Case Study: Nazareth College OT Clinic

On Wednesday November 12th, 2014 from 12:00pm – 12:45pm I observed a client at the Nazareth College OT Clinic in Carroll Hall. The client that I observed this week was the same client I worked with in the six previous weeks; he is a 50-55 year old white male who had suffered from a stroke on the left side of his brain and has also developed Aphasia as a result of the stroke. The most of the client’s difficulties have to do with the use of his right arm and leg as well as moderate communication issues. This week we worked on functional occupations for the client, such as picking clothes up off the floor and making a bed. In this appointment we also did some stretching with the client and discussed his growths due to the Botox injections he received
The other student and I, as we have in previous weeks, again assessed the additional range of motion and this week we say even more of a change that in the previous week. The therapist then took some time stretching out the client and seeing for herself the growth. The client was very excited with the growth that he is showing in this area was incredibly impressive. The client, again had almost full extension of his elbow, but this week it was considerably easier for him to reach this goal. One of the most major successes was that when the client pulled his fingers open, when he kept his wrist bend, his fingers stayed open. This is an incredibly amazing achievement considering the tightness that the client has on the day of our first appointment. Next the client was actually able to close his fingers, as they were open, without moving his
The client lifted his own shoulder so his arm, which was bent, was just above his eyes, but when the therapist asked if she could see if she could get it to stretch any further he excitedly agreed to try. The therapist then stretched the client’s shoulder so that his arm was even with the top of his head. Next the therapist looked at the client’s elbow and again tested the client’s stretch of the joint, considering we have already seen the great amount of stretch that exists in that area now. The therapist was taking to the client about the progress that he has made through these secessions and asked him if he felt that we had made progress in the secessions, and he proudly agreed that he