It is critical in the practice of occupational therapy to use appropriate models or frameworks to guide intervention for clients. For Hilary Henderson's case, it would be very useful to apply three theories: the Human Occupation Model (MOHO), the Biomechanical and Rehabilitative Framework (FOR), and the Occupational Adaptation (OA) Model. The profession of occupational therapy is highly client-centered, placing the client's needs and desires at the forefront of intervention. Given the circumstances of Hilary's personal life, it may be difficult to find the motivation to participate in the therapeutic interventions needed to aid her recovery. In this case, the MOHO would be used to tap into his inner will to complete the therapy. This might include a willingness to return to gardening, take care of her cat, attend social gatherings at the senior center, or return to driving and shopping independently. Biomechanical and rehabilitative FOR is essential for clients receiving any type of orthopedic surgery, as Hilary did, to focus on recovering body functions, including strength, range of motion (ROM), and endurance (Cole & Tufano, 2008 ). This model will help guide Hilary's intervention to best meet her needs for recovery of these bodily functions to complete her goals of being independent of changes using assistive devices in all activities of daily living (ADLs) and enjoying the recreational and social activities. Finally, the application of the OA model will help focus the intervention around the “interactive process between a person and their work environment” (Cole & Tufano, 2008, p. 107). In other words, use adaptive methods to modify Ilaria's environment to best suit her deficits and allow her to participate in as many activities as she desires. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay. For example, the occupational therapist will provide Hilary with dressing aids, such as a sock helper and shoe horn, to allow her to dress without breaking any hip precautions. These models, along with many others, “provide explanations for the person's interaction with his or her environment across occupations: providing professionals with a framework for decision-making regarding occupation-based intervention” (Vermaak & Nel, 2016, p. 35). As a professional, it is essential to know the capabilities of all patients to provide the best quality care specific to each patient. Therefore, assessments are used to provide professionals with meaningful information about this area. According to Hilary's medical records, prior to the fall and surgery, she was extremely active within the social community, including participating in senior center activities and volunteering at the hospital. However, she is now limited in this area due to deficits in functional mobility. According to Chisholm, Toto, Raina, Holm, and Rogers (2014), the Performance Assessment of Self-care Skills (PASS) helps occupational therapy professionals “determine clients' ability to live in community” using “measures that capture task -person” -transaction environment and compare customer task performance to a performance standard” (p. 59). Using this assessment for Hilary will be necessary for her intervention plan as it will make clear the adaptations she needs to be able to participate in desired social activities. For example, it will address its current level offunctional mobility, confidence and independence in activities requiring community mobility and will provide a better understanding of what it needs to compensate for them. To supplement this assessment, the Goal Attainment Scale (GAS) would be used to determine whether and how completely Hilary's goals related to social participation were achieved (Ryan, 2014). However, this is not the only objective that could be measured with this evaluation, as every objective can evaluate the level of performance. Additionally, there is a pain management aspect of GAS that would be used to determine the extent to which pain limits one's functional performance. This provides the occupational therapist with vital information to consider when planning Hilary's intervention plan. evidence” (American Occupational Therapy Association, 2014, p. S33). The three most important intervention approaches to use for Hilary's treatment include modification, prevention, and restoration. First, regarding the OA model for treating Hilary, modifying her environment will improve her ability to complete her ADLs at home. Her medical records show that she lives alone in a two-story house. This environment will be a major obstacle to Hilary's ability to complete the daily tasks she wants and needs to complete. Since she requires maximum assistance to complete household tasks, providing her with a ladder modification is necessary for future independence. Secondly, prevention of future injuries for Hilary will be a key factor in her independence due to her age and current functionality. Modification to the stairs will also contribute to this approach as it will provide you with a safer way to reach the top floor of your home. Additionally, one of the most important aspects is to educate Hilary on hip precautions so that she can prevent further injury to the surgical site and possible future surgeries. Finally, with respect to biomechanical and rehabilitative FOR, restoring strength, range of motion and resistance in the lower limbs is essential for its recovery. Restoring these bodily functions will allow you to complete meaningful tasks independently and will provide an aspect of safety to your mobility. Given the intervention approaches taken for Hilary, there are three types of occupational therapy interventions that will be used: occupations and activities, preparatory methods and tasks, and education and training. Recovery from a posterolateral hip arthroplasty involves some hip precautions, including avoiding adduction of the leg beyond the midline of the body, avoiding flexion of the waist beyond ninety degrees of flexion, and externally rotating the hip. Educating and training Hilary on these precautions and how to avoid breaking them will be essential to preventing future injuries, as well as the possibility of future surgery. With these precautions in mind, it is necessary to take the next step in establishing suitable occupations and activities, methods and preparatory tasks for Hilary. Occupations that will be used include getting dressed in the morning, bathing and gardening with adaptive devices. Each of these occupations can be supplemented with activities that support the development of independence. Some activities that will be used include allowing Hilary to choose her clothes, practicing safe transfers in and out of the shower area, and choosing what type of flower she wants to plant that day. Each activity adds a little more meaning and relevance to the occupation it relates to. Finally, the use of preparatory methods and tasks will help prepare Ilario for the highest level of professional performancepossible. As mentioned, he will use adaptive devices to complete his occupations. She will be provided with items such as a sock aid, a shoehorn, pliers, longer handles for gardening tools, and a walker to ensure she can complete desired occupations without breaking her hip precautions. The outcome of Hilary's intervention plan should include at least three aspects: participation, prevention and quality of life. As mentioned, Hilary is extremely proud of her garden, volunteer participation in the hospital, and loves going to the senior center for social activities. Completing an intervention program specific to you and your needs will enable you to participate in these activities safely and independently. Furthermore, involvement in ADLs will increase. Furthermore, thanks to the prevention tools put in place for Hilary, including educational and adaptive devices, the risk of new injuries or any new injuries will be reduced. These, along with many others, will contribute greatly to the quality of life Hilary achieves. According to the American Occupational Therapy Association (2014), quality of life can be defined as the client's “dynamic assessment of life satisfaction, hope, self-concept, health, functioning, and socioeconomic factors” (p . S35). The outcome of your intervention plan will ultimately improve your quality of life. (American Occupational Therapy Association, 2014) The intervention strategy on the use of occupations and activities has specific needs: “client relevance and importance, objects used and their properties, space needs, social demands, sequence and timing, actions required and performance ability, and required underlying bodily functions and body structures” (American Occupational Therapy Association, 2014, p. S32). This section will discuss the demands associated with the enjoyable occupation of gardening as it pertains to Hilary , the goal will be to plant a bunch of flowers. Hilary's medical record, she appreciates the independence in planting flowers outside the house because she finds it enlightening how only flowers can brighten the whole house. It gives her joy every time she looks outside from the window or pass by car. The items needed to complete this occupation are a bouquet of flowers, a long shovel sharp enough to break up the earth, a watering can with water, soil and a space large enough for flowers to grow in front of his house. . After choosing the bouquet of flowers you want in the shop, choose the best space in which to plant them and dig a hole large enough to place the roots of the flowers. Subsequently, cover the roots with the soil with which he previously made the hole and water the newly planted flowers with water from the watering can. From there continue watering them daily or as needed. Although she typically completes this activity on her own, she considers her neighbor's garden when choosing where and which flowers to plant, giving gardening a social demand for its own sake, even if there is no real social interaction. In addition to choosing the appropriate objects and tools needed to plant a bouquet of flowers, Hilary must also be able to locate, harvest, use, and handle them appropriately (American Occupational Therapy Association, 2014). Learning about the best way to care for flowers after planting is also an important part of this activity. You will need to start, continue, sequence, finish, and adapt to the demands of this activity to complete it as Hilary wishes. Finally, a new aspect of this activity that Hilary will need to be aware of at the moment.