Occupational Therapy Process - Hanna Martis Case Study - Nursing Assignment Help

Assignment Task:

Module Learning Outcomes

On successful completion of the module, learners will be able to:
1. Select, analyse and evaluate the use of appropriate assessments as part of the occupational therapy process.
2. Select, analyse and evaluate the use of appropriate interventions as part of the occupational therapy process.

Assignment Guidance

Section 1:
For the given case study select a model of practice (either MOHO or CMOPe) and an associated model-based assessment. Consider the strengths and some limitations in relation to how and why the chosen model and associated assessment would be suitable for the case study. To support this please use relevant theory and evidence with supporting reference sources.

Section 2:
Select, analyse and evaluate appropriate further assessments and interventions that would be appropriate for the case study as part of the occupational therapy process. You should ensure you include at least one assessment and one intervention that would clearly address the case studies psychosocial needs, and at least one assessment and one intervention that would clearly address the case studies motor or sensory/perceptual needs. You should consider strengths and some limitations of your proposed assessments and interventions. A relevant theory such as approaches and wider evidence should be used to support your points with appropriate supporting references.

Case Scenario for Assessment:

Hanna Martis is 52 years old, she moved to England from Hungary 15 years ago to work as a nurse in a large hospital. Her choice of location was influenced by knowing a Hungarian family (The Varga’s) who had recently moved to the area. The Varga’s were her neighbours when growing up in Hungary. Hanna also knew the Varga’s would still carry out Hungarian traditions, as Mr Varga was an excellent musician and Mrs Varga loved to prepare traditional foods, so she did not feel she would lose her cultural heritage. 

She re-established a strong friendship with Dora Varga, the mother of the Varga family. Dora invited her to the local Parish church; although Hanna found this very different to her church in Hungary, it gave her the opportunity to practise her Christian faith, which is of great importance to her. Hanna and Dora became active volunteers at the night shelter the church ran for people who were homeless and regularly attended an evening bible study group. Both were passionate about helping other people in whatever way they could.

Hanna was working full time on an oncology ward and worked her way up to ward sister and is a valuable member of the staffing team. She carried out aspects of training as part of her clinical work and enjoyed supervising nursing students. She has a good relationship with her colleagues often going out for meals or to the cinema. They are important to her as she does not have any family in England with her. In her time off Hanna enjoys painting, reading and gardening. She is very proud of her garden in her cottage on the outskirts of the city and her neighbours would often comment on how lovely it looked. 

Hanna was diagnosed with Generalised Anxiety Disorder when she moved to England and this was no surprise to her as she had often experienced periods of acute anxiety. This has worsened over the last six months leading to avoidance of carrying out training due to feeling that she was not good enough. She often would seek reassurance from her colleagues despite being in a leadership role. Her friend Dora had commented that she was not attending bible group so often and this was because she could not face catching the bus due to thinking that people were watching her on the bus and worried that she would miss the stop. She also experienced trembling hands due to the physical symptoms of anxiety. Hanna was able to drive and has a car but has stopped using this since she experienced a stroke 3 months ago. 

The stroke impacted Hanna with hemiparesis on her left side, which is also her dominant side. She is able to mobilise independently but with difficulty and often relies on furniture to stabilise her. This resulted in her being unable to drive to work and to carry out her work role at present. This has left Hanna feeling quite isolated and further impacting on her mental health. Hanna’s activity was further impacted by the experience of visual neglect which affected her ability to carry out self-care which impacts on her self-esteem. She also scolded her hand when trying to do some ironing not realising how hot the iron was. Hanna is greatly missing doing her hobbies as they are all affected by her left-sided weakness. 

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