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Today we will be presenting a case study on a patient who had a coronary artery bypass grafting or CABG this presentation was created by Brianna Dryer Cristina Perez Gallo Phoebe Morales and China Coleman we will be covering the following information with you number one occupational performance problem areas number two short-term and long-term goals number three causes of problems number four intervention approach and frames of reference number five intervention activities and number six service delivery the following chart displays information for case study number two please take a moment to review the information listed the areas in which Brenda will have occupational performance issues are her activities of daily living instrumental activities of daily living social participation work and sleep and rest the specific problems that Brenda will experience with her activities of daily living are bathing due to difficulty washing and rinsing her hair reaching for bathing items washing her upper and lower extremities and drying her upper and lower extremities she will also have difficulty dressing her upper and lower extremities along with combing her hair and shaving her lower extremities Brenda will also have difficulty completing perennial hygiene after toileting, and she will have difficulty engaging in functional mobility including bed to stand transfers sit-to-stand transfers tub and toilet transfers and shower transfers Brenda will experience problems with her instrumental activities of daily living as well she will be unable to drive and thus engage in community mobility unable to maintain her own home because she will have difficulty cleaning, and she will also have difficulty grocery shopping preparing meals and cleaning up after meal preparation due to weakness and lack of endurance Brenda might also experience difficulties with engaging and social participation with her four children who live close by and her friends whom she enjoys playing cards and eating out with Brenda worked prior to her diagnosis and will now have problems with her job performance skills more specifically she will not be able to perform work tasks that require her to lift reach up or down and bend forward the problems that Brenda will be experiencing with these occupational performance areas are due to the sternal precautions she will be required to follow and her lack of endurance in order to address her occupational performance problem areas several long-term and multiple short-term goals have been created to guide Brenda's progress through the therapy process the short-term goals addressing Brenda's ADL's our client will complete bathing with moderate assistance by day two of therapy client will complete upper body dressing safely following sternal precautions and lower body dressing using adaptive equipment with minimal assistance by door therapy and client will complete functional transfers following sternal precautions with moderate assistance by day three...
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