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Sharon (by: Valerie Bass, Ally Bruner, Sarah Kandybowicz, & Abigail…
Sharon
(by: Valerie Bass, Ally Bruner, Sarah Kandybowicz, & Abigail Schmidt)
Occupational Profile
Reason Seeking Services
She was recently diagnosed with right carpal tunnel syndrome and is experiencing difficulties with opening jars and cooking tasks. She is also experiencing numbness and tingling at night.
Successful Occupations
She is still able to use the elliptical but experiences some discomfort. Many of her occupations take more time and require a lot more focus and energy.
Interests & Values
She values her independence and being able to take care of her children. She values her family and enjoys starting the day off catching up with her boys over breakfast before dropping them off at school.
Occupational History
Sharon is a 44 year old mother of two. Uses her hands a lot in her job (hair dresser).
Performance Patterns
Roles
Mother
cooking, cleaning, drives children to school, attends activities for children
leisure activities
crafts with friends
going to gym to lift weights and do eliptical
supports
physical
Big kitchen with various utensils
social
she is very close with her sons who enjoy pulling their weight around the home.
cultural
Bible study friends
personal
Physically healthy, motivated by sons, financially stable
temporal
She is young and healthy
virtual
N/A
barriers
temporal
N/A
cultural
She is the mother and caregiver expected to take care of her children
physical
Big kitchen means a lot of cleaning
right hand dominant and right hand affected
social
Children depend on her
single mom
personal
She's in pain
numbness and tingling keeps her awake some nights
virtual
N/A
personal goals:
continue to take care of her kids and be able to follow routines and rituals with less pain and weakness throughout the day
experience less numbness and tingling at night to receive a better nights sleep.
Problem List:
Affecting intrinsic and extrinsic muscles of the R hand
Decreased endurance
Decreased grip strength
Decreased dexterity
Overall decreased fine motor skills
Decreased strength
Assessment Choices
COPM
Semms-Weistein Monofilament
Assessment of Functional Skills
Jebsen Hand Function Test
Nine-hole Peg Test
Task Analysis
Cooking Pancakes
Movements involved
Supination
Pronation
Wrist extension and flexion
Wrist pronation
Opposition
finger flexion
finger extension
Wrist radial and ulnar deviation
grips
pincer, power, pad to tip, spherical, cylindrical
Sharon enjoys cooking pancakes for her children every Sunday before church
Problem List
Numbness/Tingling
Affecting ability to feel temperature while cooking and feeling textures
Weakness
Causing Sharon to drop items while cooking
Pain
Affects her ability to open jars and handle ingredients and utensils
Motor skills affected: griping, manipulation, coordination, moving, lifting, transferring, calibrating, flowing, enduring, and pacing.
some specific mental functions are affected due to less sleep at night