Theo a 40-year-old male with Raynaud's syndrome
Goals
Intervention Approaches
Interventions
Occupational Deficits
Establish/Restore
Maintain
Modify
LTG: Theo will be able to concentrate on a job performance task for 30 minutes in 4 weeks.
LTG: Theo will be able to independently implement 5 of 5 energy conservation techniques while performing work related tasks in 4 weeks
Evaluation Tools
Fatigue Severity Scale- Measures how severe his fatigue is affecting his every day performance
Mini-Cog- Measures his ability go recall information and for any cognitive impairments
Barthel- to evaluate how well he can perform his ADLs
Models and FORs
About Raynaud's
In Raynaud's disease, smaller arteries that supply blood to your skin become narrow, limiting blood flow to affected areas causes fingers and toes to go numb.
Prognosis
Prevalence
Symptoms
Incidence
cold fingers or toes
color changes in your skin in response to cold or stress
numbness in fingers
prickly feeling or stinging pain upon warming or stress relief
Women are more likely than men to have Raynaud's disease.
It appears to be more common in people who live in colder climates.
2.2% in women 1.5% in men
Prognosis is good with no mortality and a little morbidity. However, limited blood supply to an organ or part of the body can cause necrosis.
Client Factors
Context and environment
Performance Skills
Performance Patterns
Motor: grips, manipulates, endures, and flows
Mental Functions: attention, mental functions of sequencing complex movement, perception
Sensory functions: touch, sensativity to temperature and pressure
muscle functions: endurace and strength
Client will create a daily schedule to prioritize demanding activities to be completed earlier in the day when he has the most energy to decrease fatigue levels.
Client will implement pursed lip breathing to use throughout his day to decrease fatigue levels
Client is to participate in puzzles with his children for 20 minutes to improve his concentration.
Client is to engage in a reading of his choice for 10 minutes to improve his attention.
Process Skills: attends and sequences
Roles impacted: husband, father, friend, son, employee
Routine of getting ready and going to work
Habits of child rearing after work ad fixing things around the house
Rehabiliative FOR
MOHO
STG: Theo will be able to concentrate for 15 minutes while performing a leisure activity with his kids in 2 weeks.
STG: Theo will be able to implement 3 of 5 energy conservation techniques with minimal assistance using visual cues while completing work related tasks in 2 weeks.