Hi Ron, The only thing I can think of is really what your wife suggested. Maybe see her do a couple of kitchen tasks and see whether she might need prompt cards or instructions set out for her otherwise there is not alot else I can think of...
but if she has no goals that she wants to achieve then really there isn't much that you can provide. Is she keen on doing things in the kitchen? Becky :-) > Date: Mon, 13 Apr 2009 18:08:18 -0400 > From: rdcar...@otnow.com > To: OTlist@OTnow.com > Subject: [OTlist] NEED HELP WITH PATIENT > > I evaluated a home health patient and I need help determining if OT is > indicated. The patient's primary diagnosis is Alz. dementia. She also > was recently d/c'd from the hospital secondary to a non-healing brown > recluse spider bite, s/p 5 years ago. > > Her score on the SLUMS cogn screen is a 6/30, indicating mod-severe > dementia. She lives with her husband, who is healthy but has had two > recent falls in their modular home. The husband does all the housework, > cooking and driving. The patient performs her own basic selfcare with > supervison. She req. occasional asst. with sequencing for dressing. > > The patient reports she is an active reader. She attends church services > every Sunday. The patient has no stated goals. She reports being "happy > and content" with her life. She says that everyone else is worried about > her memory but she knows that it will get better. The husband states it > would be nice if his wife were able to help out in the kitchen. > > I told the husband that I needed to ponder the situation. I wasn't sure > if I could help his wife or not. So, I'm turning to you guys. My wife > suggested that I work with both the husband and the patient to teach him > how to better integrate his wife into the daily routines. I presented > this idea to him tonight on the phone and he said: "hum, I need to think > about that". > > So, what do you guys say. Can OT help this lady? If so, how???????? > > Thanks, > > Ron > > ~~~ > Ron Carson MHS, OT > www.OTnow.com > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/otlist@otnow.com _________________________________________________________________ View your Twitter and Flickr updates from one place – Learn more! http://clk.atdmt.com/UKM/go/137984870/direct/01/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
