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Assignment: Patient: BRIGGS, THOMAS Account Number: BRI369 Date: 2/1/XX TREATMENT PLAN FOR OCCUPATIONAL THERAPY: Patient is a 59-year-old male who suffered a left CVA with right hemiparesis 1 week ago. ACTIVITIES OF DAILY LIVING (ADL) - Feeds self independently once tray is prepared - No swallowing difficulties noted - Washes self independently once set up in chair at bedside; does require assistance of one staff member to stand for pericare - Requires assistance for most aspects of dressing; to do buttons, to put on and fasten shoes and socks, to stand, to pull up pants MOBILITY: - Transfers with assist of one staff member - Able to propel wheelchair short distances - Ambulates with assistance of a therapist - Sitting balance poor, needs chair with armrests and supervision to reach down to feet - Standing balance poor, needs light assistance to ambulate UPPER EXTREMEITY MOBILITY: - Right hand is swollen, passive flexion of interphalangeal (IP) joints limited - Right arm Brunnstrom stage 1 PSYCHOSOIAL ISSUES: - Becomes frustrated over expressive communication problems - Comprehension seems inconsistent - Expresses concerns about his health and future - Speaks with daughter every week by telephone - Calls son weekly, but he is always busy.
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