Clinical reasoning to facilitate occupation-based interventions to focus on promotion

Utilize clinical reasoning to facilitate occupation-based interventions to focus on promotion,
compensation, adaptation, and prevention.
* Demonstrate strategies that remediate and/or compensate for deficits in cognition, vision, and
behavioral health.
* Explain the need for and demonstrate strategies with devices used to enhance occupational
performance.
* Demonstrate, evaluate, and utilize the principles to instruct and train the client, caregiver, family,
significant others, and communities at the level of the audience.
Instructions:
1. The lead therapist will be responsible for creating and designing an informatic handout to
describe and instruct the patient & caregiver in the education and use of adaptive techniques,
safety education, precautions or contraindications, or adaptive device(s). (2 pts. – Created handout,
relevant to patient & DX)
** Visualize yourself reviewing the handout with your client to ensure you include relevant and
important information for them to refer. Be sure offers thorough information and is in layman’s terms
for ease of understanding.***
2. The informatic handout must address the following:
a. Client demographics/date (1pt.)
b. visual image(s) when possible (1pt.)
c. Safety considerations & Precautions (1pt.)
d. Simple directions on how to use/operate device OR how what to abide by (1pt.)
e. Application steps (when applicable)
f. Care instructions (when applicable)

Sample Solution

Introduction:

This handout provides information and instructions on using one-handed cutting techniques and adaptive utensils to promote independence and safety during mealtimes.

Safety Considerations:

  • Always keep sharp objects pointed downwards and away from yourself and others.
  • Use a cutting board to stabilize food while cutting.
  • Never attempt to catch a falling knife. Let it fall flat on a stable surface.
  • Clean and dry utensils thoroughly after each use.

One-Handed Cutting Techniques:

  1. Stabilize the food: Use a non-slip mat or damp paper towel to secure the food on the cutting board.
  2. C-grip method: Hold the knife handle firmly with your dominant hand using a C-grip (thumb and index finger forming a “C” around the handle).
  3. “Claw” technique: For added stability, use your non-dominant hand to create a “claw” by curling your fingers slightly inward and pressing them down on the top of the food you’re cutting.
  4. Rocking motion: Using a rocking motion with your wrist and elbow (not your entire arm), gently saw back and forth to cut the food.

Adaptive Utensils:

  • Rocker knife: This knife has a curved blade that allows for a rocking motion for cutting without a full hand grip.
  • Weighted utensils: These utensils have a heavier handle to improve control and stability.
  • U-shaped utensils: These utensils have a built-up handle that allows for a utensil grip using a single hand.

Choosing the Right Utensil:

  • Experiment with different adaptive utensils to find what works best for you in terms of comfort and control.
  • Consider occupational therapy for personalized training and recommendations for adaptive utensils.

Care Instructions:

  • Most adaptive utensils are dishwasher safe. Always refer to the manufacturer’s instructions for cleaning and care.

Additional Tips:

  • Cut food into smaller, more manageable pieces before cooking when possible.
  • Take your time and focus on safety while cutting.

Remember:

With practice and the use of these techniques and utensils, you can continue to enjoy mealtimes independently and safely. If you have any questions or concerns, please consult your occupational therapist or healthcare provider.

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