Professional Documents
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Final Occupational Analysis & Intervention Plan - Jesse Vallera
Final Occupational Analysis & Intervention Plan - Jesse Vallera
Occupational Profile
1. Client name: Timothy Husted
2. Age: 55
3. Sex: Male
Briefly discuss each of the following:
4. Who is the client?
Timothy (Tim) Husted is a 55 year old, single, male who was born in Saginaw, Michigan. He was
adopted at birth and his heritage is 100% Sicilian. He works as a realtor and stated it is a stressful
job. He has lived in Las Vegas for 14 years and likes to travel and take care of his two dogs.
5. Why is the client seeking services and/or what are the clients concerns relative to engaging in
occupations and in daily life activities?
The reason that he is seeking services is due to difficulty with fulfilling his responsibility of caring
for his two dogs (Boo and Astro). Boo and Astro are ages are 13 and 14, respectively. He walks Boo
and Astro each day around his enclosed neighborhood. This occupation is purposeful and it is
beneficial to promote health and well-being. However, recently his occupational performance has
been decreased secondary to his deep venous thrombosis (DVT).
6. In what occupations does the client feel successful and what barriers are affecting his or her
success?
Tim walks Boo and Astro each day around the enclosed neighborhood. Each day this promotes
health and well-being while walking his dogs. He has had success every day for his evening walk but
unfortunately he had a DVT and now he has swelling in his left leg. He rates the pain as a two and it
is a dull sensation. This occupation performance has been decreased because he stops frequently
and the ambulation time is longer but he still completes the overall distance. If this occupation
performance could not be met then there will be complications for his health. He would like to
decrease the ambulation time for his walk because recently there is a barrier due to the swelling. I
observed if there was any asymmetries or irregular gait but I found none.
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?
One aspect that is inhibiting his environment is the physical environment. In this occupation,
the property of walking is cement and that limits walking because of hard impact with each step. An
aspect that supports engagement in occupation is the temporal context. He and his dogs are very
particular about the time of day because he states that it is impossible to walk in the daytime due to
overheating while walking. Also his personal context is important for him because he leads a
healthy lifestyle full of exercise due to his diabetes and previous embolisms.
8. What is the clients occupational history?
He has worked for over 20 years as a realtor and worked in California, Nevada and Michigan. He
passed the board for his realtor exam in Nevada but before that he had a bachelors degree in
business management and an associates degree in applied science. He worked has a general
branch manager to establish stores at Walgreens. He likes artificial sweetener sodas and ice teas
but sometimes he can drink in excess. He had previous embolisms with his recent DVTs and he has
diabetes.
for his realtor firm. He is the oldest brother for his two younger sisters and he travels often to see
his father and stepmother to have a role of a son.
12. What are the clients priorities and desired targeted outcomes related to occupational
performance?
He would like to decrease the ambulation time of walking and also decrease the amount of pain.
If this occupational performance could be improved then he and the dogs can improve their quality
of life, health and well-being that can ultimately improve his other domains.
Occupational Analysis
1. Occupation: Ambulation while walking his two dogs.
Categorization of occupation for the client:
1. Activities of daily living
2. Instrumental activities of daily living
3. Education
4. Work
5. Play
6. Leisure
7. Social participation
Subcategory:
Care of pets
Tim has a strong commitment for his two dogs and he feels responsible to maintain their quality
of life as well as his own. His beliefs are held true that he and the dogs have a mutual relationship
and benefits for walking. The spiritual aspect of the walking has a purpose and it restores physical,
mental, and cognitive balance in his life.
3. Contexts:
Context
Supports
Physical/space demands This supports occupation
performance with fresh air and
wind to have a calm,
therapeutic sensation.
Social
Cultural
Personal
Temporal
Virtual
Inhibits
This inhibits for the street
because the sidewalk is a
cement property and it is painful
while walking on the hard
surface.
Sometimes aggressive dogs or
neighbors could be in their
personal space but this happens
seldom.
4. Social demands:
Communication is an important component between person and dog. In this occupation, the
person must raise and train the dog to have verbal communication so they can have a functional
relationship. Also, when walking outside it is expected to control dogs and contain any impulsive or
inappropriate behaviors. If other people or dogs come in to the vicinity it is expected to have a
calm demeanor and not an aggressive or angry demeanor.
Function
How It Is Used
Judgment
Tim judged
which
direction and
route to go.
Tim formed a
cognitive
concept in
order to
decide which
route to take.
This requires
thinking
about
thinking, or in
this case Tim
understood
the
technique of
walking and
performed
walking while
grasped two
leashes
simultaneous
ly.
Tim had
adaptability
and
responding
to the
reacting of
the two dogs.
Concept formation
Metacognition
Cognitive flexibility
None
Minimally
Challenged
Greatly
Challenged
Insight/awareness
Concentration
Sustained attention
Selective attention
Divided attention
Short-term memory
Tim
responded to
the natural
environment
and was
aware of his
walking.
Tim paid
attention to
the physical
aspect while
walking with
his two dogs.
Tim had little
sustained
attention
besides the
full
concentratio
n of the
route.
Tim paid
attention to
the individual
tasks that
switch from
one priority
to another
(for example
paying
attention to
the dogs, the
limbs, the
route, etc.).
Tim paid
attention to
multiple
tasks while
paying
attention to
the dogs, the
limbs, the
route, etc.
Tim had short
memory
brain
integration
(for example,
walking for
Working memory
Long-term memory
15 seconds
while).
Tim
manipulated
memory to
act in the
environment
(e.g. keeping
pace if the
dogs sniff too
long on the
same spot).
Tim
remembered
things that
are
memorable
and he stored
it in longterm memory
(e.g. he had
long-term
memories of
an aggressive
dog and was
aware of that
same dog).
Tim
discriminated
the sounds of
people, barks
and sirens.
Tim
discriminated
the specific
amounts of
pressure of
the leashes
and whether
the dogs are
determine to
wander.
Tim
discriminated
visual stimuli
of the dogs,
be aware of
the street
and senses
Multisensory processing
Sensory Memory
Spatial relationships
Temporal relationships
on-coming
traffic.
This was not
x
required of
the
occupation.
Tim sensed
to maintain
balance while
discriminatin
g moving in
space as he
goes forward.
Tim sensed
visual,
auditory,
vestibular
and
proprioceptio
n senses and
are
important to
him to be
aware and be
safe of the
dogs.
Tim
responded to
the natural
environment
(e.g. to hear
the engine of
a car and
immediately
give a
command for
the dog to
come and be
safe).
Tim used
visuospatial
relationships
and visual
depth
perception
while
walking.
Tim and his
dogs are in
tune to which
Recognition
Categorization
Generalization
Awareness of reality
Logical/coherent thought
time of day is
optimal for
walking and
the pace of
his walking.
Tim
recognized
the sounds,
people, and
the shapes
while walking
(e.g.
recognized
that it is a
tree and
know to
avoid on the
backside
otherwise
the leash will
be tangled).
Tim used
classifying of
objects and
structures
like signs,
trees, streets,
grass, etc.
Sometimes
Tim can use a
different
environment
(e.g. a walk in
the morning
vs. and walk
at midnight).
Tim is aware
of himself
and what
they are
doing.
Tim
understood a
smooth flow
of thought
processes
while actively
thinking
about other
Appropriateness of emotion
Coping
Behavioral regulation
Body image
Self-concept
thoughts as
well.
Tim had
appropriate
thinking and
did not
diverge to
dangerous
thinking.
Tims mental
processes
plan motor
performance
in walking.
Tim had
therapeutic
emotions and
released
negative and
stressful
emotions.
Tim had
therapeutic
emotions and
released
negative and
stressful
emotions.
Tim had
therapeutic
emotions and
released
negative
emotions.
Tim
understood
the law and
did not have
inappropriate
behavior.
This was not
required of
the
occupation.
Tim felt
purposeful
and
responsible.
Self-esteem
Arousal
Consciousness
Orientation to self
Orientation to place
Orientation to time
Orientation to others
Energy level
Tim felt
purposeful
and
responsible.
Tim was
aware of the
natural
environment
and
responded to
danger or
safety.
Tim was
cognitively
aware to
move in
space while
being alert
and knowing
where he was
going.
Tim identified
and
recognized
that the dogs
are familiar
and he
trusted them.
Tim was
aware of
where he was
going and he
understood
that there
was a start
and an end.
Tim was
aware of the
time and day.
Tim identifies
with his dogs
and his
aware of
each other.
Tim had
elevated and
positive
energy while
walking.
Function
How It Is Used
Motivation
Tim was
motivated to
walk and if he
was not the
dogs will ask
(or beg).
Tim did not
have erratic
impulses and
he controlled
the dogs if
the dogs had
impulse
behaviors.
This does not x
require
appetite for
the
occupation.
This does not
require sleep
for the
occupation.
Impulse control
Appetite
Sleep
None
Minimally
Challenged
x
Detection/registration
Visual modulation
Integration of senses
Tim
perceived
visual stimuli
for objects,
animals or
other types
of detection.
Tim
perceived
visual stimuli,
to integrate
and reason
for what to
do with the
information
(e.g. perceive
that the
street and
the sidewalk
are
different).
Tim
perceived
Greatly
Challenged
Awareness at distances
several
sensory
stimuli that
happened at
once while
walking (e.g.
maintain
vestibular
senses while
being aware
of visual
discriminatio
n).
Tim had
visual depth
perception
and knew
how far an
object (e.g. a
car) was.
Tim was
tolerant of
auditory
stimuli and
was not
overwhelmed
when walking
(e.g. can
tolerate
crickets
humming,
birds
chirping, and
hearing the
wind).
Tim
determined
how far a
sound was
(e.g. he heard
how far a
siren was).
Tim had
balance and
had
vestibular
senses for
equilibrium
while
walking.
Taste
Smell
Body in space
Localizing pain
Thermal awareness
Joint mobility
Joint stability/alignment
Muscle power
Muscle tone
Muscle endurance
Stretch reflex
ATNR
STNR
Eye-hand coordination
Bilateral coordination
excessive
force.
Tim had good
muscle tone
to create
movement
while
walking.
Tim had good
muscle
endurance
and did not
fatigued.
Tim had
reflexes for
external
stimuli. He
responded to
these stimuli
with muscle
contractions.
ATNR is not
required for
this
occupation.
STNR is not
required for
this
occupation.
Tim used
balance and
reflexes for
righting his
gait.
Tim was
aware to see
visual stimuli
and avoid
obstacles.
Tim used
active
movement
for both legs
and to
control his
dogs in the
upper
extremities.
Crossing midline
Occulomotor control
Gait patterns
Blood pressure
Heart rate
Respiratory rate
Respiratory rhythm
Tim used
crossing the
midline to
control his
dogs if the
dogs go on
the opposite
side.
Tim held the
leashes and
picked up the
dog feces.
Tim had
movement in
both the
upper and
lower
extremities.
Tim used
eye-hand
coordination
to see where
he was going.
Tim used
proper body
mechanics
while
walking.
Tim exercised
and his blood
pressure
increased
while
walking.
Tim exercised
and his heart
rate
increased
while
walking.
Tim exercised
and his
respiratory
rate
increased
while
walking.
Tim had good
rhythm and
pace as he
Respiratory depth
Voice functions
Alternative vocalization
Digestive system
Metabolic system
Endocrine system
Function
regulated
breathing
patterns
while
walking.
Tim
regulated his
breathing
patterns and
the amount
of air volume.
Tim had
endurance
and did not
quickly
fatigue while
walking.
Tim
communicate
d with his
dogs.
Tim gave
commands in
a strong
tone.
Tim produced
speech with
different
decimals.
Tims
digestive
system was
less active
while
walking.
Tims
metabolic
system was
active while
walking
because his
entire body
was moving.
Tim released
chemicals in
the body
while
walking.
How It Is Used
None
Minimally
Challenged
Greatly
Challenged
Urinary functions
Tims urinary
system was
less active
while
walking.
Tims genital
and
reproductive
system was
less active
while
walking.
Tim had
protection
from his skin
and
prevented
skin cancer
through a hat
and
sunscreen.
Tim had no
blisters or
cuts in his
skin for his
integumentar
y system.
Not used
Minimally
challenged
x
x
x
x
x
x
x
x
Greatly challenged
x
x
x
x
x
x
x
x
x
Trunk extension
Trunk rotation
Lower extremities
x
x
x
Skill- Motor
How It Is Used
Aligns
Stabilizes
Positions
Reaches
Bends
Grips
Manipulates
None
Minimally
Challenged
Greatly
Challenged
Coordinates
Moves
Lifts
Walks
Transports
Calibrates
Flows
Endures
also
manipulated
his upper
extremities to
control the
dogs.
Tim was aware
and looked
where he was
walking (e.g.
eye-foot
coordination).
Tim had variety
in his mobility
(stepping,
striding,
twisting, etc.)
for this
occupation.
Tim picked up
the dog feces
and if the dogs
were too far he
lifted the
leashes.
Throughout
the occupation
Tim walked for
the entire time.
Tim
transported
the plastic bag
of dog feces to
the trashcan.
Tim had the
correct
distance of
every stride.
Tim had a fluid,
synergist gait
that had
balance and
stability.
Tim required
muscle
endurance to
build stamina
and not get
fatigued.
Paces
Skill- Process
How It Is Used
Paces
Tim had a
steady pace
and he did not
over and under
sequence.
Tim paid
attention with
each task while
walking
without
interrupting
anything.
Tim and his
dogs agreed
and were
excited about
the occupation.
Tim had the
necessary tools
(leashes,
plastic bags,
etc.) and chose
the correct
route.
Tims tools
were in use of
the occupation
(e.g. a leash)
Tim used his
tools for
stability and
safety (e.g. a
leash is
maintain
through use to
control the
dog).
Tim did not
x
inquire
anything for
this
occupation.
Tim and his
dogs interacted
Attends
Heeds
Chooses
Uses
Handles
Inquires
Initiates
None
Minimally
Challenged
Greatly
Challenged
Continues
Sequences
Terminates
Searches/locates
Gathers
Organizes
Restores
Navigates
with objects
and people.
Tim continued
to walk with
step-to-step
movement to
made
synergistic
movement.
Tim had an
order to (e.g.
gather tools,
plan route,
etc.).
Tim had an end
point were he
was fatigued.
Tim sought the
necessary tools
(e.g. leash)
before walking.
Tim gathered
the necessary
tools or
materials (e.g.
leash,
footwear,
plastic bags,
etc.) before
walking.
Tim did not
have
organization
because there
is no
workspace
when he is
moving.
Tim put away
the necessary
tools from
whence they
came.
Tim navigated
while walking
and responded
to objects or
people the
natural
environment.
Notices/responds
Adjusts
Accommodates
Benefits
Tim responded
to the natural
environment
(e.g. heat, light,
sounds, vision,
people, dogs,
etc.).
Tim adjusted
his gait to
maximize
efficiency while
walking.
Tim did not
x
accommodate
but he did
handle Astro
with his left
hand because
he is left hand
dominant.
He was aware
of any safety
issues.
How It Is Used
Approaches/starts
Produces speech
Gesticulates
None
Minimally
Challenged
x
x
Speaks fluently
He spoke with
firm voice for his
two dogs.
Turns Toward
He used
interaction to
face the dogs
and ask them if
they wanted to
go for a walk.
He interacted
with his dogs
to face the
Looks
Greatly
Challenged
Places self
Touches
Regulates
Questions
Replies
Discloses
Expresses emotion
Disagrees
dogs at eyelevel.
He interacted
with his dogs
to face the
dogs at the
appropriate
distance.
Sometimes he
stroked the
dogs. Also, he
always has
pressure on
each leash.
Tim regulates
each task with
proper
sequencing to
have mental
control.
This does not
require
questions
because there
are only
commands
with the dogs.
This does not
require replies
because there
are only
commands
with the dogs.
This does not
require
discloses
because there
are only
commands
with the dogs.
When walking
he sometimes
feels relieve
from the
pressures of his
job.
This does not
require
disagrees
because there
Thanks
Transitions
Times response
Times duration
Takes turns
Matches language
Clarifies
are only
commands
with the dogs.
This does not
require thanks
because there
are only
commands
with the dogs.
This does not
require
transitions
because there
are only
commands
with the dogs.
This does not
require time
response
because there
are only
commands
with the dogs.
He had very
short
commands
when he is
conducting his
speech.
There is only
one-way
communication
in this
occupation.
Tim responded
to the sounds,
grunts, barks
and touches.
This does not
required
clarification
because there
are only
commands
with the dogs.
Tim had
interaction that
acknowledged
and cued with
touch, visual or
Empathizes
Heeds
Accommodates
Benefits
verbal
communication
for his dogs.
Tim
empathizes
when his dogs
feel discomfort
or pain.
Tim had
purpose and
intention
throughout his
occupation.
This does not
x
require
accommodatio
n because
there is only
one-way
communication
with the dogs.
This does not
x
require
benefits
because there
is one-way
communication
with the dogs.
9. Performance patterns:
Parts of this occupation has elements of which of the following: (check all that apply)
Pattern
Useful habit
Describe
Tim always attaches the two leashes to his two dog collars without
thinking or mental processing. This is a useful habit because it is smooth,
fluid movement.
Dominating habit
Routine
Ritual
Role
Intervention Plan
1. Identify 1 objective and measurable goal of the intervention: Tim will decrease his ambulation
time while walking his two dogs from 25 minutes to 20 minutes for 5 days per week. He will
accomplish this by decreasing his walking time by one minute every day while walking
independently and attaching dog harnesses in a safe park near his house.
2. Intervention approach:
Approach
Create/promote
Establish/restore
Maintain
Modify
Describe
I will establish a routine for a training schedule so the client and the dogs
will benefit and have decrease time for walking. I will educate him about
energy conservation while walking and respiration rhythm so he can build
up endurance and stamina.
Prevent
3. Activity selection
a. Activity selection: Identify 1 example of each for the intervention plan
Activity
Occupation
Describe
The occupation will be ambulation while walking his two dogs.
Activity
One activity within this occupation that I will explain is proper body
mechanics while walking. This includes a good base of support, proper
stride and control of his dogs.
For this activity I will recommend to attach dog harnesses for prevention of
any injuries for joints and muscles in the upper and lower extremities.
Preparatory method
Preparatory task
b. Discuss how activity selection relates back to occupational profile and occupational
analysis.
The occupation is ambulation while walking his two dogs. I will provide
generalization in a different environment; I will educate him on proper body mechanics
while walking and decreasing ambulation time of walking each day. I also will provide
him a dog harnesses for safety. If the goals were met then he will improve his muscle
tone, muscle endurance, quality of life, health, well-being and fulfilling is role as a
master for his dogs.
c. Discuss how activity selection will support achievement of client identified goals and
goal of the intervention plan.
If the activity target outcomes are met then Tim will increase his safety and time
management. By changing his environment and attaching the dog harnesses the
preventative outcome will behave more control, balance, and stability. The goals
identified will be walking in a safe environment, to attach dog harnesses before walking
his dogs and learning the proper technique for walking including breathing, proper body
mechanics and energy conservation. This will enhance his technique for his goals and
occupations.