18.7.09
- Onset: 29.6.09
- Date of admission: 13.07.09
- ROA: unemployment
- Status: Cert on 29.6.09, vol on 13.07.09
OT Program
- Joined GAP Ward OT since 13.07.09
- Attended DAC on 15.07.09
General presentation
- Was calm and settled
- Was R/C in speech
- Was cooperative on approach
- Reported active hallucination about pager calling
ADL aspect
- Was clean and tidy
- Was independent in ward
Work aspect
- Just finished university before admission, had no work history
- Had high work volition but could only achieve moderate work speed in OT program
- Needed moderate prompting during OT program
- Agreed to increase his work speed in OT program
- Did CWPP on 17.7.09, patient was up to S/E level
Leisure aspect
- Likes solitary activities e.g. reading books, listening to radio
Social aspect
- Had limited social interaction with co-patient
- Had limited social skill during OT program
Patient's future plan
- Continues to work in OT program with better performance
- Retires or D/C to heaven directly
Problem identification:
- Had unrealistic future plan on work after D/C
- Had limited social skills
- Had limited leisure activities
- Was slow in work speed
OT management
- Contine OT program and observe mental state
- Arrange social skills training
- Explore leisure activities with patient e.g. QiGong group
- Pending work skills assessment after 6 months
P.1 of 1
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XXX XXX, OT II
pager: xxxx xxxx
2 則留言:
That's nice~
Add oil~!
我會盡力架啦~!!!
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