Mrs. G was chosen for a formal interview, the purpose of this interview was explained before she signed the consent form. The meaning of OT and the role of OT in wellness was discussed with her. The interview was scheduled at her son’s home in the living room for approximately one hour. She was seen at 5pm in the afternoon. According to the Quality of Life Index for Adults 1997, Mrs. G is experiencing some difficulty within the domain of physical health and pain. Mrs. G stated that she was unable to do some activities such as climbing more than one flight of stairs and walking several blocks. Mrs. G stated that her pain level is moderately and that it slightly interferes with her daily activities. According to the Montreal Cognitive Assessment, Mrs. G is experiencing some cognitive deficits, she scored 3 point below the normal range. Mrs. G is a 68 year old African American female born in Independence, Louisiana in 1946.
She is currently living in her own single floor home with her husband. She has two children but both live out of the area, even though her children aren’t in the area, she has a very good family and friend support network. She attended Merritt College for nursing and worked as a nurse for 30 years. Mrs. G is now a retired nurse and her husband a retired air traffic controller. Mrs. G enjoys shopping, attending church, traveling and cooking for friends and family. She states that she loves to dance salsa but she hasn’t gotten around to go dancing because she hasn’t found the time. Mrs. G is currently in good health and is able to carry out functional task without assistance. Her history of illness include thymus, high blood pressure, high cholesterol, hysterectomy, appendicitis and diabetes. Mrs. G is currently taking daily medications for her cholesterol, blood pressure, insulin and on occasion pain meds for her Arthritis on the neck and C4-5 herniated disc. Mrs. G states that she may skip a day of medication because she forgets some days.
Mrs. G’s living conditions are good, she has a spacious 3 bedroom home and is able to maintain her home. Mrs. G states that she has good community resources at Keiser, which they provided classes to help manage her diabetes. Mrs. G’s typical day goes as followed; she wakes up and usually begins her day by reading the Bible, after she prepares breakfast for herself and her husband. Then she sits to relax or to watch TV, she watches the news, the chew and MSNBC with her husband and in between she talks on the telephone to friends and family. She attends the food bank twice a week, Monday’s she has choir rehearsal and Tuesday bible class. When she returns home she cooks dinner, does laundry, and cleans her home if needed.
Then she sit watches scandal and the evening show and speak on the telephone again. She reads her Bible and goes to sleep around 11 pm. According to Erik Erikson’s Theory of Human Development, Mrs. G is within the stage of ego integrity. Ego integrity is the ability to see life as meaningful and the abilities to accept both the positive and negative part of aging without feeling intimidated. Mrs. G has a very positive outlook on her life she is charismatic, funny and you feel welcomed around her.
Diet: Mrs. G suffers from diabetes, high blood pressure and high cholesterol due to this it is recommended that Mrs. G lowers her sodium intake and increase her intake of fruits and vegetables limit fried food. Medication Management: Mrs. G is on insulin due to her diabetes and on various medications for high blood pressure and high cholesterol, Mrs. G states that sometimes she misses days because she forgets. Exercise: Mrs. G is currently over weight and she need to keep an exercise routine to improve health. Joint conversation: Mrs. G has arthritis of her neck and hands also a herniated disc at the level of C4-5 Concentrate: Mrs. G sates that during reading and some conversations she tends to lose concentration.
Long Term Goals
Within discharge client will attend salsa class once a week to facilitate wellness. Within discharge, client will be taught joint conservation technique to facilitate wellness. Within D/C, client will be educated on a low-fat/low-carb diet to facilitate wellness. Within discharge, client will maintain concentration 10 minutes during reading activity to facilitate wellness. Within D/C, client construct a medication management schedule to facilitate wellness.
Enroll in salsa classes once a week at her local community gym. Games such as dominoes, checkers, chess, card games, scrabble, and bingo. Types of puzzles Jigsaw puzzles, Crossword, Word search, Sudoku, Crypto quotes. Craft such as drawing, painting, knitting, playing music, scrapbooking, and woodworking, mosaics using tiles or colored paper, and photography. Cooking activity that contain planning and selecting recipe, shopping for materials/ingredients.
Diabetics should try to avoid exercising in weather that is too hot or too cold. Exercises such as yoga, tai-chi, swimming and rowing are recommended to develop core power, strengthening and lengthening muscles, and managing stress (Mark Daily Apple, 2014).
A healthy diet for a diabetic is essential, foods that increase blood sugar should be monitored here are some steps to have a heathy dinner plate that will aid in managing your diabetes. Try these six simple steps to get started:
1. Using your dinner plate, put a line down the middle of the plate. Then on one side, cut it again so you will have three sections on your plate.
2. Fill the largest section with non-starchy vegetables such as: spinach, carrots, lettuce, greens, cabbage, bok choy
green beans, broccoli, cauliflower, tomatoes,
vegetable juice, salsa, onion, cucumber, beets, okra,
mushrooms, peppers, turnips
3. Now in one of the small sections, put grains and starchy foods such as: whole grain breads, such as whole wheat or rye
whole grain, high-fiber cereal
cooked cereal such as oatmeal, grits, hominy or cream of wheat rice, pasta,
cooked beans and peas, such as pinto beans or black-eyed peas potatoes, green peas, corn, lima beans, sweet potatoes, winter squash low-fat crackers, snack chips, pretzels and light popcorn
4. And then in the other small section, put your protein such as: chicken or turkey without the skin
fish such as tuna, salmon, cod or catfish
other seafood such as shrimp, clams, oysters, crab or mussels lean cuts of beef and pork such as sirloin or pork loin
tofu, eggs, low-fat cheese
5. Add a serving of fruit, a serving of dairy, or both as your meal plan allows.
6. To complete your meal, add a low-calorie drink like water, unsweetened tea, or coffee (diabetes.org, 2014). –
See more at: http://www.diabetes.org/food-and-fitness/food/planning-meals/create-your-plate/?loc=ff-slabnav#sthash.csyt8odq.dpuf
– See more at: http://www.diabetes.org/food-and-fitness/food/planning-meals/diabetes-meal-plans-and-a-healthy-diet.html?loc=ff-slabnav#sthash.PZeyq2ta.dpuf