Client Note / Minutes - Issue based

Location: Telehealth "Verbal consent gained." Meeting Details: Date: 01/11/2024 Time: 10:00 - 10:45 Attendees: Sarah Miller - Occupational Therapist Mr. David Chen - Client Mrs. Emily Chen - Client's Wife Dr. Thomas Kelly - General Practitioner (via phone) Context: Follow-up meeting for Mr. Chen, a 72-year-old male, post-stroke, focusing on home modification needs and functional independence with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Previous functional abilities included independent ambulation and full ADL/IADL independence prior to stroke. Issue: Difficulty with transfers and mobility within the home environment. Progress Update: Mr. Chen continues to experience weakness on his left side, making transfers from bed to wheelchair and toilet transfers challenging. Mrs. Chen reports needing significant assistance, which is causing strain. Coordination with the physiotherapist indicates some improvement in lower limb strength, but safety concerns remain for independent transfers. Shared treatment goals include improving transfer safety and reducing caregiver burden. Collaborative interventions discussed with the GP include exploring potential for home care support. Decisions / Outcomes: Agreed to recommend installation of grab bars in the bathroom and next to the bed. Explored options for a raised toilet seat. Mrs. Chen will research local suppliers for equipment. Cross-Referrals: Referral to a social worker for assistance with applying for home care support services. Issue: Challenges with meal preparation and kitchen access. Progress Update: Mr. Chen is keen to regain some independence in the kitchen. He currently struggles with reaching items from high shelves and safely carrying hot food. His balance remains a concern, particularly when standing for extended periods. This has led to frustration and reliance on Mrs. Chen for all meal preparation. No immediate safety risks were identified during the discussion, but potential for burns or falls was acknowledged. Decisions / Outcomes: Recommended an assessment for adaptive kitchen equipment (e.g., long-handled grabbers, non-slip mats, wheeled utility cart). Discussed modifications to kitchen layout for easier access to frequently used items. Mr. Chen agreed to trial a perching stool for seated meal preparation tasks. Cross-Referrals: None. Action Items: Sarah Miller - Occupational Therapist: Research appropriate grab bar specifications and provide recommendations to Mr. Chen and Mrs. Chen by 08/11/2024. Mrs. Emily Chen - Client's Wife: Contact local medical equipment suppliers for quotes on grab bars and raised toilet seats by 15/11/2024. Sarah Miller - Occupational Therapist: Prepare and send referral to social worker for home care support by 05/11/2024. Next Meeting: Date: 22/11/2024 Time: 10:30