Jeremy Clarkson is a 21-year-old single male who sustained a severe traumatic brain injury in a motor vehicle accident six days ago. Upon hospital admission, a CAT scan revealed a right temporal lobe subdural hematoma and bilateral frontal contusions. A craniotomy was performed the following day to address the hematoma.
Jeremy has now been admitted to an inpatient rehabilitation facility where he will receive services from an interdisciplinary team including occupational therapy, physical therapy, speech-language pathology, and vocational therapy. As the occupational therapist on the team, you are responsible for conducting his initial evaluation and developing a treatment plan.
Prior to his injury, Jeremy was a second-year computer science student at the local university. He lived in an off-campus apartment with two roommates. He enjoyed video gaming, played intramural soccer, and was an active member of the university’s technology club. His parents live approximately one hour away and visit regularly. Jeremy was employed part-time at a campus coffee shop to help cover his living expenses.
Answer the following:
b) Analysis of Occupational Performance:
- Client factors (values, beliefs, body functions, body structures)
- Performance patterns (habits, routines, roles, rituals)
- Performance skills (motor, process, social interaction)
- Contexts and environments impacting performance
- Activity demands of relevant occupations
c) Priorities and Targeted Outcomes:
- Likely client goals (considering age, life stage, and pre-injury roles)
- Potential occupational therapy outcomes
- Anticipated barriers and supports to engagement
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