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Descripción: IMPLEMENTACION DE VIVEROS COMUNALES Y DESARROLLO DE CAPACIDADES PARA LA PRODUCCION AGROFORESTAL
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Running head: OCCUPATIONAL PROFILE AND INTERVENTION 1
Occupation Profie and Inter!ention Pan for Fied"or# $aor% Vi!ero& Touro Touro Uni!er&it% Ne!ada Ne!a da
OCCUPATIONAL PROFILE AND INTERVENTION
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Occupational Profile
$r( )arcia i& an *+ %ear od ,an retired fro, the United -tate& Ar,% and !eteran of the .orean /ar( /ar( 0e i!e& aone in a doue "ide traier in 2ouder Cit%3 Ne!ada and ha& done &o e!er &ince he "a& honora% di&charged fro, the ar,%( 0e doe& not ha!e a &ignificant other and doe& not ha!e chidren3 ut doe& ha!e three nephe"& and one niece( 0e i& origina% fro, $ichigan3 and that i& "here a of hi& h i& fa,i% i& current% i!ing( 0i& &i&ter i& hi& po"er of attorne%3 and ,a#e& a financia deci&ion& for hi,( $r( )arcia a&o ha& t"o rother& "ho ca hi, and con!er&e "ith hi, 4uite often( Athough he choo&e& to i!e far fro, hi& fa,i% he !aue& the ti,e he get& ge t& to ta# to the, on the phone ecau&e it i& a &ignificant part of hi& &ocia interaction during the "ee#( After di&charging fro, the ar,%3 he "or#ed for Ford F ord $otor Co,pan% a& a part& a&&e,er( 0e en5o%ed thi& 5o !er% ,uch ecau&e he ha& a great intere&t in auto,oie& and putting together part& to create a fina product( 0a!ing een retired for a coupe of decade& no" he en5o%& participating in the cit%6& &enior group3 going to the par#3 and reading h i& ne"&paper( 0e i& e&pecia% pea&ed "hen the &enior group ha& e!ent& e!e nt& in!o!ing ga,e& or fitne&& ecau&e he "a& an a!id "eight ifter and athete in hi& %outh( $r( )arcia i& &ee#ing occupationa therap% &er!ice& due to e7periencing e7 periencing da%&6 "orth of intoerae ac# pain3 and undergoing a #%phopa&t% due to a co,pre&&ion fracture at T89T1( 0e ha& a hi&tor% of ac# pain3 had a a,inecto,% at L; near% fort% %ear& ago3 and ha& e7perienced chronic ac# pain e!er &ince then( Athough he ha& een i!ing "ith chronic o"er ac# pain for decade&3 a&t "ee# he e7perienced acute ,idde ac# pain due to the co,pre&&ion fracture( Foo"ing the #%phopa&t% he i& e7periencing acute ,idde ac# pain3 and "oud i#e to decrea&e the a,ount of pain he i& current% feeing( Due to hi& &pina &urger% he ,u&t foo" foo" three &pina
OCCUPATIONAL PROFILE AND INTERVENTION
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precaution& for the ne7t &i7 "ee#&3 and he i& concerned thi& "i affect hi& aiit% aiit% to perfor, &ef9 care acti!itie& at ho,e( In addition to hi& reha diagno&i& he ha& a ,edica hi&tor% of chronic o&tructi!e pu,onar% di&ea&e
OCCUPATIONAL PROFILE AND INTERVENTION
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aiit% to &ucce&&fu% participate in the&e &ef9care occupation&( 2ac# pain in addition to the cient6& decrea&ed endurance and &hortne&& of reath i& another ,ain arrier that i& pre!enting hi, fro, eing ae to participate in IADL& and &ucce&&fu% co,pete ADL& fro, ti,e ti,e to ti,e( The cient6& interna ,oti!ation to ,aintain independence in &ef9care3 and endure the difficutie& of hi& pu,onar% condition& &upport& hi& participation in occupation&( De&pite the pain3 fatigue3 and troue "ith reathing3 he &ti de&ire& to independent% engage in &ef9care( E!en though he reie& on hi& caregi!er to &hop and prepare ,ea& for hi, he i& ae to heat he at up the prepared ,ea& independent% "hen he i& aone in hi& ho,e( At ti,e& the cient6& cient6& e7terna e7terna en!iron,ent eco,e& a arrier for hi, to co,pete ADL& ADL& &uch a& &ho"ering and groo,ing( 0i& athroo, ha& a tu &ho"er "ithout gra ar& or a &ho"er chair( /hen the cient eco,e& &hort of reath or eco,e& fatigued fro, "a#ing fro, the i!ing roo, to the athroo, hi& acti!it% toerance decine&( Recent% the cient6& ph%&ician infor,ed hi, that hi& progno&i& for eu#e,ia "oud on% ao" hi, co&e to &i7 ,ore ,onth& of ife( 0i& reigiou& !aue& and deep &pirituait% ha& heped hi, cope "ith the updated progno&i& and reait% of hi& decining heath( 0e i& e7periencing &%,pto,& of fru&tration "ith hi& progno&i& ecau&e he dedicated ,o&t of hi& ife to &ta%ing fit % "eight training and eating heath%( 0e i& ae to o!erco,e the&e feeing& of fru&tration % continuing to attend &enior co,,unit% group ,eeting& and going to the par#( 0e i& intere&ted in the&e t"o thing& ecau&e he ha& a pa&&ion for &port& and fitne&&( 2efore attending group ,eeting& or going to the par# he foo"& a ,orning routine in!o!ing retrie!ing the ne"&paper fro, the dri!e"a%3 eating3 then groo,ing( One con&tant in hi& dai% routine i& chec#ing hi& o7%gen o7 %gen tue& ,a#ing &ure there are no tange& and ,onitoring the e!e of iter& e!er% ,orning( -ince eing eing diagno&ed "ith COPD and eu#e,ia eu#e ,ia hi& routine&
OCCUPATIONAL PROFILE AND INTERVENTION
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ha!e changed and re!o!e& around ho" ,uch energ% he ha& at the ,o,ent( The cient6& ,ain priorit% &ince hi& updated progno&i& i& to decrea&e hi& ac# pain and i,pro!e hi& 4uait% of ife( ife( 0e "oud i#e to continue participating p articipating in hi& &enior group3 eco,e ,ore independe nt in ,ea preparation3 and reduce the incidence& of eco,ing ea&i% fatigued during &ef9care acti!itie&( Occupational Analysis
$r( )arcia participated in a ? ,inute occupationa therap% initia e!auation t"o da %& after hi& #%phopa&t%( The e!auation in!o!ed otaining infor,ation nece&&ar% to create an occupationa profie( The infor,ation gathered % the therapi&t in!o!ed: o ccupationa and ,edica hi&tor%3 roe&3 ei&ure3 routine&3 and current concern& of the cient( After pro!iding infor,ation for the occupationa profie the cient participated in tota od % dre&&ing to a&&e&& hi& range of ,otion and e!e of independence( Context /Setting
The e!auation too# pace in oth the cient6& ho&pita roo, and in the ADL roo, roo, on the acute rehaiitation unit of Vae% ae% 0o&pita( The ADL roo, i& fu% e4uipped "ith a fu functioning #itchen3 athroo, "ith &ho"er3 and a ed( The e!a uation too# pace i,,ediate% after the cient returned to hi& roo, fro, eating rea#fa&t in in the dining ha( The cient "a& infor,ed of the e!auation at hi& ed&ide in hi& ho&pita roo,( The ho&pita roo, i& u&ed &o the therapi&t can a&&e&& the cient6& c ient6& ed and functiona ,oiit%( Activity and Performance
$r( )arcia "a& &uper!i&ed in a &it to &tand tran&fer fro, ed to "heechair in order to participate in functiona ,oiit% fro, hi& roo, roo, to the ADL roo, to co,pete the initia e!auation( 0e "a& ae to get out of ed "ithout graing the edrai&3 and on% re4uired a&&i&tance fro, the therapi&t to &"itch out hi& o7%gen fro, the ho&pita "a to the portae tan#(
OCCUPATIONAL PROFILE AND INTERVENTION
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$r( )arcia "a& ae to "hee hi,&ef to the ADL roo, in the "heechair( Once in the roo, and fini&hed di&cu&&ing hi& ,edica hi&tor% "ith the therapi&t the cient participated in tota od% dre&&ing acti!itie&( 0e "a& aed to don and doff hi& pant& a& "e a& a pair pair of &oc#&( Due to the cient6& recent #%phopa&t% he "a& educated on the i,portance of ,aintaining three &pina precaution&: no ending3 ifting3 or t"i&ting( The cient "a& pro!ided "ith adapti!e e4uip,ent incuding a reacher3 dre&&ing &tic#3 &oc# aid3 and ong handed &hoehorn to increa&e independence independenc e in o"er od% dre&&ing "hie ,aintain &pina precaution&( 0e ha& ne!er u&ed adapti!e e4uip,ent efore3 &o he "a& in&tructed ho" to operate each de!ice prior to &tarting the dre&&ing acti!itie&( acti!itie&( $r( )arcia e7pre&&ed that he did not need to u&e the adapti!e e4uip,ent ecau&e he i& capae of dre&&ing "ithout it( 0e de,on&trated ho" he ha& een dre&&ing "ith hi& chronic ac# pain and &pina precaution&( Athough Athough he "a& ae to don and doff hi& pant&3 he eca,e &hort of reath and 4uic#% fatigued( After e7panation e7panation of ho" the adapti!e e4uip,ent coud hep to con&er!e energ% and ,aintain &pina precaution& the cient tried o"er od% dre&&ing "ith the hip #it( 0e "a& ae to &ucce&&fu% don and doff hi& pant& u&ing the reacher and dre&&ing &tic# "ith ,ini,a tactie and !era cuing( 0e did e7perience &o,e fatigue "hen &tanding to pu up hi& pant&3 and ru&hed to co,pete the ta cau&ing hi, to eco,e ,ore fatigued a& he e7pended ,ore energ% "hie hurr%ing( 0e "a& ae to &ucce&&fu% don and doff a pair of &oc#& "ith three !era cue& in!o!ing in&truction& on ho" to u&e the &oc# aid( Key Observations
During the acti!it% the cient re4uired three re,inder& to ,aintain &pina precaution& "hie dre&&ing( 0e a&o re4uired &tead%ing a&&i&tance "hen &tanding to p u up hi& pant& around hi& "ai&t due to poor aance( The cient i& &ee#ing occupationa therap% &er!ice& due to i!ing "ith chronic ac# pain and acute ,idde ac# pain a& a re&ut of hi& #%phopa&t%( Athough he
OCCUPATIONAL PROFILE AND INTERVENTION
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ha& een referred ecau&e of hi& h i& &pina &urger%3 &urger%3 he i& a&o ha!ing difficut% engaging in occupation& oth ADL& and IADL& due to COPD and %,phoc%tic eu#e ,ia( Impacted Domains
The do,ain& of occupationa therap% that are &ignificant% i,pacting the cient6& aiit% to &ucce&&fu% engage in occupation& are cient factor&3 perfor,ance pattern&3 and conte7t and en!iron,ent&( Current% dre&&ing3 functiona ,oiit%3 &hopping3 ,ea preparation3 and ceaning are i,pacted % hi& &%,pto,& of ac# pain and &hortne&& of reath( According to the Occupationa Therap% Practice Fra,e"or# Third Edition
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