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Occupational Profile

1. Client name: John


2. Age: 29
3. Sex: Male
Briefly discuss each of the following:
4. Who is the client?
The client is a 29 year old male without any health limitations. He works an average an 50 hours per
week at an advertising agency where much of his day entails sitting at a desk working on a computer.
5. Why is the client seeking services and/or what are the clients concerns relative to engaging in
occupations and in daily life activities?
The client participates in numerous physical activities and is concerned with keeping his body safe when
doing so. He has had four knee surgeries and one of his main concerns during physical activity is
preventing any further knee injury from occurring. He played lacrosse throughout high school and
college but unfortunately does not anymore due to the possibility of another injury happening. Lacrosse
is a sport that demands endurance, fine motor skills, and gross motor skills.
6. In what occupations does the client feel successful and what barriers are affecting his or her
success?
As stated above, the client is healthy without any health limitations. He was born with a heart condition
called aorta bicuspid. The heart valve is deformed and has two leaflets, rather than the normal three.
Fortunately, it does not limit his ability to engage in physical activities. He explained that he feels
successful when completing daily activities ranging from simple activities of daily life (showering in the
morning) to more complex activities (riding his bike home from work each day). He does not feel that
he has any barriers affecting success in his day to day life.
7. What aspects of his or her environments or contexts does the client see as supporting engagement
in desired occupations and what aspects are inhibiting engagement?
The client lives in a Seattle, Washington and does not own his own car. The city has great public
transportation which supports his access to work in the morning. The city is also bicycle friendly and this
allows him to participate in physical activity by riding his bike home from work each day, which aids in
his healthy lifestyle. Unfortunately, there are inhibiting factors that come with living in a city as well.
These include things like pollution from cars, boats and buses. Also, with a large population comes
traffic congestion, which inhibits his morning and evening commute to and from work. Furthermore,
the rainy weather in Seattle inhibits his day to day life, because the client must plan his outdoor
activities around the weather each day.
8. What is the clients occupational history?
The client has been active throughout his life. In middle school and high school he engaged in many
sports, primarily baseball, football, and lacrosse. He continued his passion for lacrosse and played on

the University of Idahos lacrosse team for four years throughout college. After graduating with his
undergraduate degree he became the head lacrosse coach at the University of Idaho while pursuing his
masters degree.
Currently, the client works at an advertising agency where much of his day is spent sitting and
working at a computer. John makes a point of getting outside and being active whenever he has free
time. He stays active by engaging in various physical activities and enjoys getting a group of friends
together to play basketball, throw the football, or golf. He just recently accepted a coaching position for
lacrosse at the University of Washington and will begin in the fall.
9. What are the clients values and interests?
The client enjoys coaching lacrosse and has made it a main occupation that he engages in during his
spare time. He believes that everyone should be treated with respect and that everyone should be
given the benefit of the doubt. This phenomenon outlines his coaching philosophy and how he brings a
strong team together. He also believes in the Lord to give him strength and to make positive decisions
in life.
10. What are the clients daily life roles?
Much of the clients day is spent at work as an Account Executive at Hacker Agency in downtown
Seattle, Washington. This role includes managing client expectations, schedules and working in a
collaborative environment with his coworkers. He recently got engaged to his girlfriend in May of 2014
and is now currently fulfilling the role of a fianc as well. This includes showing that he cares about his
future wife through various emotional as well as physical acts.
11. What are the clients patterns of engagement in occupations?
A typical work day begins when the client wakes up around 5:45am, shaves and showers. He then
gets dressed in work appropriate attire (slacks, button down shirt, nice work shoes) and cooks breakfast
for himself. After cleaning up from breakfast, he packs a lunch for himself that he will eat at his office
around lunchtime. He packs everything in his backpack, locks up his house, and walks to the bus stop.
He brings his bicycle with him on the bus in the morning so he can ride it home in the evening after
work. The bus ride usually lasts around 15 minutes and then drops him off one block from his work. He
walks to his office from the bus stop, rides the elevator up to the 21st floor, and begins his work day. At
work he typically sits at a desk, answers multiple emails, talks on the phone to his clients, and attends
many meetings. He spends a lot of time typing on the computer sending emails or managing advertising
campaigns. After his work day is finished, he brings his bicycle to the elevator, rides the elevator back
down to the 1st floor, carries his bicycle outside, and rides it three miles home. He then cooks dinner for
himself, watches TV, and gets ready for bed.
When John has a day off from work, his routine is much different. He has more time to engage in
extracurricular activities such as getting together with friends to play basketball, throw the football, or
play lacrosse. Johns fianc is currently attending graduate school in Nevada. Due to this new change
his occupations have shifted slightly. He spends more time talking on the phone, traveling to Nevada,
and doing video calls through FaceTime.

12. What are the clients priorities and desired targeted outcomes related to occupational
performance?
The client is primarily concerned with maintaining his current level of health and well-being. He would
like to gain a better understanding of his body and how the actions he places upon it can directly affect
it. He hopes to learn and take away different skills from the occupational therapy session to improve his
overall occupational performance and engagement in lifes activities, primarily lacrosse. The client
would like to exhibit skills including endurance and fine motor skills. With a high level of endurance,
hand strength, and finger dexterity he hopes he will be able to play in an entire game of lacrosse.

Occupational Analysis
1. Occupation: Sending an email
Categorization of occupation for the client:
1. Activities of daily living
2. Instrumental activities of daily living
3. Education
4. Work
5. Play
6. Leisure
7. Social participation

Subcategory:
Communication management
Job performance

2. Values, beliefs, spirituality associated with participation:


The client believes that virtual communication allows him to stay connected with his clients and
coworkers throughout his work day. By staying connected through communication he can ensure a job
well done as well as success in his job performance. His values include respecting his coworkers and
clients emails by taking what they say to heart and he is careful that what he says in an email is not
offensive. He understands that the harder he works at building a respectful relationship with his clients
and coworkers, the better he can be at his job.
3. Contexts:
Context
Physical/space demands

Supports
At the clients office, his desk
surface and cubicle area is large
enough for him to place all the
needed tools and materials he
will utilize throughout the work
day.

Inhibits
The clients desk is arranged in
an open floor plan near other
coworkers desks. By not having
a personally enclosed office, the
client may get distracted by
employees nearby. For
example, throughout the day,
his and his coworkers phones

Social

Cultural

Personal

Temporal

Virtual

are constantly ringing, receiving


calls from their clients.
If the client does not
The placement of the clients
understand a demand placed
desk near other coworkers
upon him from other
desks may allow for easy
coworkers or clients, he has the distraction throughout the work
option of seeking guidance
day. They may socialize about
from his supervisor or other
topics other than work which
coworkers.
could hinder their focus.
The client has work standards
The client collaborates on work
that he and other coworkers
projects with individuals from
are expected to follow. He is
the East Coast. Often times, the
expected to arrive at work by
East Coast work mentality differs
8:00am which encourages him
from the West Coast mentality
to actively engage in work and
which could in turn inhibit
get things done beginning at an optimal success when working
early time.
together. For example, the
client stated that individuals he
collaborates with from the East
Coast are direct and brash and
sometimes come off as rude.
East Coast clients are a little
more buttoned up and high
stress where West Coast clients
tend to be a little more laid
back.
The client is in his late twenties, Due to the client only being in
has three academic degrees
the advertising business for a
and exhibits strong work ethic. year and a half, other coworkers
or clients from other companies
may view his opinions as
misguided because of his lack of
work experience.
The client responds to phone
At times the client is required to
calls or emails that received
stay at work late when there is a
within one hour.
deadline on a campaign. This
can cause the client to get home
from work late and be
exhausted at work the next day.
The client is in his late twenties The client spends the majority of
and has had a lot of exposure
his work day on his lap top. The
throughout his educational
virtual world offers many
career and has become
distractions that the client needs
proficient in different types of
to ignore in order to be
technology.
successful at his occupation.

4. Objects and their properties used:


Tools: Office desk, office chair, lap top

Materials: Computer battery


Equipment: N/A
Social demands:
The activity of writing an email does not require any social demands.
5. Sequence and timing:
1.
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31.

Place the lap top on the surface of the desk


Pull out office chair
Sit down in the office chair
Grip the left seat portion of the chair with your left hand
Grip the right seat portion of the chair with your right hand
Place feet flat on the floor
Have a slight bend in the knees and stand up partially
Take a couple small steps toward the desk
Lift the chair slightly and bring it closer to the desk
Sit back down in the office chair
Place the fingers of the right hand on bottom of the lap top
Place the fingers of the left hand on the top (screen portion) of the lap top
Push the screen portion of the lap top open with the left hand
Place left index finger on the built in mouse
Move left index finger on the built in mouse in order to move the mouse on the lap top screen
Bring the mouse on the lap top screen to the box to type in the password
Place fingers on the keyboard (left index finger on the F key, right index finger on the J key)
Type in password
Let the computer load
Use the mouse to navigate to Google Chrome (on his particular lap top it was on the tool bar on the
bottom of the main desktop)
Type in the internet search box Gmail.com
Press enter on the keyboard to begin the website search
Let the page load
Type in both the username and password for the email address
Move mouse to the sign in button and click on it
Let the page load
Move mouse to the compose button on the far left corner of the email page
Click on the compose button
A new email box will appear in the bottom right hand corner
Type the email address of who the email will be sent to in the box labeled to
Move the mouse down to the box labeled subject and type what the email will be about
Move the mouse down to the large non-labeled box
Begin the email by typing a greeting (i.e. To ________,)
Press enter on the keyboard to create a distinction between the greeting and the rest of the email

32. Type the body of the email


33. Press enter on the keyboard when finished typing the body of the email to create a distinction
between the body and closing/signature
34. Type the closing of the email (i.e. from,)
35. Press enter on the keyboard
36. Type the name of the person sending the email
37. Move the mouse to the bottom of the popped up email box
38. Click on the send button
39. Bring the mouse to the top right of the internet window
40. Click on the X in the top right hand corner to exit the internet browser
41. Move mouse to the bottom left hand corner
42. Click on the start button in the bottom left hand corner
43. Bring the mouse to the right of the start button
44. There is a shut off button, hover the mouse over the arrow to the right of the shut off button
45. Move the mouse to the sleep button
46. Click the sleep button
47. Reach the left hand up to the top of the lap top screen
48. Pull the screen down toward the keyboard to close it
49. Place the left palm of the hand on the left office chair seat portion
50. Place the right palm of the hand on the right office chair seat portion
51. Stand up from the office chair
52. Push the chair out from the desk
53. Walk away from the office area
6. Body functions required:

Function

How It Is Used

Judgment

When sending an
email, the client
formed an opinion
about whether the
content in his email
was not offensive to
the receiver.
The client mentally
formed ideas or
thoughts when he
created the body of
his email.
When the client was
writing his email, he
had to remember
what he was going to

Concept formation

Metacognition

None

Minimally
Challenged

Greatly
Challenged

Cognitive flexibility

Insight/awareness

Concentration

Sustained attention

Selective attention

Divided attention
Short-term memory

write in the email as


he is writing it.
If the client has not
memorized the
individuals email to
whom he is sending
an email, he needs to
search for the contact
email. This could
include either
searching his recent
contact list or going to
the individuals
affiliated work/school
website and searching
there.
The client believes
that he has strengths
in the area of writing
and sending an email.
The client had to
mentally focus on the
content that he
wanted to include in
the email as he was in
the process of writing.
The client had to
maintain focus when
writing the email until
he was completely
finished with the
greeting, body, and
closing.
The client works in an
environment where
his desk is arranged
near other coworkers
desks. Therefore, he
has to be able to
ignore stimuli
surrounding him and
pay attention to his
personal lap top in his
work station.

X
After the client looked
up the email address
of who he was
sending a message to,
he was able to store

Working memory

Long-term memory

Discrimination of senses: Auditory


Discrimination of senses: Tactile

Discrimination of senses: Visual

Discrimination of senses: Olfactory


Discrimination of senses: Vestibularproprioception
Multisensory processing

Sensory Memory

that information for a


small amount of time
before typing it into
the email.
The client was
required to remember
specific changes that
were made to the
creative
advertisement that he
was working on so
that he can convey
these changes to the
client he was
emailing.
The client utilized past
knowledge about how
to use a lap top as
well as the steps to
send an email.

X
When appropriately
placing his fingers on
the keyboard, the
client felt where the
bumps were on the F
key and J key for
placement of his right
and left index finger.
The client looked at
the lap top screen
while typing the email
to make sure that
there were not
grammatical errors.

X
X
When typing an email,
the client utilized
visual as well as tactile
senses.
When the client was
typing his email, he
was watching the lap
top screen as each
word was typed, this
would tell him which

Spatial relationships

Temporal relationships

Recognition

Categorization

Generalization

Awareness of reality

word should be typed


next.
In order to type
efficiently, the client
placed the office chair
an appropriate
distance away from
the desk. He was at a
distance close enough
to where typing was
effective but not too
close to where his
arms were scrunched
up to the keyboard.
The client completed
his email in a timely
manner to where he
could be proficient in
other areas
throughout his work
day.
When working on the
computer, the client
distinguished
between the various
keys on the keyboard.
For example, after
writing the email
greeting, the client
pressed the enter key
to create a space
between the greeting
and email body.
When the client
formed his email, he
organized the email
based off of the
various topics
included.
The client utilized his
typing skills learned in
the past to his work
environment.
When sending an
email to his client, he
needed to be aware
of what was truly
happening on the
advertising campaign

Logical/coherent thought

Appropriate thought content

Mental functions of sequencing


complex movement

Regulation and range of emotion

Appropriateness of emotion

Coping

Behavioral regulation
Body image
Self-concept

to relay the
information correctly.
When explaining the
changes made to the
advertisement in his
email, the client had
to explain in
reasonable words
what those changes
were.
When the client wrote
his email he was
thinking about the
information he
needed to share with
his client about the
changes to the
advertising campaign.
Throughout the
process of writing the
email, the client
mentally planned the
order of keys to push.
The client did not
agree with one of the
changes that the
creative team made
to the advertising
campaign and he
controlled his
emotions when
sending an email
pertaining to the
changes.
When the client sent
an email, he displayed
appropriate emotions
by not becoming
frustrated or angry in
the process.
When the client made
a typing error he went
back to the error,
fixed it, and moved
onto the next word.

X
X
The client knew his
role and job position

Self-esteem

Arousal

Consciousness

Orientation to self

Orientation to place

Orientation to time

Orientation to others

Energy level

when sending an
email to the email
recipient.
When the client sent
an email he displayed
confidence in the
information being
sent.
When typing on the
keyboard, the client
was fast and quick to
react. This utilized his
reflex reaction and
allowed him to type
quickly while at the
same time looking at
the screen and
viewing any errors
that arose.
The client was awake
when he typed an
email.
The client was aware
of his job title and
roles when he was
sending an email to
one of his work
clients.
The client knew that
he was in his office
and in a working
environment when he
sent an email.
When the client sent
an email, he was
aware of what day it
was and when he
should respond to the
email.
The client was aware
of who the email
receiver was.
The client had enough
energy to finish
writing an entire
email.

Function

How It Is Used

Motivation

The client displayed


an internal incentive

None

Minimally
Challenged

Greatly
Challenged

Impulse control

to email one of his


clients from work.
The client resisted
including any
inappropriate
information in his
email.

Appetite
Sleep

Detection/registration

Visual modulation

Integration of senses

Awareness at distances
Tolerance of ambient sounds

Location and distance of sounds


Moving against gravity
Taste
Smell
Body in space

X
X

The client had to use


visual detection when
moving the mouse on
the computer screen
to the desired
location.
The client focused his
vision on the lap top
screen when he was
writing his email and
tuned out the other
visual stimuli that
were occurring
around his office
space.
The client utilized
visual senses when
viewing the lap top
screen as well as
tactile information
when pushing the
different keys and
forming an email.

X
The client ignored
noises from the
surrounding
coworkers when he
was sending his email.

X
X
X
X
When the client was
typing his email, he
was aware of the
position of his hands

Comfort with touch

Localizing pain
Thermal awareness
Joint mobility

Joint stability/alignment

Muscle power

Muscle tone

Muscle endurance

Stretch reflex
ATNR
STNR
Righting and supporting reflex
Eye-hand coordination

in in accordance to
the keyboard.
The client was able to
tolerate the feeling of
the keys on the
keyboard when
typing.

X
X
When typing the
client was able to
move his fingers at
the
metacarpophalangeal
joints, interphalangeal
joints, and distal
phalangeal joints.
When the client was
typing his email, his
elbow joint was flexed
to approximately 90
degrees to allow for
effective typing.
The client used the
muscle strength of all
of his digits and wrist
when typing on the
keyboard.
The client displayed
normal muscle tone in
his upper extremities
and hands to
adequately type on
the keyboard.
The client maintained
muscle endurance of
his upper extremities
and trunk throughout
the entire length of
typing an email.

X
X
X
X
The client viewed the
words being typed on
the lap top screen as
he typed the keys on
the keyboard.

Bilateral coordination

Crossing midline
Fine motor control

Gross motor control

Oculomotor control

Gait patterns

Blood pressure
Heart rate
Respiratory rate

Respiratory rhythm

Respiratory depth

Physical endurance, aerobic capacity


Voice functions
Voice rhythm and fluency

The client used both


hands in conjunction
when typing on the
keyboard.

X
The client used the
smaller muscles of the
fingers and hands
when he typed on the
keyboard.
The client used gross
motor control when
he gripped each side
of the office chair and
scooted it forward
toward the office
desk.
The client watched
the letters on the lap
top screen appear as
he typed on the
keyboard. He
followed the
progressive
movement of the
letters form words as
he typed the email.
The client used slight
gait patterns as he
stepped toward the
desk to pull the office
chair closer.

X
X
The client had a
normal respiratory
rate when typing his
email.
The client had a
normal respiratory
rhythm when typing
his email.
The clients
respiratory depth was
normal when writing
an email.

X
X
X

Alternative vocalization
Digestive system
Metabolic system
Endocrine system

X
X
X
x

Function

How It Is Used

Urinary functions

When the client typed


his email, he was able
to hold his bladder
throughout the entire
time.

Genital and reproductive function


Protective functions of the skin

None

Minimally
Challenged

Greatly
Challenged

X
When the client was
typing, his skin
protected him from
any injury from
occurring to his
fingers or hands.

Repair functions of the skin

7. Muscular analysis of movements required:


Muscle
Shoulder flexion
Shoulder extension
Shoulder abduction
Shoulder adduction
Shoulder internal rotation
Shoulder external rotation
Elbow flexion
Elbow extension
Wrist supination
Wrist pronation
Wrist flexion
Wrist extension
Thumb flexion
Thumb abduction
Finger flexion
Finger extension
Trunk flexion
Trunk extension
Trunk rotation
Lower extremities

8. Performance skills required:

Not used

Minimally
challenged
X
X
X
X
X
X

Greatly challenged

X
X
X
X
X
X
X
X
X
X
X
X
X
X

Skill- Motor

How It Is Used

Aligns

The client placed


his wrists on the
keyboard while
typing but did not
lean his entire
body upon it.
The client
positioned his
body an
appropriate
distance from the
desk to where his
body was balanced
and stable while
typing.
The client placed
his office chair a
decent distance
from his desk when
typing his email.
This allowed his
arms to be in a
comfortable,
flexed position to
provide for
efficient typing.
The client
extended his arms
toward the lap top
keyboard when
typing his email.
The client bent his
trunk when
reaching down
toward the office
chair to pull it in
closer toward his
desk.
The client grasped
both the right and
left side of the
office chair when
he was pulling his
chair in toward his
desk.
The client used
dexterous finger
movements when

Stabilizes

Positions

Reaches

Bends

Grips

Manipulates

None

Minimally
Challenged

Greatly
Challenged

Coordinates

Moves

Lifts

Walks

Transports
Calibrates

Flows

Endures

Paces

typing quickly on
the keyboard.
The client used
both his right and
left hand on the
bottom and top of
the closed lap top
to open it.
The client pulled
the office chair
along the floor
when he was
moving the chair in
closer to the desk.
The client lifted the
lap top screen with
his left hand from a
closed to an open
position.
When the client
moved his chair in
closer to his office
desk, he took a few
steps forward
towards his desk.

X
The client used an
appropriate
amount of force
and speed when
pushing down the
various keys while
typing his email.
The client used
smooth finger and
hand movements
as he typed on the
keyboard.
The client
continued typing
the email until he
was finished with
the content and
the email was sent
to the email
receiver.
As the client typed
his email, he
maintained a

consistent speed
throughout the
entire activity of
writing the email.
Skill- Process

How It Is Used

Paces

As the client typed,


he continued to
write down his
thoughts in a
consistent rate of
tempo for
successful
completion of his
email.
The client looked
at the lap top
screen as well as
the keyboard as he
typed his email.
The client started
and finished
writing his email in
one sitting.
The client used one
lap top to write his
email. He also
selected his work
email to create and
send an email to
the email receiver.
The client used his
lap top as the
necessary tool
when he wrote his
email.
When the client
was opening the
lap top, he
supported the base
of the lap top as he
pushed open the
top screen.

Attends

Heeds

Chooses

Uses

Handles

Inquires
Initiates

None

Minimally
Challenged

X
After the client
opened his lap top,
he brought his
index finger to the
mouse pad directly

Greatly
Challenged

Continues

Sequences

Terminates

Searches/locates

Gathers
Organizes

after to type in his


password.
The client moved
through the
necessary steps of
writing an email
and continued
each step before
moving onto the
next. For example,
the client finished
writing the content
of the email before
pushing the send
button.
The client followed
the order of
necessary steps
when sending an
email. He first
opened the
internet browser,
typed in
Gmail.com, and
then typed in his
username and
password to enter
his email home
page.
When the client
was finished
sending his email,
he put his
computer to sleep
mode and then
closed the lap top
screen.
When the client
opened the
internet browser,
he searched for
Gmail.com in the
internet search
box.

X
The client
positioned his lap
top in the center of
his desk which
allowed for 90

Restores

Navigates

Notices/responds

Adjusts

Accommodates

degree flexion of
his elbow joint
during typing.
The client put his
lap top in sleep
mode and closed it
after completion of
writing his email.
When the client
pulled his office
chair closer to his
desk, he did so
without bumping
his arms or legs
into any objects
near him.
When the client sat
down in his office
chair, he noticed
that due to the
placement of his
chair, his upper
extremities were
too far from his
keyboard for
accurate typing.
He responded by
gripping each side
of his chair and
pulling it closer
toward his desk.
The client pushed
on the handle
located on the
bottom of his
office chair to
adjust the height
of the chair to a
higher level.
The client sat with
an upright posture
and a slight
anterior pelvic tilt.
This prevented
incorrect body
mechanics that
could possibly lead
to pain or injury of
the trunk or upper

Benefits

Skill- Social interaction N/A


*This is an individualized activity that
does not require any social skills

Approaches/starts
Produces speech
Gesticulates
Speaks fluently

Turns Toward
Looks
Places self
Touches
Regulates
Questions
Replies
Discloses
Expresses emotion
Disagrees
Thanks
Transitions
Times response
Times duration
Takes turns
Matches language
Clarifies
Acknowledges and encourages
Empathizes
Heeds
Accommodates
Benefits

extremity joint or
muscles.
When the client
first began writing
his email, he was
typing fast and
many spelling
errors were arising
that he had to go
back to and fix. He
slowed down his
typing pace in
order to prevent
multiple spelling
errors to keep
arising throughout
the remainder of
the email.
How It Is Used

None

Minimally
Challenged

Greatly
Challenged

9. Performance patterns:
Parts of this occupation has elements of which of the following: (check all that apply)

Pattern
Useful habit

Dominating habit
Routine

Ritual

Role

Describe
Every night before bed the client places his building key, work badge, and
work lap top in the same location of his house. This is a useful habit in
that it prepares the client for success for the following day. By placing his
lap top in a useful place, it ensures the client that he will not forget it the
next morning for work and will be able to engage in the many demands
placed upon him in a work day including writing and sending emails.
N/A
The client has a routine of waking up early in the morning to prepare for
his work day. He is usually the first to arrive in the morning of his work
place (Hacker Agency). By doing so, he has time to fully prepare for
various meetings assigned to him throughout the work day and reply to
any emails he received while not at work.
The client ends each email with a closing statement thanking the email
receiver for taking time to read the email content.
As an Account Executive, the client is required to either call or email back
his clients in a timely manner, generally within the hour of receiving the
phone call or email. He is also in concerned with the satisfaction of his
clients as well as other coworkers.

Intervention Plan
1. Identify 1 objective and measurable goal of the intervention:
Throughout the lacrosse season, the client will independently maintain an exercise routine
aimed at strengthening the muscles surrounding the knee joint, specifically the quadriceps and
hamstrings, to prevent injuries as he begins to play lacrosse again.
a. According to OTPF what type of outcome is this?
This goal is a participation outcome. The client will be enhancing his competence of proper
body alignment to allow for future engagement in the sport of lacrosse.
2. Intervention approach:

Approach
Create/promote

Describe

Establish/restore

The client has had four knee surgeries in the past that prevented him
from further engagement in playing lacrosse. This intervention will
restore his past skill of playing lacrosse in a safe, healthy manner.

Maintain
Modify
Prevent

3. Activity selection
a. Activity selection: Identify 1 example of each for the intervention plan

Activity
Occupation
Activity
Preparatory method

Preparatory task

Describe
The client will play an entire lacrosse game at least once a week.
The client will participate in three lacrosse practices a week to prepare him
for engagement in an entire lacrosse game.
The client will become educated on the different types of knee braces and
find which one works best for him. By wearing knee braces on both knees,
the client can keep his body safe from further injuries occurring.
The client plays an attacker position in lacrosse where he takes many shots
at the goal throughout the game. The client will take part in shooting drills
in front of a lacrosse goal.

b. Discuss how activity selection relates back to occupational profile and occupational
analysis
The client explained during his interview that he has had four previous knee
injuries due to his engagement in lacrosse. He is still extremely passionate about the
sport and is no longer able to participate in playing due to these injuries. The activities
selected will teach him proper body alignment and enhancement of fine motor skills
which will decrease the chance of further injury. By doing various shooting drills with
the occupational therapist, the client will be improving muscle endurance, fine motor
skills, and joint mobility while manipulating the lacrosse stick. Most importantly, these
activities will help the client get back into playing the game rather than solely coaching
on the side line.
During the occupational analysis of typing an email, the client was educated on
proper body alignment when he is working in the office. He learned how to properly
position his lower extremities, trunk, and upper extremities for efficient performance
when sitting at his desk writing an email. It was observed that the client exhibits great
bilateral coordination, eye hand coordination, muscle endurance, and fine motor
control. All of which are skills that can be translated to the lacrosse playing field and
enhance the clients level of success during engagement in this occupation. These
learned skills will translate to the lacrosse field and play a role in keeping his body safe.

c. Discuss how activity selection will support achievement of client identified goals and
goal of the intervention plan
The goal of the intervention plan is that throughout the lacrosse season, the client will
maintain an exercise routine aimed at strengthening the muscles surrounding the knee
joint, specifically the quadriceps and hamstrings, to prevent injuries as he begins to play
lacrosse again. The activities that are selected throughout the intervention plan will not
only educate the client on how to avoid a further knee injury, but will also enhance the
clients endurance level and fine motor control while manipulating the lacrosse stick.
Educating the client on knee safety through shooting goals with the occupational
therapist will also be working on boosting the clients endurance level and increasing
fine motor control of the fingers and hand at the same time.
4. Describe how intervention can be graded or adapted and why
Grade up The intervention can be graded up by having the client engage in more than three
lacrosse practices and more than one lacrosse game each week.
Grade down The sport of lacrosse is an open task and requires the client to quickly respond to
changes in the environment. Instead of having the client participate in a game with multiple
players, the client could practice with just one other person and pass the lacrosse ball directly back
and forth.
Adaption If the client had weakened grip strength at the beginning of the intervention, the
lacrosse stick could be adapted by widening the stick handle.
5. Discuss any safety concerns and/or precautions
Lacrosse is an extremely physical sport and produces numerous injuries every season. Depending
on the position that an individual plays, different injuries are of higher concern. The client played an
attacker position where a lot of cutting and dodging occurs and produces ankle and knee sprains
often. Other common injuries include concussions, bruises, and rib fractures.
6. Discuss the role of the occupational therapy practitioner during the intervention
The occupational therapy practitioner will educate and guide the client on things that he can do to
avoid any future knee injuries when engaging in lacrosse.
7. Discuss what is expected of the client during the intervention
The client is expected to be self-motivated and actively participate in the activities that were created
by the occupational therapy practitioner. Through completion and engagement of the shooting
goals activity, the client will be able to attain the intervention goal of engaging in an entire lacrosse
game set by the practitioner.