Once the information was gathered from the medical chart, nursing and doctor, the OT gathered the In-Home Occupational Performance Evaluation (I-HOPE; Stark, Somerville, & Morris, 2010), The I-HOPE identifies the performance difficulties an individual faces in his/her home, with the therapist, who observes for barriers that impact the patient's performance during problematic activities. Each barrier yields a score measuring the level of severity
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Once arriving at Mr. Avalon's home, the OT introduced herself with confidence and a smile. The OT initiated building rapport by immediately noticing a Beatles record hanging on the wall. The patient and OT talked about their common enjoyment of the Beatles. This served as a good ice-breaker. The I-HOPE was administered as the two casually walked around the home. The OT completed a personalized interview along with the standardized assessment, in order to obtain maximum information. The OT asked Mr. Avalon which activities of daily living (ADLs) he found to be the most challenging. He stated that reaching into his closet, refrigerator and cabinets was the most challenging. The OT completed a range of motion (ROM) test and manual muscle test (MMT). The OT also had Mr. Avalon attempt to reach for food items in the pantry, shirts in the closet and frozen vegetables in the freezer.