Module Six Task Sheet: SCI

Explore the diagnosis, risk factors, signs and symptoms, prognosis, and common medical treatment of Multiple Sclerosis (MS), Parkinson's Disease (PD), and Amyotrophic Lateral Sclerosis (ALS). Learn about the impact of these neurological disorders on occupational performance and the role of an OT practitioner in treating them. Discover the importance of education, work, play, leisure, and social participation in managing these conditions. Also, find out how to develop treatment goals and create a customized wheelchair for individuals with mobility issues.

Module Six Task Sheet: SCI
Diagnosis Multiple Sclerosis (MS)
In your own words, describe
the diagnosis
Risk Factors
Signs and Symptoms
Prognosis
Common Medical Treatment
Diagnosis Parkinson's Disease (PD)

Module Six Task Sheet: SCI
In your own words, describe
the diagnosis
Risk Factors
Signs and Symptoms
Prognosis
Common Medical Treatment
Diagnosis Amyotrophic Lateral Sclerosis (ALS)

Module Six Task Sheet: SCI
In your own words, describe
the diagnosis
Risk Factors
Signs and Symptoms
Prognosis
Common Medical Treatment

Module Six Task Sheet: SCI
Terms and Definitions to Learn: List at least and define at least 10 term you came across in the module activities and readings that will be
important to learn. (Feel free to add rows if you have more than ten terms you would like to include.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Module Six Task Sheet: SCI
Impact on occupational performance:
How can a progressive or degenerative neurological disorder impact occupational performance? Use tables one, two and three of the OTPF 3rd
Edition to analyze occupational performance with ONE of the following diagnoses: MS, PD, or ALS.
Diagnosis being analyzed: _______________________________ (MS, PD, or ALS)
Select at least five
ADLS that will be
impacted by the
diagnosis. (There
may be many.
Select the top five)
What client factors are
impacted that result in
the decrease
performance? (There
may be many. Select the
top three)
What performance
skills are impacted that
result in the decrease
performance? (There
may be many. Select the
top three)
Summarize the
impact on
occupational
performance.
What would an
OT practitioner
do about this?
(How would an
OT treat a client
with this
impairment?
Why would an OT
practitioner do
that? (What theory
would they be
using?)
Going to
Bathroom
Problem with balance No swing in legs Occupational
performance is
significant for
improving the
functionality and
movement of patient.
OT can help with
the therapy of
mobility. OT will
help people
suffering with PD
to walk, avoiding
non-essential
talking,
concentrating on
walking, pausing
when speaking
and touching
something to
balance while
standing.
Theory of patient
centered care.
OT will do it to
enhance the quality
of life of the patient.
Rigid muscles Stiffness of muscles
Slowed movement bradykinesia
Cooking Food Rigid Muscle Muscle stiffness Occupational
performance of the
patient is reduced and
affects functionality
OT can help
patient with light
strength
exercises. Which
OT will do this to
enhance the
functional well-
being of the patient.
Trembling hands Slow movement of
limbs
shaking Caused due to tremors

Module Six Task Sheet: SCI
can also help in
fatigue
management.
Self-care routine In ability to walk Impaired balance Occupational
performance of the
patient interferes with
self-care routine
OT helps the
patient in self-
management by
guiding people
with their goals
and action plans.
OT will do it to
enhance the motor
skills of the patient
Inability to stand Impaired posture
Inability to hold things
with hand
Tremors
Difficulty in
swallowing and
chewing
Tremors in arms, leg and
head
Less efficient jaw and
face muscles
Eating and drinking
can be difficult,
patient may
experience coughing
while eating.
OT can provide
the advice or
equipment that
can make eating
and drinking
easier.
Quality of life is
most important;
therefore, OT can
work in
collaboration with
dietician to suggest
food that are easier
to swallow.
Inability to communicate Problem with tongue
muscles
Poor motor function Slow muscles carrying
food from mouth to
stomach.
Communication Changes in speech Slow muscles Occupational
performance to
communicate can be
significantly affected
due to progressive
cognitive impairment
and memory loss, and
impairment of
muscles needed for
communication.
OT can treat the
client with
different speech
therapies. Speech
therapies can
help in learning
exercises that can
improve speech
and clarity.
Learning theory can
be associated with
it, as it informs that
about how people
of all age
understand
different patterns
and learn things.
Slurred speech Cognitive dysfunction
Inability to talk quickly Decreased facial
expression and general
facial movements

Module Six Task Sheet: SCI
Select at least two
IADLS that will be
impacted by the
diagnosis. (There
may be many.
Select the top two)
What client factors are
impacted that result in
the decrease
performance? (There
may be many. Select the
top three)
What performance skills
are impacted that result in
the decrease performance?
(There may be many.
Select the top three)
Summarize the
impact on
occupational
performance.
What would an
OT practitioner do
about this? (How
would an OT treat
a client with this
impairment?
Why would an
OT practitioner
do that? (What
theory would
they be using?)
Cleaning and
maintain the house
Slowness Poor motor skills Cleaning and
maintaining the
house becomes
difficult, as the
patient suffers from
poor motor skills,
problem with balance
and gait and impaired
brain cells.
OT can conduct
the psychological
therapies and
motor skill
therapies that
could be effective
for the patient
and will empower
them.
Cognitive
rehabilitation is
a significant
approach that
OT will apply.
Muscle stiffness Damaged brain cells
Balance problems Impaired transfer of
message to brain to
conduct activity
Shopping for
groceries
Inability to walk Rigid muscles Patient becomes
unable to walk, face
the increased risk of
falls and going
outside may become
difficult.
OT can conduct
the physical
therapies to
improve, walking,
standing and
postural abilities
of client.
Fatigue
management
approach is very
important for
reducing the risk
of falls.
Postural changes akinesia and camptocormia
Increased risk of falls Loss of brain cells
Select at least three
areas of Education,
Work, Play, or Leisure
that will be impacted
by the diagnosis.
(There may be many.
Select the top three)
What client factors are
impacted that result in
the decrease
performance? (There
may be many. Select the
top three)
What performance
skills are impacted that
result in the decrease
performance? (There
may be many. Select the
top three)
Summarize the
impact on
occupational
performance.
What would an OT
practitioner do
about this? (How
would an OT treat
a client with this
impairment?
Why would an OT
practitioner do
that? (What theory
would they be
using?)
Participating in
outdoor activities
bradykinesia, Motor functions The occupational
performance will
Will talk to client,
and will plan
Will do it to
enhance well-tremor, Physical functioning

Module Six Task Sheet: SCI
be significantly
limited due to
various physical
and cognitive
problems.
outdoor activities. being and self-care
ability of patient
rigidity, movements
Participating in
community activities
Fatigue Sleep disorder Lack of
participation in
community will
result in isolation
and depression
Will encourage
client to
participate in
community
activities
Will reduce
loneliness and
distress.
dysautonomia, Progressive loss of
memory
and pain Psychological distress
Participating in
physical exercises
Problems with balance
and gait
Difficulty in managing
ADLs
Lack of Physical
exercise would
result in
deteriorating
functionality and
mobility
Will prepare
physical activity
and exercise plan
with patient
Will help in
improving physical
functioning and
well-being of
client.
Inability to walk Loss of physical
competence
Muscle stiffness hopelessness
Select at least one
area of social
participation that will
be impacted by the
diagnosis. (There may
be many. Select the
area most impacted.)
What client factors are
impacted that result in
the decrease
performance? (There
may be many. Select the
top three)
What performance
skills are impacted that
result in the decrease
performance? (There
may be many. Select the
top three)
Summarize the
impact on
occupational
performance.
What would an
OT practitioner do
about this? (How
would an OT treat
a client with this
impairment?
Why would an
OT practitioner
do that? (What
theory would
they be using?)
Social withdrawal and
social isolation
Poor speech Poor muscle functioning
required in
communication
Occupational
performance will be
reduced and patient
will be more isolated
that would further
impact psychological
health.
OT will talk to
client, will try to
improve social
support with help
of family and
friends and will
develop care
goals.
OT will do this to
improve quality
of life and
increase patient
support system.
Lack of confidence Cognitive impairment
Stigma due to poor
health condition.
Poor understanding of
disease and its
treatment

Module Six Task Sheet: SCI
Applying your knowledge:
You read about Elizabeth in chapter 29 of the Sladyk and Ryan textbook. Elizabeth's evaluation can be found on pages 404-406. After reviewing
the evaluation, write one long term goal that you would like to address with the client. After establishing a long-term goal, develop seven one-
hour treatment sessions.
Write the long-term goal you are working toward here:
Treatmen
t #
Describe the activity Why did you
choose this
activity? How is
the activity
client-centered,
meaningful, and
purposeful?
What do you
hope to achieve
with this activity?
(Hint—Use
language from
the OTPF 3rd ed..
Describe your
goals for the
activity as they
relate to
increasing
function in
occupation, client
factors, and/ or
performance
skills)
How will you
adjust the
activity if it is too
easy for the
client?
How will you
adjust the
activity if it is too
hard for the
client?
How will you
explain the
purpose of the
activity to the
client? Why
should he or she
agree to
participate? How
will this help?

Module Six Task Sheet: SCI
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2
3
4
5
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7
SOAP Note:
Select one of the treatment sessions you developed. Imagine that you carried out the treatment session with the client. Write a SOAP note on
the session with the client.
SOAP Note is being written on treatment session #_____
Problem being addressed in this treatment session:
S: Patient reports that she feels tired and do not want to talk to anybody. Patient will be asked about the difficulties associated with rigidity,
postural inability and tremor.
O: MOCA test used for testing cognitive dysfunction, the assessment of the Extraocular movements, limbs, gait and posture were done to
identify the progression of the disease
A: assessment of the social, cultural and environmental factors was done, which are affecting the health and well-being of the patient.

Module Six Task Sheet: SCI
P: It was planned that patient will be provided with occupational therapy sessions.
Wheelchair Seating and Positioning:
Thinking about Elizabeth in her initial phase of the OT process, build a wheelchair that meets her physical and occupational needs.
Category Describe selected part Reason for selecting this part How will this wheelchair part
facilitate proper positioning and
assist the client in engaging in
occupational performance?
Wheelchair (type, width, and
height)
Arm rests
Leg rests
Cushion
Additional wheelchair parts:
Additional wheelchair parts:
Additional wheelchair parts: