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Correct Answer: providing a home program that fits the client’s daily routine.
when developing an intervention plan for a client with a severe wrist injury undergoing occupational therapy, the primary consideration should be the integration of the therapy into the client's daily life. this approach ensures that the therapy is not only manageable but also sustainable, leading to better compliance and outcomes. it is essential to prioritize the client's immediate needs and daily routine in order to create a home program that is both effective and practical.
the initial focus of the intervention should be on providing a home program that is tailored to fit seamlessly into the client’s existing daily routine. this includes considering the client’s physical limitations, personal goals, and the home environment. for example, the program might include exercises that can be performed using household items, or routines that coincide with the client's schedule, thus minimizing disruption and maximizing the likelihood of adherence.
addressing the client's concerns about the demands of the program on his family is also crucial. while family involvement can be beneficial, it should not be the primary focus at the beginning of the intervention. instead, the therapist should work closely with the client to ensure that the program is designed to be independently manageable to the extent possible. this approach respects the client’s autonomy and helps in building confidence in managing their recovery.
moreover, suggesting that the client increase their chores at home as part of the intervention is not advisable initially. such suggestions could lead to overexertion and potentially worsen the injury. therefore, tasks and activities included in the home program should be therapeutic, directly contributing to the rehabilitation of the wrist, and should be agreed upon by both the therapist and the client based on the client's current physical capabilities and recovery goals.
setting up a meeting with the client’s family could be beneficial later in the therapy process, particularly if adjustments to the home program are needed or if the support from family members becomes necessary for the client's recovery. however, this should follow the establishment and initial implementation of a personal routine-based program that the client feels comfortable managing.
in summary, the intervention should initially focus on developing a personalized home program that aligns with the client's daily routine and addresses their specific needs and concerns. this foundation ensures that the client is set on a path to recovery with confidence and minimal disruption to their regular life, laying a solid groundwork before potentially integrating broader family support.
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