’s priorities and desired targeted outcomes (p. 65) What are the client’s priorities and desired targeted outcomes related to the items below? Occupational Performance Prevention Health and Wellness Quality of Life Participation Role Competence Well-Being Occupational Justice

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