Running head: OCCUPATIONAL PROFILE AND INTERVENTION PLAN

Occupational Profile and Intervention Plan

Kelsey Puliafico
Touro University Nevada

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Occupational Profile
The Client
Timothy Moore is an 88 year-old African American male who has resided at Vintage Park
at San Martin for almost two years. Vintage Park is a memory care, residential facility for older
adults with various stages of Alzheimers and dementia diagnoses. Mr. Moore, as he likes to be
called, is in the moderate stage of Alzheimers disease (AD), and has secondary diagnoses of
hypertension and hypothyroidism. He is married to his high-school sweet heart, Diane, and the
couple has a daughter named Meredith and a son named Martin. Diane and Meredith live within
30 minutes of the facility and visit often. Meredith has one son; Mr. Moores only grandson.
Martin lives in California with his wife and two daughters. He tries to travel to the Las Vegas
area to visit his father once or twice per month. Since living at Vintage Park, Mr. Moore has
made friends with many of the other residents. He enjoys eating lunch with his friend, Allen,
each day.
Reason for Seeking Services
About the time that Mr. Moore turned 77 years old, he began experiencing memory
lapses; forgetting where he placed items in his home or where he was going as he drove in his
car. It was taking him longer than usual to get dressed in the morning due to decrease in planning
and organizational skills. His doctor was concerned that Mr. Moore was experiencing symptoms
of the onset of AD. As his AD has progressed, Mr. Moore has experienced increased difficulty in
a variety of occupations. Diane was concerned that she is unable to provide her husband with the
assistance he needs in his daily life, which prompted moving him into Vintage Park. Diane
wishes her husband will remain engaged in the activities he enjoys and is able to be as

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independent as possible in daily activities like dressing, bathing, eating and toileting. Mr. Moore
would benefit from skilled occupational therapy (OT) services to address his needs.
Successes and Barriers to Performance
Mr. Moore is oftentimes happy and pleasant company, however, he requires redirection
after visitors leave because he becomes agitated. His family wants staff to encourage Mr. Moore
to participate in activities held in the facility in order to keep him active and engaged. Upon
initial evaluation Mr. Moore was continent of bowel and bladder, but he has since been having
frequent accidents. His wife would like Timothy to get into a regiment schedule for toileting in
hopes that it will reduce his number of accidents.
Mr. Moore requires at least one person to assist with activities of daily living (ADLs) such as
bathing, toileting, dressing, and functional mobility. He has difficulty with decision making in
the occupational areas of dressing and grooming, frequently requiring cues to complete tasks.
Mr. Moore has trouble independently bathing and showering, as he requires significant cueing to
sequence steps involved with these activities.
Contexts and Environments
Vintage Park is a small, single-story facility set up for easy navigation. Mr. Moore lives
in a single-occupancy room, so he is able to set it up however he chooses. Having his own
private room gives Mr. Moore the feeling of independence of living on his own. He is able to
decorate with lots of family pictures to help him feel more at home. In addition, having his own
bathroom with a toilet, sink and shower directly in his room are supportive of his engagement in
self-care and hygiene occupations.

Occupational History

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Originally from the southern part of the United States, Mr. Moore is a deep-fried, salty
food lover. He grew up in a large and successful family with six brothers and sisters. Growing
up his favorite subject in school was always science. The older he got the more interested Mr.
Moore became in chemistry. Because of his profound interest in the subject, he attended
Southern University in Baton Rouge, Louisiana, earning his Bachelors of Science in Chemistry
degree.
Mr. Moore worked as a chemist for over 40 years and retired at the age of 68. He and
Diane both retired from their jobs around the same time. Diane used to work as a school teacher,
and she was often bored in the summers when she would have time off from school and Timothy
would still be working. The couple decided to take advantage of their retirement and spend time
traveling to various states and countries. The first decade of their retirement was wonderful and
they visited St. Lucia, Spain, and took a cross-country road trip from Las Vegas to Louisiana for
a family reunion.
Values and Interests
Mr. Moore has a number of leisure interests. He explained how, growing up, he always
wanted to see the world but his parents were successful in business and they told Timothy he
needed to graduate from college before attempting to venture around the world. It took a bit
longer than he had anticipated, but eventually that dream came true. Now, almost every day, he
wears a baseball cap from his trip to St. Lucia with Diane. When asked questions about his trip,
Mr. Moore always responded with, yes, it was beautiful there.
Football is another leisure interest of Mr. Moores. Passion for collegiate football is a
tradition in the southern states, and this was no different for Mr. Moore as a student at Southern
University. He explained that watching games on television is not as exciting as being in the
stands and watching alongside his friends, however, he supports his alma mater whenever he gets
the chance.

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A third leisure interest for Mr. Moore is photography. As one can imagine, spending time
traveling to all of the beautiful places that he did, Mr. Moore became quite the photographer. He
explained that he loved taking pictures of different landscape scenes from his various vacations.
In addition, taking pictures of his family is very important to him. He has lots of pictures,
especially of his two granddaughters, Alayna and Caroline, and grandson Mason, hung all around
his bedroom at Vintage Park. As his AD has progressed, Mr. Moore has been having trouble
remembering the names of his family members when looking through photograph albums and it
is frustrating for him.
Mr. Moore is comfortable in his faith. He is a devoted Christian and has attended a
Baptist church since he was a young boy. He was also an active member of the local Young
Mens Christian Association (YMCA), participating in a variety of events. Now that he has been
living at Vintage Park, Mr. Moore frequents the church service that a volunteer from the
community puts on at the facility every Thursday morning.
Daily Life Roles
Mr. Moore has fulfilled numerous daily life roles over the years. He is a husband, father,
grandfather, brother, friend and co-worker. When Mr. Moore was much younger and still living
at home with Diane, he shared many home maintenance responsibilities such as yard work and
vehicle maintenance. He also considered his role as a parent one of the most important in his life.
Previously, his role as an employee and co-worker at the chemistry company was important to
him as he was able to provide for his family through his work.
Since moving into Vintage Park, Mr. Moore has fulfilled the role of friend in a greater
capacity, since he is no longer responsible for many of the activities involved with the roles he
had when he lived at home with his wife. He enjoys frequently sitting in the common area of the
facility with other residents.
Patterns of Engagement

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Mr. Moores patterns of engagement in occupations have changed over the years. His role
as a hard-working chemist took up significant time during his employed years. However, now
Mr. Moore tells stories about chemistry experiments and research pursuits to help fill the void
from no longer working.
When his children were growing up, Mr. Moore was engaged with the two of them in the
YMCA Indian Princesses and Guides programs. This allowed him to foster meaningful
relationships with is children and involve them in community service and outdoor adventure
activities. Although his children are now full-grown with families of their own, the Mr. Moore
says the life skills and character traits gained through participation in the program helped shape
his children into the hard-working and giving adults they have become.
Mr. Moore no longer has obligations of home maintenance, as staff members at Vintage
Park fulfill those roles. Mr. Moore is sometimes confused about his reason for being there, and
he believes that he works there. Staff members attempt to keep Mr. Moore engaged in
activities so that he feels productive.
Priorities and Desired Outcomes
Mr. Moores wife would like Timothy to participate in OT to promote quality of life and
maintenance of independence in his ADLs. Specific areas to address include dressing, bathing,
showering and toileting. She would like him to get on a schedule for toileting that will help
eliminate some of his problems with incontinence. Coming up with a system to help Mr. Moore
sequence the steps involved with showering and bathing will reduce his dependency on staff
caregivers. With the cognitive declines that Mr. Moore experiences as his AD progresses,
utilizing compensatory strategies and environmental modifications to help Mr. Moore to remain
safe while engaging in occupational pursuits is another area of concern. Diane would also like
for Mr. Moore to remain engaged in meaningful leisure pursuits.
Occupational Analysis

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Context and Setting of Services

OT services are not typically provided at Vintage Park at San Martin. However, the
residents could benefit from skilled OT services to help maintain quality of life through
engagement in individual occupations. A large activities calendar is posted for the residents on
the wall near the main gathering space. Some of the offered activities include exercise programs,
crafts, and trivia. These activities take place in the main gathering space and residents are able to
participate in groups.
Vintage Park has monthly themed-parties that families, friends and caregivers are invited
to attend. Oftentimes, when individuals with AD are admitted to a memory care or assisted living
facility, those people who are close in the residents lives wish to stay connected to their loved
ones and remain involved with their care. The parties that Vintage Park has are a great
opportunity for this engagement.
Residents at Vintage Park can live in single or double-occupancy rooms. Mr. Moore has a
room to himself and a bathroom with sink, toilet and shower directly inside. This environment
will serve as a great setting for treatment as it is a familiar context to Mr. Moore.

Activity Observed and Client Performance

I observed Mr. Moore participate in a group exercise activity, make a craft decoration for
the monthly party, and eat lunch. During the exercise activity, Mr. Moore required frequent
verbal cues to remain engaged and complete all of the movements. He seemed to benefit from
having a model to follow, so he sat close to the activities facilitator where he could see and hear.
He had a difficult time multi-tasking and could not engage in conversation with other residents
while participating in exercise.

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Staff and residents at Vintage Park were preparing for a luau party and the craft was to
decorate drink coozies. The coozies, which were made out of foam, were to be decorated with
various stickers and foam decorative cut-outs. Each resident had the opportunity to decorate 2-3
coozies. Mr. Moore selected a red coozie first. Again, he needed cues to select a decorative
sticker and peel off the backing before placing it on his coozie.
After participating in the craft activity, it was time for lunch. I observed Mr. Moore
ambulate from the main gathering space to the dining room. He walked slowly and close to the
wall for balance. He stopped to orient himself to where he was going with a verbal reminder
from the staff person accompanying him. Mr. Moore sat at a table with his friend Allen. He
engaged in conversation with Allen and other residents at the next table, but he did not initiate
those conversations. Instead, he would answer questions when they were asked of him.
In addition, I had the opportunity to accompany Mr. Moore to his room for an ultrasound
procedure. He had a cyst-like growth under the arm which a sonographer came to take pictures
of to make sure nothing serious was going on. Mr. Moore was able to follow verbal directions
from the sonographer to position himself lying on the bed for the procedure. Before and after the
pictures were taken I observed Mr. Moore doff and don his hat, jacket and shirt. He performed
these tasks with minimum assistance, requiring verbal cues to sequence steps in addition to a
couple of physical cues to orient the shirt correctly for donning.
Key Observations
A number of key observations can be taken away from observing Mr. Moores
performance in various activities. Although Mr. Moore was willing to participate in activities,
significant cueing was required for him to remain engaged. Secondary to his moderate AD, Mr.
Moore displayed deficits in the mental functions of memory and attention (AOTA, 2014).during

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the group exercise and craft activity. He also needed verbal assistance to sequence steps during
the craft. Although I was unable to observe his sequencing ability in other ADLs, based on
reports from staff and his wife, I can assume similar deficits are affecting his ability to be
independent in skills like dressing and bathing.
Mr. Moores neuromuscular and movement related functions (AOTA, 2014) should also
be noted. Static balance in sitting and standing were within functional limits. However, watching
Mr. Moore walk to the dining room, his gait pattern was slow and he used the wall for support.
According to his chart, Mr. Moore sometimes displays impaired balance which could be a
potential safety hazard. Providing Mr. Moore with adaptive equipment such as a cane for balance
while ambulating throughout the facility should be considered.
For the most part Mr. Moore was willing and able to participate in the activities
throughout the day at Vintage Park. The OT can work on compensatory and behavioral strategies
with Mr. Moore to assist him in being as independent as possible and maintain quality of life as
his AD continues to progress into the later stages.

Domains Impacting Occupational Engagement

Taking a further look at specific Occupational Therapy Practice Framework (OTPF)
domains that are impacting Mr. Moores occupational engagement should be considered prior to
developing his individualized treatment plan. Mr. Moores diagnosis of AD has significantly
impacted his performance in a variety of ADLs (AOTA, 2014). Due to problems with cognition
and memory, Mr. Moore has difficulty sequencing steps of routine tasks such as dressing,
toileting, and bathing or showering without assistance. Mr. Moore has difficulty selecting

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appropriate attire for the time of day or season. He is also experiencing episodes of incontinence
of bowel and bladder. His functional mobility (AOTA, 2014) is impacted by his decreased
balance which is limiting his ability to engage in activities requiring dynamic standing. Mr.
Moores diagnosis impacts his leisure and social participation (AOTA, 2014). Although he is able
to participate in many of the activities that are provided throughout the day at Vintage Park, he is
not able to partake in activities and carry on conversation with peers simultaneously. He often
does not engage in conversation with other residents, during mealtimes for example, without
being spoken to first. His memory deficits are impacting his ability to participate in his valued
hobby of looking through family pictures because he is unable to remember those closest to him.
Problem Statements
Once the OT has a thorough understanding of the client, they must compile a list of
problem statements. The problems statements help to prioritize areas that the client wants to
work on. The following problem statements are listed in order of highest priority based on Mr.
Moores occupational profile.
1. Client requires max VC to complete showering/bathing 2 to executive functioning
for sequencing.
2. Client requires max (A) c toileting and toilet hygiene 2 to bowel and bladder
incontinence.
3. Client requires min (A) for functional mobility 2 dynamic standing balance.
4. Client is unable to dress self (I) 2 inability to make decisions regarding appropriate
attire.
5. Client is unable to participate (I) in the preferred leisure activity of looking through
family photo albums 2 agitation caused by memory for facial recognition of family
members.
Explanation of Problem List Prioritization

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In order to maintain a client-centered approach to treatment it is important to address the

areas that are most meaningful to the client. Problem statement 1 addresses Mr. Moores
difficulty in the ADL area of showering/bathing. Mr. Moore was able to independently
participate in showering/bathing at home prior to AD impacting his cognitive functioning with
sequencing. Mr. Moores wife knows how much he valued proper hygiene and felt it was of
utmost importance for Mr. Moore to maintain participation in this occupational area. Problem
statement 2 addresses Mr. Moores increasing difficulty with bowel and bladder control since
moving into Vintage Park. This was not an issue for Mr. Moore at his initial evaluation, however,
his wife recognizes this difficulty with bowel and bladder control is secondary to his progressing
AD. To help Mr. Moore maintain a high quality of life, implementing a toileting schedule to
decrease his number of incontinence episodes should be a priority. Problem statement 3
addresses a safety concern with Mr. Moores functional ambulation. As observed, Mr. Moore
walks slowly, using the wall for support and balance. This poses a potential fall risk if he does
not have a supportive device to use when walking. It is important to educate him on proper
ambulation techniques and provide him with adaptive equipment (A/E) to keep him safe.
Problem statement 4 addresses Mr. Moores inability to select appropriate attire for the season,
occasion or time of day. Addressing this problem area will allow Mr. Moore to gain more
independence in the occupational area of dressing. Problem statement 5 addresses an important
leisure activity that Mr. Moore enjoys. Decreased memory has led to limited family member
recognition in his photo albums which causes significant agitation. Utilizing a labeling system
for his photos could address this problem and help him to reengage in his preferred leisure
activity. The focus of this intervention plan will be on addressing the first two priority areas.
Intervention Plan and Outcomes

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Long Term Goal 1

Client will complete his morning shower c SPV, using a visual schedule, and requiring <
5 VC for sequencing in 6 weeks.
Short Term Goal 1. Client will complete 50% of his morning shower c SPV, using a
visual schedule, and requiring no more than 5 VC for sequencing in 3 weeks.
Intervention 1. The client and caregivers will be educated on the benefits of using a
visual schedule to help sequence the steps required for showering. The OT will assist the client to
create an individualized visual schedule to incorporate the steps he needs to complete during his
morning shower. The client will select from 1 of 2 photos for each step in order to decrease
agitation from providing too many options. Allowing the client to utilize photographs to help
sequence will incorporate his leisure interest as a means to motivate the client to participate in
the daily occupation of showering with a greater feeling of independence. Once the client
finishes creating his visual schedule to sequence the steps for showering (this may take multiple
sessions depending on clients level of engagement or agitation) the OT will help him hang it on
the bathroom wall in a place that is easily visible. Subsequent sessions will focus on utilizing the
visual schedule to assist with sequencing the steps of showering, considering 2 steps at a time.
Practicing sequencing in 2-step increments will prevent overwhelming the client and will give
opportunity for redefined success.
Grading the Intervention. There are a number of ways to grade interventions utilizing
visual schedules for sequencing. If the client appears agitated while creating the visual schedule,
the OT could grade down by providing an already completed visual schedule to the client. That
way the complexity of choosing pictures in addition to sequencing them on the schedule could be
avoided. The intervention could also be graded down with the OT providing visual modeling

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cues for how to perform each step. One example of grading up would be requiring the client to
practice more than 2 steps in sequence. This will incorporate more complex memory processing.
Intervention Approach. This intervention will utilize the modify (compensation,
adaptation) approach (AOTA, 2014). By providing a visual schedule to assist the client in
sequencing the steps involved with showering, it will simplify the task to promote success.
Evidence-Based Research. Research has been done in the area of compensatory
strategies and environmental modifications to assist individuals with AD. One study was
conducted by Dooley and Hinojosa (2014) which examined the effects of OT recommendations
on quality of life for individuals with AD (Dooley & Hinojosa, 2014). The study considered a
number of intervention strategies to promote occupational performance and researchers found
that visual cues were successfully implemented as a common environmental strategy (Dooley &
Hinojosa, 2014). In addition to increasing independence in daily activities for those with AD, the
study also found that these strategies helped to reduce caregiver burden (Dooley & Hinojosa,
2014). This evidence directly supports the use of a visual schedule to guide Mr. Moores
performance in sequencing the steps involved with his morning shower.
Outcomes. Outcomes for this intervention include occupational performance, specifically
in the area of improvement, and participation (AOTA, 2014). Utilizing the visual schedule will
help the client to improve his performance during the ADL task and increase independence in
participation.
Short Term Goal 2. Client will pack a shower caddy c 5 items needed to complete his
morning shower c 3 VC to identify appropriate items in 1 week.
Intervention 2. With assistance from the OT, the client will identify the necessary items
for his shower caddy. The 5 items that will be packed in the caddy will be: soap, shampoo,

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conditioner, a washcloth and a towel. The items will be clearly labeled so that the client is able to
distinguish each one. The OT will educate the client on the use of each item in relation to
completing the ADL of showering. After education has been provided, the OT can use
circumlocution techniques to reinforce the clients understanding of where to find his showering
materials. These techniques refer to talking around the problem, (Padilla, 2011, p.527) rather
than giving a straightforward command. For example, if the client asks where to find the soap,
the OT could respond with where do you usually keep your soap? or Have you looked in your
shower caddy? This technique gives the client the opportunity to make progress in their
processing abilities (Padilla, 2011). Once the client has put together his shower caddy it can be
left in a familiar place in the bathroom so it can be used every time he takes a shower.
Intervention Approach. This intervention will utilize the modify
(compensation/adaptation) approach (AOTA, 2014). The shower caddy will be an environmental
modification to simplify the occupation of showering. Labeling the items within the caddy will
also provide the client with an additional cue to modify the activity demands.
Evidence-Based Research. In Chard, Liu and Mulhollands study (as cited in Padilla,
2011) researchers tested whether verbal cueing and reinforcements would be effective strategies
to implement with individuals with AD. Circumlocution was one method of reinforcement used
in the study. Results of the study were positive for this strategy (Padilla, 2011). Following the
outcomes of said study, implementing such interventions in Mr. Moores plan of care is
promising.
Outcomes. Outcomes for this intervention include occupational performance, quality of
life and participation (AOTA, 2014). In regards to occupational performance, implementing an
intervention using environmental adaptations will promote improvement in Mr. Moores ADL

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performance. Providing visual cues and reinforcement will enable Mr. Moore to engage in his
daily routine with a greater feeling of independence and autonomy.
Long Term Goal 2
The client will reduce their number of incontinence episodes by 50% following
implementation of a timed voiding schedule c SPV in 6 weeks.
Short Term Goal 1. The client will navigate from the dining room to his bathroom on 2
occasions c 3 VC for wayfinding in 2 weeks.
Intervention 1. The client will focus on navigating the hallways at Vintage Park to find
his bathroom after meals. Visual aids such as signs designating Mr. Moores bedroom and
bathroom will serve as cues. The OT will provide the client with education on using a voiding
schedule to increase continence. The activity will promote using the bathroom on a schedule,
orienting the client to time and place, and address dynamic standing balance that can be
generalized to other occupations.
Intervention Approach. This intervention will follow the establish, restore approach
(AOTA, 2014). Implementing a toileting schedule will help the client to establish a routine to
better manage bowel and bladder continence.
Evidence-Based Research. The prevalence of urinary incontinence in individuals with
dementia varies. There is not a great amount of research to support a range of evidence based
interventions to combat incontinence, however, Doris Hgglunds (2010) review provides
moderate support for three toilet assistance interventions: timed voiding, habit training, and
prompted voiding (Hgglund, 2010). The timed voiding approach, which will be utilized for Mr.
Moore, involves making visits to the bathroom at designated times (Hgglund, 2010).

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Designating after meals as the predetermined time will help to keep the implementation of the
routine fit smoothly into Mr. Moores day to day schedule.
Outcomes. Outcomes of this intervention include quality of life, participation and
occupational performance (AOTA, 2014). The intervention will help Mr. Moore to decrease his
number of incontinence episodes, increase quality of life through gaining independence in selfcare, and improve participation in the ADL of toileting and toilet hygiene.
Short Term Goal 2. The client will perform LB clothing management during toileting c
Min (A) on 2 occasions in 2 weeks.
Intervention 2. This intervention will involve family/caregiver education on the
difficulties that individuals with AD may have in dressing as their disease progresses. It is
important to suggest clothing that is easy to manage in order to reduce client agitation and
caregiver stress. The OT will provide education to the client for techniques on clothing
management through modeling and practice. The OT will also implement behavioral
rehabilitation strategies to prompt task performance (Rogers & Holm, 2001). The client will
engage in repetitive practice with LB clothing management in the bathroom so a routine is easily
followed during each visit to the bathroom.
Intervention Approach. This intervention will utilize the modify (compensation,
adaptation) and establish, restore approaches (AOTA, 2014). Modifications will be made by
adjusting the clients wardrobe to include clothing that is easily manageable in order to simplify
the task during toileting. If the client is able to more easily manage his clothing in the bathroom
this can aid in decreasing episodes of incontinence.
Evidence-Based Research. According to the Alzheimers Society (2015) there are many
tips to consider when selecting clothing for the client. It is important that the client be given a

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choice of outfit (Alzheimers Society, 2015). This is directly related to the scope of occupational
therapy practice, as it is a client-centered profession. The Alzheimers Society suggests providing
two options (Alzheimers Society, 2015). In relation to clothing management for toileting,
selecting clothing with front closures or elastic bands could be considered as an adaptation
(Alzheimers Society, 2015).
According to Rogers and Holm (2001), implementing behavioral rehabilitation
techniques can assist individuals with dementia to compensate for declining ability secondary to
decreased cognitive functioning (Rogers & Holm, 2001). They suggest implementing the
technique by following a 5-step prompting system for task performance which includes
encouragement, verbal instruction, gesture or demonstration, physical guidance, and physical
assistance, (Rogers & Holm, 2001, p. 67). These 5 steps could be easily implemented during the
activity of practicing clothing management in the bathroom. By providing cues in a graded
manner it will give the client numerous opportunities for successful performance.
Outcomes. The outcomes of this intervention include improved occupational
performance, participation and quality of life (AOTA, 2014). The intervention will promote
improved performance in two occupational areas: toileting and toilet hygiene, and dressing. By
implementing the behavioral rehabilitation strategy it will help to improve quality of life through
the clients active participation in all aspects of clothing management during toileting.
Precautions & Contraindications
First and foremost, client safety should be considered. Mr. Moore occasionally displays
decreased balance which could put him at risk for falls. Mr. Moore also has a secondary
diagnosis of hypertension which should be monitored throughout intervention sessions to prevent

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complications. His decreased cognitive functioning could result in agitation so it is important to

provide OT services during times when Mr. Moore is most alert and willing to engage in therapy.
Frequency and duration
Mr. Moore will be seen for 60 minute skilled OT sessions 2x/wk for 6 weeks. OT
sessions will take place in the morning in order to maintain Mr. Moores structured routine. Mr.
Moore will be given opportunities to practice skills learned in OT sessions with other staff/care
providers at Vintage Park on the days when OT services are not provided. This will help Mr.
Moore become comfortable performing his daily occupations with various caregivers and in
various situations.
Primary framework
The Cognitive Disability Model, developed by Claudia Allen in 1985, was the primary
framework considered to plan interventions and goals for Mr. Moore. This model suggests that
individuals run into occupational limitations secondary to changes in the brain (Toglia, Golisz, &
Goverover, 2014). This model is especially applicable to geriatric populations and individuals
experiencing various stages of AD. In order to promote healthy and optimal functioning in
occupations, adapting the environment and task demands to accommodate for the needs of the
client is important (Toglia, Golisz, & Goverover, 2014). This model recognizes the importance of
utilizing problem-solving strategies and realistic goal setting that is individualized to the client.
Client and Caregiver Education
Client and caregiver education will be provided regularly throughout the OT treatment in
order to promote positive outcomes. The OT will educate Mr. Moores wife and staff members at
Vintage Park on the prognosis of Mr. Moores diagnosis. In addition the OT can provide

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education on environmental adaptations and compensatory strategies to promote optimal

functioning in occupations while keeping Mr. Moore safe.
Measuring Response to Intervention
Mr. Moores response to intervention will be documented in progress notes following
each skilled OT session. At the conclusion of each week, his treatment plan and progress towards
goals will be evaluated. Subsequent sessions will be adjusted accordingly to assist Mr. Moore in
meeting his occupational goals.

References
Alzheimers Association (2015). Dressing. Retrieved from
http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=142
American Occupational Therapy Association. (2014). Occupational therapy practice framework:
Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1),
S1-S48. http://dx.doi.org/10.
Dooley, N. R., & Hinojosa, J. (2004). Improving quality of life for persons with Alzheimers
disease and their family caregivers: Brief occupational therapy intervention. American
Journal of Occupational Therapy, 58, 561569. doi: 10.5014/ajot.58.5.561

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Hgglund, D. (2010). A systematic review of incontinence care for persons with dementia: the
research evidence. Journal of Clinical Nursing, 19, 303-312. doi: 10.1111/j.13652702.2009.02958.x
Padilla, R. (2011). Effectiveness of interventions designed to modify the activity demands of the
occupations of self-care and leisure for people with alzheimers disease and related
dementias. American Journal of Occupational Therapy, 65, 523-531. doi:
10.5014/ajot.2011.002568
Rogers, J. C, & Holm, M. B. (2001). Behavioral rehabilitative activities of daily living
intervention. Alzheimers Care Quarterly, 2, (4), 66-69.
Toglia, J. P., Golisz, K. M., & Goverover, Y. (2014). Cognition, perception, and occupational
performance. In B. A. B Schell, G. Gillen, & M. E. Scaffa (Eds). Willard & Spackmans
occupational therapy (12th ed., pp. 779-815). Philadelphia: Lippincott William & Wilkins.