1) Mrs. Drake is a 75 y/o widow who lives with her daughter. Although she has enjoyed good health, her medical history includes moderate hearing loss and mild depression. She is an active participant in her religious community, her bridge (card game) and book club.
Mrs. Drake recently fractured her left hip after falling out of bed. Her recent hip replacement surgery was successful. She was admitted to a sub-acute unit of a SNF for rehabilitation, but is responding poorly to attempts for treatment. She continually cries and the PT reports that Mrs. Drake has been expressing a fear of standing and is resistant to ambulate. According to the COTA, she is also having difficulty getting to the bathroom, showering and going to the dining room for meals. She rejects trying antidepressants and is developing poor endurance and muscle weakness.
Mrs. Drake's plan for discharge is to return home with her daughter. Her daughter’s home is a ‘split level’ with three stairs up to the bedroom. On the main floor, there is a fairly large kitchen, living room, and small bathroom. Her daughter travels frequently which will leave Mrs. Drake alone for a several days each month.

1. What are Mrs. Drake’s strengths? List them. What are her problems? List them.(10)

2. List the multidisciplinary staff you will seek to consult with and for what purpose. Be specific.(15)

3. List at least 3 pieces of adaptive equipment that you feel will provide her with improved independence in ADLs upon discharge. Give the functional impact they will have on her participation in occupations. (15)
4. State at least 3 Frames of Reference or Models of Practice would you be using given her problems? Relate each one to her problem. (15)

5. Research one Community Resource you would recommend for Mrs. Drake to explore once she returns to her daughter’s home. (think of her problems, needs and home situation) Why did you choose this? (20)