Dr. Remy Hadley was diagnosed with Huntington's Disease (HD) in 2007. Even though her mother died from HD, Dr. Hadley did not want to be tested, but suspected that she had inherited the gene. In 2008 she noticed tremors and now is in the beginning stages of HD. Her symptoms include issues such as increased upper extremity tremors, minimal memory problems, and impaired coordination. Challenges and barriers that she is currently dealing with include issues eating, drinking, balancing, tripping, and coordinating fine motor skills. Dr. Hadley is determined to continue her current life of working in the hospital, exercising, and maintaining her independence as long as possible. OT intervention wants to focus on decreasing energy expenditure, such as giving her a recording device for documentation purposes, and finding other adaptive strategies that will aid her in her independent living.
Chucky Mullins was a college football player who suffered a spinal cord injury in the cervical injury resulting in his loss of functioning in all four limbs. Mullins went from a life of complete independence and success as a college athlete to complete dependence and reliance on caregivers. After his injury he struggled with speaking and swallowing due to a medical trachea. He hoped to still be able to attend college and get a degree. Occupational therapy services in this situation should be focused on adaptation in order to facilitate activity in meaningful occupations. While his arms were unable to move, he still had neck and head control that could be used with adaptive equipment in operating a computer. His intervention services should be focused on capitalizing on the movement he does have through the use of creative and innovative strategies. Mullins may not be able to regain the ability to walk, but he definitely can return to the pursuit of a...
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