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Brian (Assessments (Client interview, Clinical observation, Grip Strength…

- - - - Sports
      - Parties
- - - - Can travel to and from class with ease
    - - Fine motor activities such as brushing teeth, combing hair, bathing, and dressing
  - - - Friends in the fraternity, intramural team, online with video games
      - Brother lives in Austin
    - - His parents live in a different city
- - - - Member of a fraternity/ has brotherhood
    - - Brian may feel left out because he is unable to participate in intramural games due to his injury
  - - - The activities he enjoys are with others and he will be motivated to be participating again.
    - - Inability to participate currently in his favorite activities is causing isolation; his school work may be affected if he is left handed and cannot write.
  - - - Attending college allows Brian to meet/make new friends, create new interests, and develop skills needed to engage in occupations
  - - - Motivated to play video games and participate in group activities like basketball and frisbee golf
      - Works on using dexterity
    - - Stiff ring finger on left hand may impede his ability to take notes in class on his laptop
- - - - social participation impacted #
- - - - Aligns
        
        Brian has trouble propping his ring finger on the keys without feeling discomfort
      - Positions
        
        Brian needs help positioning his ring finger on the keys he is trying to select
      - Reaches
        
        Brian struggles due to pain when extending his ring finger to the different keys
      - Manipulates
        
        While using dexterous movements, Brian fumbles to various keys
      - Coordinates
        
        When Brian uses different fingers to type, he has trouble coordinating at a fluid speed because of he lacks range of motion
      - Lifts
        
        Brian has difficulty lifting his ring finger due to stiffness
      - Flows
        
        Brian displays stiff and rigid movements
    - - Pace
        
        He will need to be able to properly pace while typing to communicate with others, or typing a paper
      - Search/locates
        
        This task requires searching the keyboard for the correct keys and screen for typing correctly.
      - Attend
        
        Brian will be able to attend to the task without interruptions
      - Use
        
        Brian will be bale to use the keyboard correctly by placing enough pressure on the indicated letter pad.
  - - - Attention
      - Memory (working memory)
      - Mental functions of sequencing complex movement
    - - consciousness (be awake)
      - Orientation (know he is in class)
      - Energy and drive (motivation to take notes)
    - - Visual functions (acuity to take notes from board)
      - Hearing Functions (detect verbal notes)
      - Touch functions (feeling his keyboard and keys as he types)
      - Proprioceptive functions (know where body is in relation to proper posture and comparatively with classmates also in the class taking notes)
    - - Joint mobility (ROM needed from each finger/ both wrists to type words)
      - Joint stability (structural integrity to move fingers when typing)
    - - Muscle power
      - Muscle endurance (to type notes through entirety of class)
    - - control of voluntary movement (to deliberately type the letters out that are needed)
- - - - Addresses all areas of problem list
      - Improve overall joint ROM
    - - Eating
      - Writing
      - Typing