Child Management Plan for Arthrogryposis Congenital Multiplex and Cerebral Palsy

CLIENT MANAGEMENT
PLAN

TABLE OF CONTENTS
CHILD MANAGEMENT PLAN....................................................................................................3
Occupational Therapy Evaluation...............................................................................................3
Occupational Problems................................................................................................................4
Occupational Therapy Goals.......................................................................................................4
Occupational Therapy Intervention.............................................................................................5
Family Centred Practice for Luke................................................................................................6
REFERENCES................................................................................................................................7

CHILD MANAGEMENT PLAN
Occupational Therapy Evaluation
Arthrogryposis congenital multiplex is also referred as AMC which includes non-
progressive conditions which are due to the multiple joint stiffness or contractures and also the
muscles of the body become weak at the time of birth. The meaning of this Greek word itself is
hooked or curved joints, which is why it is mostly found in the body parts like wrists, hands,
shoulders, elbows, feet, hips, knees etc. and rarely in spine and jaw. There is no particular cause
of this disease instead many causes are present which leads to this disease such as decreased fetal
movement (fetal akinesia) etc. There is no perfect cure for the condition but it is possible that the
quality of life can be improved. The occupational therapy can be given such as casting,
stretching, mobility training, addressing fine motor skills, strengthening etc. for improving the
range of foster and motion independence (Elfassy and et.al., 2020). In this, the occupational
therapist also addresses the emotional as well as psychosocial issues for building the self-esteem
of a child and also teaches them to lead a productive and full life. The outcomes of these
therapies can be evaluated by monitoring the motion of Luke. Assessments can include
instruments and tools for determining the occupational performance skills and measuring the
impairments. Evaluation can be done also by making use of observation, interviews and the other
assessments. The Routine Task Inventory (RTI) can be used for doing the evaluation of Luke.
This will help in measuring the extent to which the cognitive impairments of the patient disrupts
the ability for performing occupational tasks (Nouraei and et.al., 2017). Activity configuration
may be used in which the patients enter the activity for measuring the amount of time they spent
in the negative or healthy behaviours. These are referred as the activity ill health or activity
health behaviours. Luke also suffered from Cerebral Palsy which affected his ability to move
along with maintaining balance and posture. This basically occurs when the baby is in womb and
this was observed from the case that his mother met with a motorbike accident when he was in
womb due to which she faced spinal cord injury. The occupational therapies for this include
areas such as crossing the midline activities, bilateral coordination, fine motor control, visual
motor skills, self-care, visual perception etc. in the therapies such as sensory integration therapy
and pediatric constraint induced movement therapy. These therapies can be evaluated as the
children is able to play and learn, their self esteem and confidence is boosted, their workable
routine is developed, they must feel sense of accomplishment and must improve their quality of
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