1. 1 Key: GREEN Where occupational therapy can make a difference Causes
ENVIRONMENT
PERSON
LOCAL COMMUNITY
IT Communications across organisations are not compatible
Care and support for personal care only
Social isolation
WELLBEIING
Fear of falling
Social isolation
Loss of valued occupations (activities)
FITNESS
Loss of function
Stiffness, pain, declining mobility
HOSPITAL
Assessment of need made in hospital
Discharged – no plan between services to review need once home
HOME
Hazards
Hinders independence
FRED
Identified as high risk of a fall and unplanned presentation/
admission in to hospital
AGE
HEALTH
Comorbidities
Previous fall resulted in brief admission to hospital
PARTICIPATION
Not able to engage in valued activities (stiffness / pain, environment does not support independence
Less active (poor mobility, fear of falling)
VALUE
Occupations supported are systems generated
Lack of valued activities
Not able to access local facilities
RISK
Focus on safety not value of activity
History of falls
PERFORMANCE
Loss of confidence
Dependency (care package, no reablement or rehabilitation)
Key: GREEN Where occupational therapy can make a difference
OCCUPATIONS

2. 2 Outcomes from occupational therapy ENVIRONMENT PERSON OUTCOMES
LOCAL COMMUNITY
Access
Transport
WELLBEING
Identified with Fred what he wants and needs to be able to do
Practice with Fred re-engaging in occupations
Supported Fred to organise finances to pay for weekly taxi
OUTCOMES
FITNESS
Arranged for Fred to attend a 12 week Strength and Balance class
HOME
Assessment and removal of homes hazards, rugs etc
Advice on changes to the home to improve independence
Agreed goals met
Improved sense of health and wellbeing
Participation in valued occupations (activities)
Reduction in care package
Medicines optimised
HEALTH
Asked GP to review Fred’s medication
RISK
Completed risk enablement plan
AGE
PARTICIPATION
Assessment: identified the barriers – fear of falling, dizziness, poor balance, unsteady gait, physical barriers
Review of existing care and support
Advice
Equipment provision and home adaptations
VALUE
Goals agreed to restore valued occupations e.g. local café to meet friends, making meals and refreshments
Care and support reviewed
RISK
Agreed a risk enablement plan
Liaison with GP, care agency and family
PERFORMANCE
Observation and analysis of engagement in occupation
Practice techniques and strategies
Referral to Strength and Balance Class
OCCUPATIONS