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Correct Answer: meet once a week for 3 weeks to establish rapport before intervention program.
in the scenario presented, a client with parkinson's disease is showing signs of neglect in grooming and self-care, prompting concerns from both the physician and the client's children. the recommendation for the occupational therapist registered (otr) to "meet once a week for 3 weeks to establish rapport before intervention program" is rooted in several key principles of occupational therapy and patient care.
firstly, the emphasis on establishing rapport underscores the importance of building a trusting and respectful relationship between the therapist and the client. this initial step is crucial, particularly as the client has expressed a preference to stay at home rather than attend an intervention program. by meeting weekly, the otr can gradually introduce the client to the benefits of the program in a non-threatening and supportive manner. this approach respects the client’s autonomy and personal preferences, which is fundamental in healthcare to ensure compliance and positive outcomes.
moreover, the strategy of starting with rapport-building sessions rather than diving directly into a detailed intervention program respects the client's pace and readiness for change. it provides an opportunity for the otr to assess the client’s needs, limitations, and strengths in a real-world setting, allowing the formulation of a more personalized and effective intervention plan. this patient-centered approach not only respects the client's autonomy but also caters to their specific health condition and lifestyle, which is particularly important in chronic conditions like parkinson’s disease where symptoms and progression can vary widely between individuals.
furthermore, the recommendation takes into consideration the feelings of the client who might be resistant to change or skeptical about the benefits of the intervention program. by prioritizing rapport and trust, the otr can more effectively communicate the importance of self-care and grooming, which are often compromised in individuals with parkinson’s due to motor dysfunction, decreased motivation, or depression. through these initial meetings, the therapist can also educate the client and their family about parkinson’s and how occupational therapy can help in managing symptoms and improving quality of life.
lastly, this approach aligns with ethical practices in occupational therapy, which stress the importance of informed consent and client involvement in their treatment plan. by allowing the client to feel heard and understood, they are more likely to engage willingly in the proposed interventions, thereby increasing the likelihood of a successful outcome.
in conclusion, the plan to "meet once a week for 3 weeks to establish rapport before intervention program" is a thoughtful and client-centered approach that balances the need for intervention with respect for the client’s preferences and autonomy. this strategy not only fosters a positive therapeutic relationship but also sets the stage for more effective and personalized care, which is essential in managing complex chronic conditions such as parkinson's disease.
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