Charles Sabine was diagnosed with Huntington's Disease (HD) at the age of 57. Huntington's is a genetic disease and Charles' dad and brother also had the disease. He is in the first stage of Huntington's and is having difficulty controlling voluntary movements and cognitive deficits. The OT can help Charles with self feeding and providing him with modified equipment. Charles is a journalist and that is important to him. Alicia said focusing on journaling could be an OT intervention for him.
“Clinical reasoning enables practitioners to • Identify the multiple demands, required skills, and potential meanings of the activities and occupations and
• Gain a deeper understanding of the interrelationships between aspects of the domain that affect performance and that support client-centered interventions and outcomes.” – OTPF An integral part of the OT process is using clinical reasoning. As discussed in class, acquiring the skill can take time as an OT. It is something for us, as students, to remember as we travel through the program. We have opportunities through fieldwork and RKS to not only watch experienced practitioners use clinical reasoning, but to practice and mold our own clinical reasoning.
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