Occupational Profile- Joe O'Brein

Occupational Profile

Client Name: Joe O’Brien

Date of Report: April 21, 2018

	Reason the client is seeking OT services and concerns related to engagement in occupations (may include the client’s general health status)	Client is seeking OT services due to symptoms of Huntington’s Disease which includes muscle chorea, erratic behavior outbursts, and difficulty with speech and swallowing which are preventing client from performing his daily occupations that he enjoys.
	Occupations in which the client is successful and barriers or potential barriers to his/her success in those occupations (p. S5)	-       Sleeping -       Eating -       Bating -       Dressing -       Driving to and from work -       Walking the dog  -       Socializing with friends and family Barriers: Some of these occupations require muscle control and emotional stability, both of which client is unable to manage properly
	Personal interests and values (p. S7)	Interests: Boston Red Sox baseball, socializing with friends and colleagues, Working at the police station  Values: Family, religion (Irish Catholic)
	The client’s occupational history/life experiences	Client was diagnosed with Huntington’s disease at age 44. He was a previously healthy individual before the diagnosis. Client inherited the disease from his mother, who also died from Huntington’s disease. He is still in his early stages of the disease and is seeing the chorea worsen over time, he also is having more temper outburst and having trouble with fine motor dexterity. He currently lives in a triple decker home on the first floor with his wife,  and their children live on the second and third floors. He also lives with a dog.
	Performance patterns (routines, habits, & rituals) – what are the client’s patterns of engagement in occupations and how have they changed over time? What are the client’s daily life roles? Note patterns that support and hinder occupational performance. (p. S8)	Client Roles: -Father -Husband -Friend -Police officer -Brother  -Grandfather  -Father-in-Law  Daily Routine: -       Wake up, Bathe, get dressed, walk the dog, eat breakfast, go to work at the police station, come home, eat dinner, watch the news/baseball game, go to bed.  Rituals: Watches every Red Sox game on TV, Dips his finger in holy water before he leaves the house
	Aspects of the client’s environments or contexts, as viewed by the client (p. S28)	Supports to Occupational Engagement:	Barriers to Occupational Engagement:
	Physical	His family has been able to help up come with some adaptive ways in the house to prevent further damaging of glass items (Drinking out of a sippy cup instead of glasses)	He has broken many things in the house, including numerous glass jars, and when he gets angry he tends to destruct the inside of the house (Taking a hammer to the wall)
	Social	Has good family and friend support  -       Friends watch out for him while he is at work, and his family is supportive of him and his needs.	-Has a hard time going to social events, or public places because people stare at him because of his uncontrollable movements.
	Cultural	It is culturally acceptable for him to be close with his family, he feels that he is able to talk openly about his disease to his family members	He worries about how the end stage of his life is going to affect his family, and if other members of his family are affected by the disease
	Personal	Client is 44 years old, still has at least 10 years to live. He enjoys being an active contributor to the police department.	His spastic movements are causing him to be unsafe while performing his duties as a police officer putting his job in danger
	Temporal	He experiences less chorea in the afternoons after his medications have been taken	He experiences more stiffness and fatigue in his muscles in the mornings
	Virtual	He is able to text his friends and family form his cell phone when he is paranoid about them	He often drops his phone during his chorea attacks causing it to break.
	Client’s priorities and desired target outcomes (consider occupational performance – improvement and enhancement, prevention, participation, role competence, health & wellness, quality of life, well-being, and/or occupational justice) (p. S34)	Client is hoping that OT can come up with ways to control his anger outbursts, and adaptive technology to assist him during his muscle spasms. He wants to continue being a police officer for as long as possible, and be able to maintain his independent occupations for as long as possible.