1. Based on thedetails of the case study about Luisa, how does this case illustratethe differences in focus for home-care OT services (includingevaluation, treatment planning and intervention) versus OT servicesprovided in a rehabilitation facility?
Home-care OTservices require the practitioner to make daily visits during theinitial weeks to evaluate the client’s progress. In fact, anoccupational therapist could reduce the frequency of assessment ifthe patient had few complications. On the other hand, OT services ina rehabilitation facility required a practitioner to make regularvisits during the duration of the client’s admission. Besides,home-care OT services sought to incorporate the input of familymembers during treatment planning and intervention. In this respect,Jorge and James were required to help Luisa cope with her diagnosisof rheumatoid arthritis (Bonder & Bello-Haas, 2009). Nonetheless,OT services in a rehabilitation facility would incorporate the inputfrom assistants rather than family members.
2. What are someof the benefits of providing OT services in the home, and what aresome of the disadvantages?
Providing OTservices in the home has several advantages. For example, the clientcan utilize the familiar surroundings to regain functional abilities.In particular, an occupational therapist can focus on helping thepatient to become independent. Luisa was depressed as she was eagerto perform home management activities such as cleanup and mealpreparation (Bonder & Bello-Haas, 2009). Furthermore, providingOT services in the home allows family members to participate inproviding care. Luisa was quite apprehensive about letting James andJorge to perform cleanup and meal preparation (Bonder &Bello-Haas, 2009). Hence, an occupational therapist can train theclient to share duties and responsibilities.
Nevertheless,providing OT services in the home has some disadvantages. Forinstance, family members are burdened with unfamiliar tasks. In thisregard, Jorge and James were quite incapable of performing homemanagement activities since they had always relied on Luisa (Bonder &Bello-Haas, 2009). Additionally, providing OT services in the homerequires a practitioner to train family members on proper care-givingpractices. In many instances, other individuals are required to coachthe patient along her recovery. Jorge and James had complained aboutthe numerous activities involved in Louisa’s care (Bonder &Bello-Haas, 2009). Therefore, an occupational therapist must spendconsiderable time in training family members to make positivecontributions.
Bonder, B. & Bello-Haas, V. D. (2009). Functional performancein older adults. (3rd ed.). Philadelphia, Pa.: F.A.Davis Co.