 good afternoon sir my name is mikamela Javier you can call me mika for short

anytime u want and I will be your occupational therapist for today how about you
may I know your name po and your child too?

 Ok nice to meet you po (name) what do you want me to address you? so

kamusta po naman kayo? And you child if possible So how are you for today po
(did u have good trip, have you eaten, did u sleep well, how are you feeling for
today like mood) (If the patient answers this question add some follow up
questions if possible)

 Ok so bago po tayo mag start may idea po ba kayo ano ang occupational
therapist? Ok so yung occupational therapist which also me so Im here para
tulungan yung anak niyo sa kung saan man po siya nahihirapan sa kanya
everyday life like mga self care activities, Education and more areas pa kung
saan man siya naeengae na mga activities in order to regain independence and
also improve din po ang skills niya

 So ang gaagwin po lng natin for today is interviewhing ko po kayo about sa anak
niyo yun like I said para malaman natin saan nahihirapan yung anak niyo at
mabigyan po natin siya na intervention kapag nag session na po siya dito ok lng
po bay un and don’t worry the intevrview naman po are confidential so we will
make sure safe and info na ipapahayag niyo sa aking questions about your child

Ask demographics.

NAME Richard

CIVIL STATUS
RELIGION

BIRTHDATE nov 5 2010

AGE 13
GENDER boy

PRIMARY CAREGIVER
(Relation to Patient)

ADDRESS
DATE OF INITIAL
EVALUATION:
DIAGNOSIS OT-IN-CHARGE
REFERRING DOCTOR DATE OF
REFERRAL

 Ok lets start na po so may I know the reason bakit kayo nagpaconsult sa

developmental pedetrician?
 So kelan niyo po ba na nanoticed ito sa anak niyo?
Nag day care 4 or 5 years old hindi niya kaya magbilang mga identify na color
2022
 is there some provide by devped like medicine or interventions?

1. Context (to have an insight into the specific factors that influence
engagement and participation in the occupation of the client)
a. Can you describe the place that you and your child are currently
staying in?
b. Who are the people living with the child? Are they involved with her
recovery? If yes, what are the things they usually do to help her at
home?
c. Sino po madalas nakakasalamuha n child saka tumutulong
sakanyan sa times nahihirapan siya?
d. What are the things the child loves to do during her free time?
e. Are there specific toys that the child wants to play with?
f. Is the child currently studying? If yes, does she go to school, or is
she homeschooled? Anong grade na po? Musta po school niya

2. Performance pattern (to have an insight of what can inhibit or support the
engagement of the client in occupations)
 Yung anak niyo po ba minsan may nakikita niyo like nag bite finger
minsan may ganun po ba nagyayari sakanya?
1. Can you describe to me how your child typically spends his day? From
what she usually does the moment she wakes up to the moment she goes
to bed and sleep.

3. Is your child taking any medication? If yes, can you specify what medicine
he takes and what day she takes he medicine?

 EDUCATION
1. Anong grade na po anak niyo?
2. May I know the address of his school and the transportation use to go to
school and sino sumasama sakanya?
3. So kamusta naman po child niyo sa school? (wag na iask if nasagot na)
4. Ilang hours po ang school hours ni child on each day?
5. May favorite po ba subject anak niyo?
 6. Did he get along to other kids?
7. How about po baon ng anak niyo?
8. Favorite things that child’s do in school?
9. Ask about anything regards homework

1. Occupations (this includes ADLs, play or Leisure)

 Activities of Daily living
a. Is the child allowed to take a bath or not after the surgery? If yes, does
she sometimes feel pain when taking a bath? how do you assist her?
b. When toileting, how do you assist her like taking down her garments and
washing her off since she has difficulty moving her arms?
c. In dressing and grooming how do you assist her in dressing? Does she
feel discomfort when dressing since it's required to move the arm?
d. How does the child eat? Can she still open her mouth? Does she have
difficulty swallowing food? Does she feel discomfort when eating and
swallowing since the face is also affected by burns?
e. How does the child use the spoon and fork can she still grasp it? despite
having difficulty moving her arm? Does she have difficulty scooping the
food from the plate then reaching to the mouth?
f. Do you help your child apply the lotion like you told her to do? How does
the child brush her teeth? Like in the proper way up and down brushing
the teeth and how the way she holds the toothbrush? Has she had
difficulty manipulating and grasping the toothbrush? How about washing
hands? Does the child feel discomfort when washing hands or does she
sometimes feel pain? If not, how does she rub his hands, use soap and
turn the faucet on and off? In combing hair, is she comfortable when you
comb her hair down?

 Play or Leisure
a. You mention a specific toy that she usually plays, may I know how she
plays that toy? Is she playing alone with her toy? If not, who are her
playmates with her? (can be relatives or friends).
b. Does she still have other toys to play with aside from her favorite toy? If
yes, did she play the other toy like how she played her favorite toy?
c. Aside from playing with toys, can she also engage in different play
activities like playing outside? (e.g. hide and seek, sand play,
hopscotch..).
d. When free time, what does she usually do in her free time aside from
playing? (e.g. watching t.v., exercise, drawing…).
e. When playing and doing the free time, does she sometimes feel
discomfort and have difficulty engaging in play and leisure activities?

4. Goals of the parents/child (to help in writing goals and intervention

planning)
 2. For the parents, what are your goals for the child that you want her to
achieve?
3. For the child, what are the things that you want to achieve or do during
free time?

Ok po so I will make sure na appropriate ang intervention ni client sa next session niya
in order to achieve yung goal niyo for him. After po tayo mag end mag bibigay din ako
na recommendations for child since mild naman ang condition n child just continue lang
po na pagsupport sa kanya lalo na sa education niya kasi yung talaga need ng child.
Then siguro halibawa if sinasamahan niyo siya mag study pwede niyo ito modify like
para maging fun for example puzzles, building blocks, free painting and many more fun
activities don’t worry pede po ako mag send sa inyo na fun educational activities later
para magamit niyo bago mag session anak yung niyo

so that’s all for today meron po ba kayo questions?

Ok that’s all po sir thank you for your cooperation and see u and your child in next
session