Occupational Therapy Case Study: Jing's Amputation Rehabilitation Plan

This case study focuses on the occupational therapy interventions for Jing, a patient recovering from an above-elbow amputation. The study highlights the importance of a multidisciplinary approach involving caregivers, healthcare professionals, and the patient himself. It addresses Jing's challenges, including attention deficits, low self-esteem, and difficulty learning to use a prosthetic hand. The study outlines long-term and short-term goals aimed at improving Jing's engagement in the care process, boosting his self-esteem, and enhancing his ability to use a prosthetic hand effectively. The coordinated care approach, involving deliberate and cumulative activities, is emphasized to provide comprehensive support and knowledge to the patient. The care plan includes interventions to increase physical mobility, manage infection risks, and improve self-esteem through positive coping techniques. The study concludes by underscoring the significance of a patient-centered and culturally competent care process in achieving successful rehabilitation outcomes.

Running head: OCCUPATIONAL THERAPY
OCCUPATIONAL THERAPY FOR JING
Name of the Student
Name of the University
Author note

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Answer 2
As Jing is suffering from right above elbow amputation and has been admitted in
rehabilitation center for physical and mental recovery, the role of his parents, caregivers and
himself is very important. He should stay positive and focus on different goals of his life. Further
his parents should provide him with mental support and with the help of caregiver should make
him aware of the life sustaining techniques that will help him to live his life by accepting the
amputation.
Prior to the accident, Jing was a quite person and do not like to interact in random
conversations, he was working in the United States of America to provides his family and
himself a better life back in china. For this he used to work as a paper cutter in a printing factory,
where he used to perform higher level of functioning.
After the accident related to amputation, he is going through therapies such as physical
therapy, occupational therapies, diet, nutrition and social work. Therefore, the strength of
caregiver will be providing the patient with a cumulative care so that his mental physical and
pain related problems can be addressed. As the healthcare facility in which he has been admitted
is specialized in care for amputation, the proper care facility is the strength of the caregiver.
Further, strength of Jim is his physical stability, his stronger will power and his positive attitude
towards life (O'Sullivan, Schmitz & Fulk, 2013).
The prognosis of the trauma depends on the mental strength of the patient. The patient
can bear a positive mental thinking depending on which, he can utilize the learnings and
techniques of social and occupational therapies that will teach him the nuances to live with an

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amputated hand or prosthetic hand. On the other hand, negative attitude can hamper his self-
esteem and he will not be able to live freely within the society. Therefore, the living environment
of the patient should be changed so that he can life freely with all his abilities and disabilities and
focus on his goals of life.
The caregiver and healthcare professionals are trying to connect Jing to the healthcare
process, however, due to the traumatic shock, Jing is unable to focus on interventions. He is not
active in taking intervention related decisions. There are several negative though that has already
acquired his thinking and therefore these are the challenges of the care process for Jing and the
healthcare and occupational therapy related professionals should focus on aspects that can
enhance the patient’s active participation in care process (NiMhurchadha et al., 2013).
The limitation of care process is low self-esteem and confidence of patients that is
hindering him to take active part in the care and occupational therapy related processes. As per
his view, without his arm, he is a not a complete human and society will not accept him in such
condition. Further, Jing’s English communication skill is another barrier to the care process, as
the healthcare professionals are unable to communicate with him while providing care process
(Rush, Arrington & Hsu, 2012).
Answer 3
Deficit Daily living skills that are
affected
Level of assistance

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Attention in care process He was not taking active part
in the care process. he did not
asked for any assistance for
activities of daily life such as
bathing dressing and was able
to maintain his dynamic as
well as static movement
(Coulter et al., 2013)
Therefore, in this section, the
level of assistance was very
low as he was able to
complete all of his works
without the assistance form
the healthcare providers.
Lack of interest in learning
techniques of using
prosthetic hand
He was not learning the
techniques related to
prosthetic hand and was
asking the doctors to perform
any intervention which is
suitable for him.
Therefore, in case of
intervention and treatment the
level of assistance was very
high as he was not able to
understand the effectiveness
of modern intervention the
doctors applied on him.
Low self-esteemed The was unable to motivate
himself to take part in
interventions so that he can
understand the techniques to
love with a prosthetic health
The level of assistance was
higher as he required
emotional support from his
family friends and caregivers
Answer 4
Problem Associated long term goals or LTGs
Attention in care plan The long term goal will be involving the
patient in the care process so that the care
process can become culturally competent and
patient centered. Further with the help of that,
the occupational therapist will be able to
understand the strength and weakness of the
patient and will involve interventions that will
enhance patient’s skills (Coulter et al., 2013)
Low self-esteem The patient will be boosted morally and will
be provided examples of famous people who
has achieved heights of success with
disability. It will help him to take active part
in the therapeutic interventions
Lack of interest in learning techniques of
using prosthetic hand
The long term goal will be motivating Jing so
that he can freely use the prosthetic hand for
his activities of daily life without any
hesitation (NiMhurchadha et al., 2013)

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Answer 5
LTGs Related STGs
LTG 1 Appointing a psychologist for the patient so
that he can understand his mental state and
can provide him positivity that is required to
overcome the trauma
Making him aware of his goals and dreams
that he planned to achieve prior to the
accidents so that he can compose himself.
LTG 2 The patient will be asked to perform all the
physiological task with his prosthetic hand, so
that he can understand its effect
He will be provided with social and
occupational therapy to overcome the trauma
LTG 3 He friends will be asked to come and visit
him so that he can related to the environment
His parents will be informed about the issues
and will be asked to come and take care of
their son. (Rush, Arrington & Hsu, 2012)
Answer 6
To care for Jing, the coordinated care approach will be used. The coordinated care
process is the deliberate cumulative activities that helps to create a multidisciplinary care process
involving the patient, healthcare facility and other helpful individual (Brown et al., 2012). This is
an important care approach that requires each participant’s involvement. Further, helps to
provide the patient with adequate knowledge, which will be beneficial in identifying the
strategies to utilize available resources (Cater, 2012).
Answer 7
The care plan for Jim should include four aspects and should include interventions to
Target Intervention

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increased physical mobility, Include active and isometric exercise for
both the hands, and should be started in
early preoperative state
risk related to infection, Maintain aseptic techniques while
dressing change and caring for the wound
(Hershkovitz, Dudkiewicz & Brill, 2013)
infected tissue infusion Investigation of persistent pain and
bandage should be changed regularly
to overcome situational decreased self-
esteem
Understanding his strength and provide
him positive coping techniques (Sturma et
al., 2014)

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Hershkovitz, A., Dudkiewicz, I., & Brill, S. (2013). Rehabilitation outcome of post-acute lower
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O'Sullivan, S. B., Schmitz, T. J., & Fulk, G. (2013). Physical rehabilitation, 1st edn, pp. 123-145,
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