Mosaic_Bird Feeder Lab Activity

Katherine Ingram Gisela Garcia Connie Truong Austin Tran Thimothy Prawilson Mosaic/Bird Feeder Lab Activity You have been assigned to work with each individual client listed below. Both clients have an interest in your chosen craft, and have expressed interest in working toward being able to actively participate in a similar activity as a personal client goal. You decide to bring in a pre-assembled craft kits to use with your clients. It is up to you as the therapist to figure out how to use the pre-made kit to address your clients personal underlying areas of deficit and help them get closer to achieving their personal goals. Client 1: You are the Occupational Therapy Assistant assigned to work with an adult (late adulthood) who recently suffered a traumatic brain injury. They now present with functional limitations directly related to mental functions- specifically mental functions of sequencing complex movement, attention, and temperament and personality (OTPF page 52). Prior to their injury, the adult enjoyed complex crafts, and was usually found in their garage on weekends working on some sort of artistic project for leisure. Client 2: You are the Occupational Therapy Assistant assigned to work with a young adult who sustained a spinal cord injury. They now present with functional limitations directly related to neuromusculoskeletal and movement related functions- specifically joint stability, involuntary movement reactions, control of voluntary movements, and impaired gait patterns (OTPF page 53). Prior to their injury, the adult worked at a local bakery as a cookie decorator, where they are expected to return to work in a few weeks. 1.Think about the clients’ functional limitations and the skills needed to complete the activity. List specific ways their limitations might impact their ability to participate in the required task.

● Client one: The client’s functional limitations may impact their ability to participate in the task as painting requires one to maintain attention to detail and sequencing movements while applying the paint to the wood pieces. Sanding the wood pieces down, and screwing the metal hook into the wood will also require the client to maintain speed and time of motor production in case of feelings of inner tension while completing the task. The client’s attention and distractibility could cause the client to mess up while painting, or misalign the glued pieces together. ● Client two - The client’s functional limitations may impact the motor skills to participate in the task - specifically, sanding the wood piece, painting, gluing the wooden pieces together, punching a hole in the wood. Client’s limitations with involuntary movement reactions could cause her to mess up while painting if losing grip on the wood piece. Client’s joint stability impairments could create limitations when attempting to stabilize the wood while sanding, or holding the metal hook while trying to screw it into the wood. Client’s gait pattern could affect her limitations while moving from one area to another while collecting the necessary supplies to complete the task. 2. What therapeutic activity did you come up with for your client? Be specific in describing your set up and what you wish to accomplish with your client during the session. How does this activity and your particular set-up help to address each client's areas of deficit? Client 1: ● The therapeutic activity that we came up with for the client was to create a bird feeder. This craft can be done in the garage because the bird feeder requires sanding. The location of where the craft is completed should be therapeutic to the client because this is where the client liked to work on artistic projects prior to the brain injury. The location should keep the client’s temperament more calm. ● The set up of the items should be in order of how it is listed via instructions. This would assist the client with the sequencing to create the bird feeder. Client 2: ● The therapeutic activity that we came up with for the client to focus on the joint stability

moving around the room. ● The OT could sand half of the necessary wood pieces to limit the amount of energy the client will need to expel while completing the task. ● The OT could pre-make a hole for the metal hook to be put into the wood pieces to assist in the client's endurance due to needing to utilize a lot of wrist joint stability. 4. For each area of occupation (ADL, IADL, health management, rest and sleep, education/work, play/leisure, social participation), describe one specific activity your client may have difficulty with, based on their occupational profile. How could various components of your therapeutic activity help to address each of the occupations you’ve listed. Client 1: - specifically mental functions of sequencing complex movement, attention, and temperament and personality. Enjoys crafts ● ADL ○ Personal Hygiene and Grooming ■ Client may have difficulty with the sequence of brushing their teeth and flossing. This activity will work on sequences because when painting, you will need to dip the brush in paint and then onto the bird house to color. ● IADL ○ Home Establishment and Management ■ Client may have difficulty paying attention in maintaining their home. Since the client likes to work on complex crafts for leisure, this activity may help the client in their yard or gardening if they need to build garden beds. This will help work on bringing back their interests. ● Health Management ○ Social and Emotional Health Promotion and Maintenance ■ Clients would improve their mental health in treatment in performing an enjoyable art and craft. The activity of building a bird feeder displays an therapeutic aspect with the relaxation in the creative manner that the client originally enjoys complex crafts. ● Rest and Sleep ○ Sleep Preparation ■ Preparing for sleep requires engaging in a routine. This client has a limitation on attention. The activity of building a birdhouse requires active attention to follow a proper order of placing wood blocks together. This activity will allow the client to undress in a sequential order and focus on each part of removing clothes without getting distracted on another activity.

● Education/Work ○ Informal Educational Participation ■ Client may have difficulty with attention if they participate in a class or program. This activity had a sheet of paper with instructions on how to build the bird feeder. Reading the instructions outloud may help the client’s attention so they can focus on what they are reading. ● Play/Leisure ○ Play exploration ■ The client has difficulty in complex sequencing. Within the activity we were putting the pieces together and gluing it up. This task can help the client to obtain complex sequencing abilities as well as to participate in games with sequencing and constructive rules in it. For example playing with legos, chess, solving a puzzle etc. ● Social Participation ○ Peer Group Participation ■ The client with the participation of building the bird feeder of similar interests in the interaction while building the mental function in a positive light. Socializing with others and obtaining positive feedback of their bird feeder by others. would help with the clients improvement of their mental function. Client 2: - specifically joint stability, involuntary movement reactions, control of voluntary movements, and impaired gait patterns. Cookie decorator ● ADL ○ This activity can help with the client’s ADL, toileting and hygiene . When the client is sanding the bird feeder this can improve their control of voluntary movements because when sanding the bird feeder they can use their visual motor skills to guide their hand. This can be translated to toilet and hygiene when the client has practiced the motion enough eventually the client would not need their visual motor skills to guide their hand. ● IADL ○ This activity can improve the client’s IADL , meal preparation and clean up. The client used to work in a local bakery. Painting the bird feeder can improve the client’s control of voluntary movement. Painting the bird feeder is like decorating a cookie. ● Health management ○ This activity can improve the client’s health management, medication management. During the bird feeder activity the client is required to pour the paint. This can help with medication management when the client’s medication is in a liquid form. Pouring the paint would also improve their joint stability because they are required to stabilize their wrist and fingers on the bottle to tilt the bottle of paint above the plate.