OTPF Mapping (Occupation Therapy) – 20210618K

Objective: In order to synthesize the written table format of the occupational therapy domain areas and to develop a visual cognitive map of the domains so as to apply the principles of the domains to a case study each student will create two visual maps to demonstrate their knowledge. (This is as demonstrated in class).Instructions: This assignment has two parts: Part 1. The generic visual map will include: * Each broad Domain area * Main categories under each broad domain area * at least one example under each main category. For example: Broad Domain = Client Factor Main Category = Body Functions One example = Mental Functions Part 2. Students will then use the case study below and apply the domains outlining a 2nd visual map with the client’s information. CASE STUDY: Harold Harold is a 55-year-old Caucasian man who was admitted to the inpatient psychiatric unit of the veteran’s administration hospital from the emergency room (ER). He was brought into the ER by police after getting into a fight at a local bar. Harold was treated for minor cuts and abrasions. The owner of the bar knows Harold well and did not want to press charges. Harold has a history of alcohol and heroin abuse that goes back 32 years. He started using drugs when he was in Vietnam and became addicted to heroin and then cocaine. He has been living in his own home and rents out rooms to his friends, most of whom are his “drinking buddies” as well. He has not been able to hold a job for more than a few months due to his substance abuse. Harold has tried a variety of different jobs and has been through several work retraining programs. He did find that he likes working with computers; however, he was unable to retain any job in the highly competitive job market. He would end up getting drunk or high and not show up for work for a few days, neglecting to call in. Harold finished college prior to enlisting in the army. His father had served in World War II, and he felt it was his duty to serve as well. Harold was married for 6 years after he returned from Vietnam, and he and his wife have one son. They divorced because of his substance abuse problem and his wife and son moved away; she did not want their son to be influenced by Harold. He has not seen his son since they moved away 27 years ago. Harold has two siblings, but has little contact with either of them. Both his parents are deceased. Harold would rather have fun than be responsible. He is easily influenced by his friends to go out drinking or score some cocaine. His entire social circle is made up of people he either does cocaine with or drinks with. He does not have the ability to make his own decisions and stick to them. He is admitted to the locked psychiatric unit for detoxification. He will be seen by the psychiatrist, occupational therapist, and psychiatric nurse. He will be incorporated into the milieu of the unit and. expected to participate in group activities as determined by Harold and the team. At the occupational therapy evaluation, Harold presents as disheveled in appearance. He does not have any clothes with him, so he is wearing a hospital johnnie, hospital robe, and slippers. He is unshaven, his hair is still matted with blood, and it is clear that he has not yet showered. When asked by the OT if he wishes to take some time to clean up before the interview he asks “What’s the point?” He is administered an interest inventory and indicated interests in watching sports on TV and going to movies. He appears easily distracted, loses his train of thought easily, and needs to ask for questions to be repeated. When given a simple copying task, he has difficulty following directions. He cannot remember the events leading up to his hospitalization. When asked what a typical day was like, Harold cannot give any specific information. He says that he and his buddies just “kinda hang around all day and do whatever we feel like doing.” It is unclear if anyone in the household is responsible for grocery shopping, cleaning, or any other homemaking tasks, though Harold does not appear malnourished. Harold had to leave the occupational therapy evaluation before it was completed because he became very anxious and started to shake. It is unclear what his goals are and whether he is truly invested in his recovery process.