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Frank (Right CVA (poor safety awareness (no attention to left side), left…
Frank
Right CVA
left sided neglect
left hemiplegia
slurred speech
poor balance
no AROM on left side
poor attention span and judgment
no sensation to light touch and sharp-dull
confusion
poor safety awareness
no attention to left side
perception deficits
Activity: Dressing
can use sock aid to put socks for poor balance
sit in chair with arm rests while dressing to prevent falls
use ring pulls for buttoning shirts to address lack of sensation
verbal cues
to address left side
velcro fastners for shoe laces
ADL goals
bathing and showering
functional mobility
using hemiwalker
weak left UE and LE
meal preparation
dressing
Client factors
Diabetic
coronary artery disease
body functions
mental
attention deficit
low perception
sensory
poor balance
loss of soft and sharp sensation
neuromuscular
decreased range of motion on left side
low tone on left side
voluntary movement on right side
Body structure
Performance skills
motor skills
poor coordination
manipulating objects on left side
interaction skills
social interaction
process skills
inablity to attend to tasks
trouble initiating and sequencing tasks
Social Participation
bowling with friends
no relationship with son
married and retired
physical environment
5 steps to front door
need hemiwalker
live in one story ranch style home
garage not attached to house
Roles
husband
retired postal worker
father
Leisure
bowling with friends
travel with wife
IADL goals
home maintenance
can use apron to put tools