The majority safety hazards are due to architectural barriers in BK’s home. For example, the bathroom is extremely narrow, countertops are at standing height, and the rear/fire exit is not accessible for BK as she is limited to using a powered wheel chair. BK is diagnosed as pre-diabetic with hypertension, her left leg is amputated above the knee, which resulted from an infection during her 3rd knee replacement. Chronic rheumatoid arthritis (RA) is the underlying cause for the knee replacements, and many of her occupational barriers. She obtained this residence via the Catholic Arch Dioceses in Delaware and they’re not ADA accessible. Due to the fact that the housing is provided by a non-profit, religious organization presents extra obstacles to …show more content…
However, her prosthetic cannot be utilized due to a cist on the posterior surface of her left thigh. This presents difficulties for all occupations that take place in the bathroom, only a walker has the maneuverability to access the shower chair and toilet. She is very apprehensive about the occupations that take place in the bathroom and currently has a CNA visit 5 days a week to provide assistance. She would like to be more independent in these occupations but the architectural barriers are too vast.
BK’s diagnosis of RA is major contributing factor that limits her occupational performance in the following: home care, management and care of pets, dressing, toileting, meal preparation, and grooming. She would benefit from adapted long handled tools that can increase functional performance in these areas of occupation. Also she enjoys playing cards but has trouble holding cards for extended periods of time due to the RA.
Reaching and bending outside of her center of gravity during these occupations is another contributing factor to BK’s safety within the home. Arranging items around the home that limits reaching and bending would increase her safety during daily